Wiki Unbundling?

[toliverson]

If a Medicare beneficiary has two benign lesions treated in the same encounter with one having a diagnosis that is allowed by Medicare and the other is not. Would separating the treatments into two chart notes (one billed to Medicare and one patient pays for) be considered unbundling since they're both 17110? What if we have a signed ABN form marked not to bill Medicare for the one elective treatment and they paid at check out? Any suggestions???

 

[joanne71178]

I believe that is considered 'unbundling'

 

[ajgibson]

That is most DEFINATELY unbundling! That code is for 1-14. You are already getting paid for up to 14 lesion removals....