kumeena
True Blue
Is it OK to bill 58100(endo biopsy for irreg mensetruation) and 57500
(polyp removal together)
thank U
(polyp removal together)
thank U
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Biopsy code
- Thread starter kumeena
- Start date
amjordan
True Blue
Per NCCI edits Code 57500 is bundled into code 58100 and cannot be unbundled using any modifier. Most insurance carriers today follow NCCI or their edit software is based on NCCI edits.
kumeena
True Blue
Thank u
I agree with Angela absolutely.
but I have a doubt. Leave alone the billing departmental concern. I am not experienced.
Both of them (58100 and 57500) are 'Separate Procedures'. Which one is bundled into which according to CPT guide/limitations?
If any one of them is given priority of being the primary, as you pointed 58100 bundles within it 57500, how do we validate ? Is it connected with the more payment value or with CPT guide lines?
Thank you very much
but I have a doubt. Leave alone the billing departmental concern. I am not experienced.
Both of them (58100 and 57500) are 'Separate Procedures'. Which one is bundled into which according to CPT guide/limitations?
If any one of them is given priority of being the primary, as you pointed 58100 bundles within it 57500, how do we validate ? Is it connected with the more payment value or with CPT guide lines?
Thank you very much