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letter
. 2020 Jan 16;12(1):49–52. doi: 10.4253/wjge.v12.i1.49

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.