bundled or billable

  1. B

    Wiki Modifier 59 for 29863 with 29914 and 29916

    For the below op report I was given CPT Codes 29914, 29916, and 29863. 29863 is bundled with the other two codes per NCCI edit. I am not sure if it would be reportable with modifier 59, it looks like the debridement of the synovial tissue is along the labrum which would be included in the...
  2. A

    Wiki Can you bill an E/M (LOS) instead of a minor procedure?

    Hello, I am doing research on what types of procedures are NOT significantly separate and are typically performed as part of an exam. So far my research has led me to the following types of services that a LOS is billed instead of the procedure: 1. Pap smears when a patient presents with...
  3. T

    Wiki 51700 with 51703

    I have a question I need confirmation on. 51700 & 51703. Our scrubbing program has terminology that I want to clarify. 51700 is the 2ndry procedure to 51703 therefore it is the one bundled and should not be billed with 51703? Usually the cath's are the 2nday procedure and are bundled with a...
  4. M

    Wiki Bundling procedures with catheter insertion/exchange

    Insurance companies bundle urinary catheter insertion/exchange with cystoscopy when performed on same date of service. Codes 52000 and 51702 or 52000 and 51701 for example. Does anyone have any advice/solution? Should HCPCS codes be billed to prevent bundling issues? Should/can the patient be...
  5. B

    Wiki bundled or billable

    Hi I hope all are doing well... Please share your suggestion on this. As per documentation, patient got admitted in ED with the complaining of abdominal pain then patient found to have gallstones by ED physician (99284). Finally patient got discharged and admitted as inpatient care settings on...
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