Wiki Anesthesia bundled

[574coding]

Hello,
We bill for the professional MD charges and Anesthesia charges from the same group.

We are having issues with claims being denied due to anesthesia code is bundled with the epidurography code 72275.

On the 1500, we bill with the group tax ID # in box 25, and the group NPI # in box 32A. In box 24J we have the individual / rendering providers number listed.

Does anyone have any ideas on how to receive payment for the anesthesia services and over ride the bundling issue.

I would think we are not the only company that has had a issue with this...
HELP!!!
Thank you.

 

[dwaldman]

This edit is to prevent the provider who is performing the service to also report CPT 01936 and should not extend to a separate anesthesia provider providing the service. But if it is a private payer they might have this NCCI edit but do not follow it in the same manner.

It would cause a lot less confusion if the AMA updated the epidural codes to states include fluoroscopy or epidurography when performed.