Blog

Case 31: Painful, Leaking PEG Tube
October 8, 2025
A 30 year-old male with a history of cystic fibrosis and PEG tube dependency presents to clinic with complaints of difficulty using PEG tube, leaking around tube and abdominal pain.
2025 EQuIP Prize Winners
October 8, 2025
The ASGE Endoscopy Quality Improvement Project – EQuIP – Prizes Program promotes quality improvement projects that have the potential to transform quality care in endoscopy.
NIH Operations Disrupted by Federal Funding Lapse
October 2, 2025
On Oct. 1, the National Institutes of Health (NIH) issued a notice titled “Information for the NIH Extramural Community During the Lapse of Federal Government Funding.”
New CPT® Codes for GI Services Coming in 2026
October 2, 2025
Introducing New CY2026 CPT® Codes Relevant to GI: ESG and Anorectal Physiology Effective January 1, 2026, three new CPT®[1] codes take effect for common GI services.
Medical Groups Ask for Exception to New H-1B Order
October 2, 2025
ASGE joined national physician organizations on a letter to Department of Homeland Security Secretary Kristi Noem urging that H-1B visa graduate medical education trainees be exempt from a new order issued.
Expiration of Telehealth Flexibilities Follow Government Shutdown
October 2, 2025
Current Medicare telehealth flexibilities that were extended by Congress through September 30, 2025, expired effective October 1 and will lapse unless there is action by Congress.
ASGE Opposes Cigna’s New E/M Downcoding Policy (Effective Oct. 1, 2025)
October 2, 2025
Cigna’s “E/M Coding and Accuracy” policy (R49 - link) would allow automatic one-level downcoding of 99204–99205, 99214–99215, and 99244–99245 when Cigna deems “encounter criteria” unmet.
The Advocate: Your Voice in GI Policy, Practice and Payment
October 2, 2025
Welcome to the inaugural issue of The Advocate, the new ASGE publication focused on advocacy, policy and payment. This newsletter will be delivered to your inbox every other Saturday.
QI Spotlight: Improving patient post-procedure discharge instructions
September 17, 2025
The GI endoscopy service determined by using patient experience and complaint data that patients were frequently not receiving adequate discharge instructions.
Optimizing Endoscopy Efficiency Across Settings: Practical Lessons from ASCs and Hospitals
September 17, 2025
Efficiency in endoscopic practice is more than just throughput—it’s about delivering safe, timely, and patient-centered care while maintaining the well-being of the healthcare team.
Quality Counts: Choosing the Right QI Project for Your GI Practice
September 17, 2025
Quality improvement in gastroenterology, is a phrase that is often uttered in conferences, meetings, and on societal websites. It’s a concept that gastroenterologists know is important, but formal training in QI initiatives is not standardized.
Rethinking the Role of the Endoscopy Technician: Advancing to the Endoscopy Expert
September 17, 2025
The role of the endoscopy technician has traditionally been underrecognized within the gastrointestinal (GI) procedural team. Historically, technicians have received limited formal education, often relying on on-the-job training from senior colleagues.
2025 Coding Update for Chronic Care Management Codes and Case Study
September 10, 2025
Chronic care management is essential for many chronic gastrointestinal disorders. This article will introduce how to utilize chronic care management CPT codes to assist in developing an organized process to care for your patients.
ASGE Answers Your Coding Questions
September 10, 2025
We are looking into the coding for smoking cessation. We have heard that it will interfere with our office visits. What are the educational and documentation requirements to qualify for smoking cessation coding?
QI Spotlight: Filling Open Patient Slots
September 10, 2025
Our endoscopy center faced staffing shortages and changes in scheduling and recall management starting March 2022, leading to backlogs, especially in filling last-minute cancellations within one week.

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