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Coding Resources and Information

Coding Basics - The First Step to Ensure Proper Coding

The first step to ensure proper coding involves selecting the most reliable and reputable coding products from the hundreds of coding resources available, from books to software to consultants’ products. This can be easier than it sounds. The first step is determining which resources are essential and which should be used as supplements.

Coding Essentials
Essential items for correct coding are CPT and ICD-9-CM manuals from the current year. Each year, new CPT codes are added and existing codes revised or deleted, therefore, it is very important to use only current coding manuals. Use of outdated manuals can lead to reimbursement inefficiencies, lost revenue or compliance problems. New CPT codes and updates become effective January 1; ICD-9-CM code additions and revisions become effective October 1.

You can purchase CPT and ICD manuals from the American Medical Association (AMA) at or by phone at (800) 621-8335. The same manuals can also be purchased from other vendors such as Ingenix. The National Center for Health Statistics (NCHS) and the Centers for Medicare and Medicaid Services are the U.S. governmental agencies responsible for overseeing all changes and modifications to the ICD-9-CM.

Coding Resources
A number of resources are available to help physicians and others code correctly, such as the following:

ASGE Coding Primer: A Guide for Gastroenterologists -Those regularly involved in coding and billing will find this publication pivotal to the practice. Unlike other resources currently available, this primer aims to provide in-depth information while combining code details with payer or billing rules and nuances.

Principles of CPT Coding – This resource is a CPT coding primer that offers an in-depth view CPT coding basics. It provides coding information for every section of the CPT book including gastrointestinal and endoscopy procedures.

CPT Assistant – The AMA’s CPT coding newsletter provides subscribers with the latest information on CPT coding. Although not GI-specific, GI-related information can be found in most issues.

CPT Workbook – This publication offers physicians relevant clinical examples of CPT codes and allows readers to test their coding skills. This publication represents a joint effort between the AMA, ASGE, AGA, ACG and other societies and provides in-depth instruction on key coding concepts provided by CPT code section with extensive coding scenarios and operative procedure exercises given at the end of each chapter to test knowledge.

A “How-To” Guide to Proper Code Assignment

Why should I care about coding?

Disclaimer
The American Society for Gastrointestinal Endoscopy (ASGE) has made reasonable efforts to confirm the accuracy of the information provided but this advice is intended only to provide a broad overview of coding and coverage. The information is not intended to serve as specific advice about how to utilize, code, bill or charge for any medical product or services. Clinical scenarios, non-clinical circumstances, individual payer policies and numerous other factors may impact a particular situation. ASGE makes no representation or warranty regarding the completeness or accuracy of the information.