Wiki CPT 64721 & 25310 - bundled?

Create Wiki
C

csavitz

New
Messages
6
Location
Lancaster, PA
Best answers
0
We billed a medicare replacement plan with 64721, 25310 and 25447. The paid for 25310 and 25447 but stated that 64721 is bundled with 25310. Is this correct? I have not been able to find this information independently. Any help would be appreciated. Thanks!
 
Well there are no edits, I checked the MCR NCCI on both codes no conflict, also checked NCD, LCD for MCR.
I know this is a replacement plan but thought I would check. You should check their policy to see or maybe
the 64721 wasn't prior auth'd.
 
nickelclaw said:
Well there are no edits, I checked the MCR NCCI on both codes no conflict, also checked NCD, LCD for MCR.
I know this is a replacement plan but thought I would check. You should check their policy to see or maybe
the 64721 wasn't prior auth'd.
Click to expand...
Thank you for your response! 64721 was prior auth'd.
 
I see what they are thinking as to the open tendon transfer since it is open considering this bundled but it is the difference of nerve and tendon with two different dx's?
Again check their policy to see if they prefer a modifier. It is a tough one due to one incision. Sorry I can't give you a definite.
 
You must log in or register to reply here.
Top