Gastroenterology Billing Services
Endoscopy and colonoscopy coding, screening vs. diagnostic rules and anesthesia billing handled correctly. Agile Nexus Solutions provides gastroenterology medical billing, coding and revenue cycle management for practices across all 50 states, so your team can focus on patients instead of paperwork.
Common Gastroenterology billing challenges
- Screening vs. diagnostic colonoscopy rules, including modifiers PT and 33
- Polyp removal techniques coded correctly
- Anesthesia billing for endoscopic procedures
How we help gastroenterology practices
- Apply screening rules so patients are not billed incorrectly
- Code biopsies and polypectomies from the procedure note
- Coordinate with anesthesia billing for the same procedure
Every claim is checked before submission, sent within 24–48 hours, and followed until it is paid. You get monthly reports on collections, A/R and denials, and a dedicated account manager who knows your specialty.
What is included
- Eligibility and benefits verification
- Certified medical coding (ICD-10, CPT and HCPCS)
- Claim submission and rejection fixes
- Payment posting and reconciliation
- Denial management, appeals and A/R follow-up
- Credentialing and payer enrollment
Frequently asked questions
What happens when a screening colonoscopy becomes diagnostic?
We apply the correct modifiers (such as PT for Medicare or 33 for commercial plans) so patient cost-sharing rules are followed and the claim is paid correctly.
Do you bill ambulatory surgery center GI procedures?
Yes. We bill both professional and ASC facility claims for endoscopy procedures.
Request a practice audit or book a call to see how much more your gastroenterology practice could collect.