Gastroenterology Billing Services for Digestive Health Practices

SPT Medical Billing provides Gastroenterology Billing Services designed for the specialized needs of gastroenterology practices. Our services ensure accurate billing for a wide range of digestive health procedures, supporting your practice’s financial well-being.

Expert Gastroenterology Medical Billing Services for Gastroenterologists

We specialize in handling the billing for digestive health services, to boost your income and make the billing process smoother. Our team has been providing billing and coding services to gastroenterologists for years. We take care of billing for various gastroenterology procedures like colonoscopies, sigmoidoscopies, EGD, ERCP, endoscopic ultrasounds, and more. Our focus is on making sure you get paid properly for the services you provide.

Why Choose Us As Your Gastroenterology Billing Service Provider?

Accurate Gastroenterology Billing and Coding for Effective Reimbursement

In our gastroenterology billing and coding team, we make sure to accurately record and charge for all the different medical procedures we perform. We’re well aware of the specific details involved in billing for GI (gastrointestinal) services, like properly documenting a colonoscopy that goes beyond a certain point.

Our certified coders are available around the clock to work with you and avoid problems caused by using billing codes incorrectly. Our team of billing and coding experts aims to minimize claim denials and increase the money you receive for your services.

Gastroenterology medical billing services

Looking for a billing partner that understands gastroenterology?

Choose SPT Medical Billing for comprehensive gastroenterology billing services.

Advanced Gastroenterology Billing Services Utilizing Cutting-Edge Technology

We employ the latest technology to offer efficient gastroenterology billing services, ensuring a streamlined billing process that enhances accuracy and expedites reimbursements.

Gastroenterology billing
Gastroenterology billing services

Customized Medical Billing Solutions for Gastroenterology Practices

We offer medical billing solutions for gastroenterology practices that are tailored to your specific needs, ensuring thorough billing support for all digestive health services.

Transparent Billing Processes for Gastroenterology Services

Experience transparent billing with SPT Medical Billing, offering clear insights into the financial operations of your gastroenterology services, enabling effective financial management.

Challenges in Gastroenterology Medical Billing

Getting the medical billing and coding right for gastroenterology is tough, and requires a high level of knowledge to ensure maximum reimbursement. These challenges and solutions include:


  • Billing for colorectal cancer screenings vs. colonoscopies
  • Coding challenges related to motility and GI function studies
  • Documentation difficulties in ensuring proper levels of evaluation and management services
  • Complexity in using category III codes for the treatment of GERD
  • Application and understanding of modifiers such as -51, -59, and -26
  • Challenges in tracking underpayments, particularly exceeding generic billing software capabilities


  • Implement clear documentation protocols to distinguish between preventive colorectal cancer screenings and diagnostic colonoscopies, ensuring accurate coding and reimbursement.
  • Provide continuous staff education on coding guidelines for motility and GI function studies, supported by coding templates or cheat sheets for streamlined processes.
  • Establish comprehensive documentation training for healthcare providers to ensure accurate and detailed records for Evaluation and Management services, with regular audits for feedback and improvement.
  • Conduct regular training sessions for coders and physicians on the application and proper use of Category III codes for GERD treatment.
  • Invest in advanced billing software capable of detailed tracking and reporting for underpayments, and establish a dedicated team or outsourcing service for consistent monitoring and follow-up on underpaid claims.

SPT Medical Billing Your Award Winning Medical Billing Partner

Connect with SPT Medical Billing’ Gastroenterology Billing Experts to learn how our services can streamline your billing processes and enhance your practice’s revenue.

Schedule an Appointment

Benefits of Our Gastroenterology Billing Services

Specialize­d Expertise

Our team has gre­at knowledge of billing codes for doctors. We­ follow the rules to bill correctly.

Denial Management and Appe­als

We review de­nials thoroughly. We appeal on time to avoid losing mone­y.

Efficie­nt Claim Submission

We send claims quickly. This preve­nts denials and gets you paid faster.

Transparent Reporting

Detaile­d reports show billing performance. Re­gular updates on money you earne­d.

Re­venue Maximization

Careful coding finds unde­rbilled services. We­ spot missed chances to earn more­.

Customized Billing Solutions

Our billing fits your practice's nee­ds. We work your way and your prefere­nces.

Best Practices for Gastroenterology Billing

  • Accurate Coding: Use­ the right codes for stomach and intestine­ treatments to get paid prope­rly and in full. Avoid denials by coding correctly.
  • Timely Claim Submission: Se­nd claims quickly with complete paperwork. This spe­eds up payment and preve­nts delays.
  • Regular Compliance Audits: Che­ck coding regularly to find and fix errors, unbundling, and other billing mistake­s.
  • Effective Denial Manage­ment: Have a plan to revie­w and appeal denials quickly. This helps ge­t paid what you earned.
  • Patient Education: Explain costs, insurance­, and payment policies clearly to patie­nts. This improves collections and reduce­s billing questions.
  • Transparent Communication: Kee­p an open dialogue about billing processe­s, charges, and payment options with patients and doctors. Building trust make­s everyone satisfie­d.

Frequently Asked Questions

Five Common Gastroenterology coding mistakes:

  • Inaccurate Modifiers.
  • Up coding.
  • Updates on CPT codes.
  • Eligibility verification.
  • Improper Documentation and Medical Necessity.

91110 –   GI tract    imaging, capsule endoscopy

91010 – Esophagus motility study

91122- Anorectal manometry

91035 – Gastroesophageal reflux test w/ electrode

Outsourcing ensures expertise in gastroenterology coding, reduces administrative workload, accelerates revenue cycles, assures compliance with CMS guidelines, and allows gastroenterologists to focus on patient care and specialized procedures.

Identify experts through professional networks, industry referrals, online platforms, evaluating experience in gastroenterology coding, and considering certifications like Certified Professional Biller (CPB) during the hiring process.

Common codes include CPT codes for colonoscopy (45378), upper endoscopy (43235), and evaluation and management services (99213), facilitating accurate billing for a range of gastroenterology services.

Boost revenue by optimizing fee schedules, negotiating favorable payer contracts, utilizing technology for efficient billing, improving patient communication on billing matters, and implementing effective strategies for preventive care, screenings, and post-procedure care. Regularly review and update documentation to capture all billable elements.