Becker's Healthcare November 21, 2025
Carly Behm

Office-based endoscopy, a longtime option for care, is becoming more viable as ASCs look for ways to keep pace with inflation and other stressors, according to a Nov. 21 Medscape report.

Colonoscopy reimbursements have fallen by more than 40% since 2001, while ASC revenue grew, decreasing the amount of revenue from professional and facility fees, the report said.

But a potential shift to office-based models could support outpatient gastroenterology care, according to an editorial in Clinical Gastroenterology and Hepatology, the report said.

Medicare’s proposed 2026 Physician Fee Schedule includes a 14% reimbursement bump for office-based procedures, including endoscopy. Some states like Illinois, Oregon, Virginia, Washington and Wisconsin, also...

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