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Improving technologies call for updating coding practices. Recently, I was asked about coding for the repair or closure of an annular tear or defect (defect), which is a tear or hole in one or more (typically all) layers of the annulus fibrosus (annulus). As with the methods for repairing these defects, the coding has changed […]
The post Closing the Coding Gap for Annular Defects appeared first on AAPC Knowledge Center.
I am looking for feedback and ideas from both providers and health plans on year end pushes to get coding gaps closed.
We have been working hard all year both on the plan side as well as the provider side to see members/patients, assess their chronic conditions, and get them documented & coded but as we all know it seems we always have more gaps to close!
I am looking for any ideas to try over the next 30 days that may help us exceed our goals in risk adjustment. I would love to hear some provider thoughts on what works best for you at the end of the year and how the plan can maybe assist you in getting members in or different strategies you may be trying.
Wishing you all a happy and safe holiday season!
Nicole Martin
I am wondering which CPT code to use? The manufacturer of the padlock (US Endoscopy) suggested colon with control of bleed, which I do not agree with as there is no mention of bleeding anywhere? I know I can bill with colon with injection, but I was looking for something additional for the padlock placement, as this is the first we have done of this type of procedure? I found 44650, closure of enteroenteric or enterocolic fistula, but Medicare and Excellus fee schedule is rather high, and I want to be sure this is appropriate? Any help is greatly appreciated!! Thanks!