Wiki what services are bundled in EM CPT

[abhishekrane32@yahoo.com]

can any body tell me what services [ diagnostic as well as therapeutic ] are included/ bundled with office visit and ED visit CPT codes
where can I find reference material for this?

need help

Abhishek Rane

 

[Lynda Wetter]

This is a very general vauge question, in order to determine if an E/M is billable you need to look at the whole picture...decision for surgery, planned injection, what exactly was performed......just to name a few. Not to mention supporting documentation and medical necessity are big factors .

 

[Pam Warren]

Look at the NCCI edits. That will tell you what codes are never allowed or allowed with a modifier.

Be sure to read the chapters as well as to review the two spreadsheets with Mutually exclusive codes and Column 1/Column 2 codes.

http://www.cms.gov/Medicare/Coding/...ndex.html?redirect=/nationalcorrectcodinited/

Medical necessity and documentation are important, but even with that firmly in place, if the code is categorically bundled, you can't bill it out per NCCI.

 

[Lynda Wetter]

Yes, NCCI edits are the place to find all your bundled codes. They also have resources that help with the CCI edits, websites like code correct (subscription required)