Wiki 64721/64718

[Johnsondeb1102]

Office I work for has been billing 64721 and 64718 for years without any issues. According to NCCI there are no bundling issues with these codes. Medicare has recently recouped payment on claims where these have been billed together. Should a mod 59 be used?

DX- G56.21 for CPT 64718
DX- G56.01 for CPT 64721

 

[Orthocoderpgu]

I don't see any issues

I bill this combination all the time. Your codes are correct.

I would appeal these as these are not bundled.

64718 treats the ulnar nerve.
64721 treats the median nerve.

I have no idea what makes them think that these are bundled.

Makes me wonder if I will see this soon.