Table 1.
Billing data for endoscopic submucosal dissection-related endoscopic procedures
Total patients | 120 |
Gender | Male 64; female 56 |
Type of GI endoscopy | Lower 76; upper 44 |
Age (yr) | Range 22-92 |
Indication of procedure | Mucosal polyps/lesions 81, submucosal lesions 15, myotomy 24 |
Length of ESD (min) | Range 20-120 |
Complications | 3 (2.5%) (2 post-ESD bleed; 1 esophageal stricture requiring dilation) |
Type of health insurance | Commercial 52 (43%), medicare 49 (40.8%), HMO 19 (15.8%) |
Not paid as unlisted CPT | 42 |
Initial denial rate | 35% |
Not paid at all | 10 |
Final denial rate | 8.33% |
Number of denials | Range 0 to 9 |
GI: Gastrointestinal; ESD: Endoscopic submucosal dissection; CPT: Current procedural terminology.