Sep 18, 2024, 17:30 by Sarajoy Pickholtz

Sep 12, 2024, 13:10 by Sarajoy Pickholtz

A patient had a colonoscopy in 2012, and the indication was screening; polyps were removed, and recommendations were made to return in five years for a repeat exam. The patient had a recall for 2019 but did not come in. Now in 2024, the patient has returned. Would this be done as a screening or history of colon polyps? Does a patient need to have two colonoscopies with no polyps before screening can be done, or since the last one was 10 years ago, is screening the correct diagnosis?

Sep 12, 2024, 13:08 by Sarajoy Pickholtz

To see a decrease in the number of errors on pathology reports upon reconciling. These errors are a combination of mistakes from [pathology company] and [endoscopy unit] staff.

Sep 12, 2024, 12:53 by Sarajoy Pickholtz

Sep 12, 2024, 12:35 by Sarajoy Pickholtz

Sep 12, 2024, 12:19 by Sarajoy Pickholtz

Aug 21, 2024, 16:16 by Sarajoy Pickholtz

This project aims to reduce biohazard waste in our endoscopy unit by training staff and using visual reminders, helping lower the unit’s carbon footprint and align with GI society guidelines on climate-conscious clinical practices.

Aug 9, 2024, 11:16 by Sarajoy Pickholtz

We have a patient who had a screening colonoscopy in September 2016. No biopsy samples were taken, and no polyps were removed. The patient had a redundant colon, so the provider wants to bring her back in seven years instead of ten. Can this be billed as a screening with dx Q43? Possibly G0105 with Q43.2?

Aug 9, 2024, 11:15 by Sarajoy Pickholtz

This project aims to reduce biohazard waste in our endoscopy unit by training staff and using visual reminders, helping lower the unit’s carbon footprint and align with GI society guidelines on climate-conscious clinical practices.

Aug 9, 2024, 11:13 by Sarajoy Pickholtz

Jul 31, 2024, 10:34 by Sarajoy Pickholtz

Jul 31, 2024, 10:16 by Sarajoy Pickholtz

Jul 25, 2024, 12:11 by Sarajoy Pickholtz

One of my providers asked me if he could bill code 46221 more than one time per visit with different degrees of hemorrhoids, for example, codes 46221 K64.1 and 46221-59 K64.2. I entered this into coding software, and it said there was no problem with the claim. This seemed unusual to me. Can you verify that billing these codes together is allowed?

Jul 25, 2024, 12:08 by Sarajoy Pickholtz

The endoscopy department has been seeing a high percentage of cancellations/no-shows over the past few years. One factor that the GI and endoscopy department lacked was a registered nurse (RN) to prep patients, answer questions and confirm appointments.

Jul 25, 2024, 12:04 by Sarajoy Pickholtz

A 46-year-old white male presents with a complaint of “abnormal liver labs.” He states his liver labs have been slightly elevated over the past nine months. He is asymptomatic. He has no risk factors for viral liver disease, does not use alcohol and has a normal body mass index. He has a new diagnosis of diabetes mellitus (DM), for which he recently started oral medication. His abnormal liver labs predate treatment for DM. His father had “some type of liver disease.” On examination, his skin has a bronze appearance despite no recent sun exposure. His AST is 68 and his ALT is 78. The albumin, bilirubin and platelet count are normal. He only takes medication for DM.

Jul 25, 2024, 11:35 by Sarajoy Pickholtz

Jul 25, 2024, 11:32 by Sarajoy Pickholtz

Jul 15, 2024, 14:17 by Sarajoy Pickholtz

Members of the ASGE Membership Engagement Committee reflect on their journeys and share thoughtful advice they wish they could give their younger selves—offering wisdom, encouragement, and lessons learned along the way.

Jul 15, 2024, 14:03 by Sarajoy Pickholtz

GI fellowship is a time of growth, learning, and preparing for independent practice. Fellows should set clear goals, find mentors, and seek leadership and teaching roles. Each experience is unique, but all should build a foundation of knowledge and humanism.

Jul 15, 2024, 13:41 by Sarajoy Pickholtz

Congratulations! You have matched into one of the most coveted specialties of internal medicine. Long gone will be admission orders and discharge summaries that may have haunted you during your residency years. However, new challenges will arise. This includes the decision to continue as a general gastroenterology (GI) practitioner or obtain additional training in one of the many subspecialties our field has to offer. Here are a few tips to navigate that decision; however, always reach out to your program director and mentors for more detailed advice!