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#1
09-21-2010, 02:36 PM
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Bc/bs & 81002
Every article i've found on the following code have been about Medicare Denying the Following code.
81002 - non-automated, without microscopy. Our Billers just had this Denied and told it was bundled with the E&M which was 99213. Any insite on this or anyone have this happen too also? Thanks In advance =D 
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#2
09-22-2010, 09:22 AM
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We have one carrier who bundles the 81002 in with an E&M code all the time (Aetna). They came out with this policy a few years ago. Attaching a 25 modifier to the E&M is sufficient to unbundle it (which we do at Aetna's written suggestion). Every once in a while we'll have another carrier who bundles the 2 codes, but not consistently. Since it's not cost effective to file an appeal for a reimbursement of about $3, we just adjust it off.
Becky, CPC
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#3
09-22-2010, 02:20 PM
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Thanks Becky.
I will pass along the Information ! 
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