Specialty Focus: Gastroenterology

Gastroenterology Billing,
Engineered for Precision.

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Endoscopy & Colonoscopy

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Endoscopy
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Polypectomy
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Infusion Therapy
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Diagnostics

Select a clinical focus area on the scanner or list below to reveal the specific CPTs, modifiers, and documentation standards our certified GI coders master to secure your revenue.

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Endoscopy & Colonoscopy

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Precision billing for upper GI (EGD) and lower GI endoscopies. We flawlessly apply Modifiers PT and 33 to convert screening colonoscopies into diagnostic ones when polyps are found, protecting patient benefits and guaranteeing reimbursement.

Screening vs Diagnostic Modifiers PT/33 Multiple Endoscopy Rules
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Polypectomy & Biopsy

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Expert differentiation between lesion removal techniques (snare, cold forceps, hot biopsy). We deploy strict NCCI edit audits to ensure that when a biopsy and an excision occur at different sites during the same session, both are legally paid using Modifier 59.

Snare vs Forceps Modifier 59 / 51 Distinct Anatomical Sites
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Infusion Therapy (Biologics)

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Complex billing for in-office biologic infusions (Remicade, Entyvio, Stelara) for IBD patients. We precisely calculate initial vs. sequential time-based administration codes and meticulously report J-codes and exact dosage units to avoid high-cost claim denials.

J-Code Management Time-Based Admin Codes Wastage Modifiers (JW/JZ)
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Advanced Diagnostics

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Accurate capture of GI motility studies, high-resolution manometry, capsule endoscopy, and breath testing. We ensure exact tracking of technical (TC) vs. professional (26) components based on the place of service and equipment ownership.

Capsule Endoscopy Manometry Modifiers 26 & TC

Gastroenterology Billing is Complex.
We Make It Profitable.

GI practices face intense scrutiny over screening conversions, multiple procedure discounting, and lesion removal techniques. Hover over the common challenges below to see how HBS secures your revenue.

Screening vs. Diagnostic

When a routine screening colonoscopy results in a polypectomy, incorrect sequencing of diagnosis codes or missing the PT/33 modifiers leads to immediate patient billing disputes and denied claims.
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The HBS Solution

We implement strict screening-conversion logic. Our system automatically appends Modifiers PT (Medicare) or 33 (Commercial) while keeping the screening ICD-10 as primary, ensuring benefits are preserved and you get paid.

Multiple Procedure Reductions

Performing an EGD and a Colonoscopy in the same session is common, but payers aggressively bundle these procedures under NCCI edits, slashing your rightful reimbursement.
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The HBS Solution

We scrub every operative report against real-time NCCI tables. We ethically unbundle distinct scopes using Modifier 51 (Multiple Procedures) or 59 (Distinct Service) to secure payment for every zone evaluated.

Lesion Removal Techniques

Using the same CPT code for a cold forceps biopsy and a snare polypectomy, or billing for multiple removals in the same anatomical zone, triggers immediate claim denials.
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The HBS Solution

Our certified GI coders don’t guess. We abstract the exact technique (snare, forceps, hot biopsy, ablation) and anatomical site from the operative note, applying distinct codes to capture maximum value per lesion.

The HBS Gastroenterology Advantage

We don’t just process claims; we function as a dedicated extension of your GI practice. From capturing unbilled biopsies to fiercely defending against NCCI bundling, we transform your revenue cycle into a predictable asset.

98% First-Pass Clean Claim Rate

Our proprietary scrubbing engine catches modifier PT/33 errors, global period overlaps, and invalid diagnosis links before the operative claim ever leaves our system.

48-Hour Turnaround

Supercharge your cash flow. We guarantee that your complex endoscopy reports and infusion superbills are coded and billed within 48 hours of receipt.

NCCI Edit Defense

We don't let payers illegally bundle your hard work. We identify separately billable procedures and apply rock-solid documentation to ensure every scope and biopsy is paid.

Average GI Revenue Lift (First 6 Months)

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+21% Lift
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Calculate Your Specific ROI

Stop GI Denials Today.

Let our specialized gastroenterology billing team audit your current operative reports. Discover exactly where your revenue is leaking on unbundled scopes and screening conversions.
Request Your Consultation

Optimize Your Revenue Cycle with HBS

Partner with experienced RCM specialists to streamline billing, reduce denials, and improve cashflow.

+1 (818)-853-8889

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