USMed Billing Solutions: Expertise in Gastroenterology Medical Billing and Coding

At USMed Billing Solutions, we proudly provide comprehensive medical billing and revenue cycle management services to healthcare organizations across all 50 U.S. states, supporting a broad client base that includes hospitals, outpatient clinics, and independent physician practices — with a special focus on gastroenterology groups.

With over a decade of specialized experience, our team has perfected the art of optimizing gastroenterology billing operations. We help practitioners enhance financial outcomes, maintain compliance, and minimize administrative stress. Our certified coders, trained under CMS and AMA guidelines, are experts in ICD-10, CPT, and HCPCS coding and hold credentials from the American Academy of Professional Coders (AAPC) — ensuring precision and regulatory alignment in every claim we process.

Our Proven Best Practices in Gastroenterology Billing and Coding

Gastroenterology billing requires a meticulous understanding of procedural details and payer-specific nuances. For instance, a colonoscopy that extends beyond the splenic flexure must be coded correctly to avoid being misclassified as a sigmoidoscopy — a mistake that could significantly affect reimbursement.

Our certified billing experts monitor these details with precision, guiding in-house teams to avoid modifier misuse, coding inconsistencies, and documentation errors. Through a combination of advanced automation tools, real-time claim tracking, and continuous process audits, we:

  • Reduce claim denials and rejections
  • Shorten billing turnaround times
  • Improve cash flow and reimbursement rates
  • Strengthen overall revenue cycle performance

Our data-driven workflow is designed for sustained financial growth, compliance assurance, and operational transparency, helping gastroenterology practices focus more on patient care and less on administrative hurdles.

Comprehensive Gastroenterology Coding Expertise

The field of gastroenterology encompasses over 72,000 ICD-10-CM codes, each with specific payer rules and documentation requirements. Selecting the correct code demands both technical precision and clinical understanding. At USMed Billing Solutions, our gastroenterology billing specialists undergo ongoing professional training to stay current with regulatory changes and coding updates, ensuring every claim is both accurate and compliant.

Below are a few commonly used and high-impact ICD-10-CM and CPT codes applied in gastroenterology billing:

1. Abdominal Pain (Multiple Sites)

  • R10.10 – Unspecified upper abdominal pain
  • R10.2 – Pelvic and perineal pain
  • R10.30 – Unspecified lower abdominal pain

2. Benign Neoplasms of the Large Bowel

  • D12.0 – Benign neoplasm of cecum
  • D12.1 – Benign neoplasm of appendix
  • D12.6 – Benign neoplasm of colon, unspecified

3. Common CPT Codes for Gastroenterology

  • 91200 – Liver elastography
  • 91010 – Esophageal motility study
  • 91110 – Capsule endoscopy of the GI tract
  • 91065 – Breath hydrogen/methane test
  • 91122 – Anorectal manometry
  • 91035 – Gastroesophageal reflux test with electrode
  • 91037 – Esophageal function test with electrode
  • 91040 – Esophageal balloon distention test
  • 91112 – GI wireless capsule motility monitoring
  • 91299 – Unlisted gastroenterology procedure

4. Diarrhea and Related Conditions

  • K52.2 – Allergic and dietary gastroenteritis and colitis
  • K52.89 – Other noninfectious gastroenteritis and colitis
  • R19.7 – Diarrhea, unspecified

5. Gas, Flatulence, and Related Symptoms

  • R14.0 – Abdominal distension (gaseous)
  • R14.1 – Constipation
  • R14.2 – Eructation (belching)
  • R14.3 – Flatulence

6. Benign Neoplasms of the Rectum and Anus

  • D12.7 – Benign neoplasm of rectosigmoid junction
  • D12.8 – Benign neoplasm of rectum
  • D12.9 – Benign neoplasm of anus and anal canal

Partner With the Experts in Gastroenterology RCM

When you choose USMed Billing Solutions, you gain more than a billing service — you gain a strategic financial partner dedicated to maximizing your revenue potential. Our specialized team ensures that every aspect of your billing process — from claim creation to denial resolution — is handled with the utmost precision and compliance.

With our deep expertise, transparent reporting, and technology-backed efficiency, we help gastroenterology practices maintain steady cash flow, lower A/R days, and full regulatory compliance — empowering physicians to focus solely on delivering exceptional patient care.

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