Q41.2: Congenital absence, atresia and stenosis of ileum

Risk adjustment

Q41.2 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

• HCC 78 Intestinal Obstruction/Perforation0.326 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

Q41.2 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

• A56421Billing and Coding: CT of the Abdomen and Pelvis