November 12, 2026 Can a Facility Bill the Facility Fee with Modifier 73 if a Patient Has Taken Weight Loss Medication within Seven Days of an Endoscopy Procedure? We have seen an influx of patients who arrive for their procedures and have taken a weight loss drug in the last 7 days even though they were instructed not to do so. Are we allowed to bill the Facility Fee with MOD 73? Endoscopy Facility Coding Modifiers
October 8, 2026 How Should We Handle Medicare Coverage and ABNs for Dietitian Services? We’re adding a registered dietitian. Can Medicare patients sign an ABN for GI-related nutrition services if they have diabetes or ESRD but we aren’t managing those conditions? What’s the best practice for offering these services? Medical Necessity Medicare Compliance Coverage Policies
September 9, 2026 How Should Total IgA, TTG IgA Antibody, and Stool Pancreatic Elastase Be Counted as Unique Tests for MDM Data Review? Can these laboratory tests be counted as three unique tests for the Data element of Medical Decision Making (MDM) because they have different CPT codes, or should they be counted as two unique tests? Coding Guidelines Evaluation and Management (E/M)
