Billing and Coding: How to do the Least to Get the Most

Tuesday, May 13, 2025

3:15 PM - 4:10 PM PT

Location: Ballroom 6C-F, Upper Level

Co-Moderator(s)

Kelly M. Tyler, MD (she/her/hers)

Professor and Division Chief of Colorectal Surgery
UMMS-Baystate
UMMS-Baystate
Suffield, CT, United States

Disclosure information not submitted.
RK

Robert J. Kucejko, MD, MS, MBA

Assistant Professor
UC Davis School of Medicine
West Sacramento, California, United States

Disclosure information not submitted.

All of the relevant financial relationships listed below have been mitigated.

Kelly M. Tyler, MD: This individual has no financial relationships with ineligible companies.

Robert J. Kucejko, MD, MS, MBA: This individual has no financial relationships with ineligible companies.

Learning Objectives:

Upon completion of this activity, participants should be able to:

Explain best practices for maximizing billing & coding of E/M visits and procedures performed on the same service date.
Recognize when unlisted procedural codes are required for abdominal and anorectal procedures and how to bill for these procedures effectively.
Identify procedures commonly performed by Colorectal Surgeons that allow for high RVU generation.
Analyze the benefits of minimally invasive surgery approaches vs. open in the current healthcare environment driving maximized RVU production.

CME Credit:1
Contact Hours:1

This symposium explores aspects of Colorectal practice that will allow attendees to maximize coding and billing opportunities by understanding efficiencies in practice. The interplay between E&M and procedural care will be discussed along with the use of “unlisted” codes which do not have a set RVU value and may not be reimbursed by payors. Additionally, high-RVU generating Colorectal cases will be reviewed and we will candidly discuss RVU generation per unit time when comparing minimally invasive and open procedures.