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..
My billing staff have been routinely writing off denied UAs (81002). The majority of the time the code is billed with an E&M code. Should we be adding a modifier to keep the 81002 from being bundled?
What is the denial reason? Is it being bundled? if so a 25 mod would be needed on the EM code to unbundle. Also might want to check with CLIA guidelines does the 81002 need a QW ? Is it meeting medical necessity what dx code are they billing with?
My billing staff have been routinely writing off denied UAs (81002). The majority of the time the code is billed with an E&M code. Should we be adding a modifier to keep the 81002 from being bundled?
I know for aetna insurance I have to apply a modifier 25 on the E&M code but all other insurances I do not have. It has to have a proper diagnosis attach to 81002.