I have a doctor that is disputing charging for prolapse repair because he feels it should be bundled with other procedures even though CCI edits do not bundle. He thinks it is a minimal procedure that doesnt warrant separate reimbursement. Here is a example:
"After completion of the colonoscopy, mucosal prolapse repair was performed by mucopexy and protopexy, lifting up the mucosal prolapse proximally and transfixing to the proximal layers by running with 3-0 Vicryl circumferential and also some interrupted 3-1 Vicryl.
After that, the distal internal hemorrhoid plexus was suture ligated in 3 different locations-right anterior, right posterior and left lateral. Dressings were applied."
We work in a ASC and billed 45541,46946 and 45378. Do you think this warrants billing 45541?
Thank you.
"After completion of the colonoscopy, mucosal prolapse repair was performed by mucopexy and protopexy, lifting up the mucosal prolapse proximally and transfixing to the proximal layers by running with 3-0 Vicryl circumferential and also some interrupted 3-1 Vicryl.
After that, the distal internal hemorrhoid plexus was suture ligated in 3 different locations-right anterior, right posterior and left lateral. Dressings were applied."
We work in a ASC and billed 45541,46946 and 45378. Do you think this warrants billing 45541?
Thank you.