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HealthCell provides billing for colonoscopies, upper endoscopies (EGD), ERCP, capsule endoscopy, anorectal procedures, liver biopsies, and motility studies. Our team is trained on diagnostic vs. therapeutic endoscopy coding and applies correct modifiers to maximize reimbursement. We also handle billing for advanced endoscopic procedures including EUS and endoscopic mucosal resection as these services become more prevalent in independent GI practices.
When a diagnostic colonoscopy converts to a therapeutic procedure during the same session, specific modifier rules apply. HealthCell’s GI billing specialists apply the correct modifiers—including -33 for preventive intent and -PT for high-risk screening—to ensure accurate, compliant billing. Correctly handling these crossover scenarios is one of the most impactful ways to reduce denials and protect GI revenue.
Yes. HealthCell can coordinate billing for both the GI physician and associated anesthesia services, ensuring correct provider enrollment, supervision codes, and compliance with payer-specific anesthesia policies for endoscopy. We also manage monitored anesthesia care (MAC) billing for practices that provide sedation services in their own endoscopy suite.
GI claims are frequently denied due to preventive vs. diagnostic coding errors, missing polyp removal modifiers, and medical necessity gaps. HealthCell’s denial prevention protocols address these specific triggers before claims go out the door. Our team also tracks payer-specific colonoscopy policies, which vary significantly and are a leading source of unexpected denials for GI practices.
Yes. We have expertise in both office-based and ASC billing for gastroenterology procedures. HealthCell ensures accurate facility vs. professional component billing and helps GI practices capture revenue from ancillary services like pathology and sedation. Our team also supports practices evaluating the financial case for developing or expanding their own ASC capabilities.
The trusted financial backbone for independent practices—stable collections, fewer denials, and freedom to focus on care.
