bundled

  1. J

    Question Blue Cross Blue Shield of IL lesion removal denials due to bundled

    Hi, just wondering if anyone has been experiencing denials from Blue Cross when the claim includes a shave removal (eg. 11300) on one site and destruction of lesion using liquid nitrogen on another site (17000 or 17003) with two different diagnosis codes and a 59 modifier on the 17000/17003. We...
  2. C

    Diagnostic Radiology - Thoracentesis Imaging Guidance - Please Help!

    Hello everyone, If a pulmonologist performs thoracentesis (32555) but the radiologist performs ultrasound guidance for marking, how does the radiologist get paid? Imaging guidance is bundled. Would it be appropriate to bill using the 80 modifier? I'm stuck and I want to make sure that I am not...
  3. E

    Entire spine x-rays vs individual codes for c spine, t spine and l spine

    I was wondering if anyone had information regarding billing the entire spine X-ray codes vs billing the individual codes for C-spine, T-spine and L-spine X-rays? Our radiology practice normally codes each body part separate, unless they are performing the scoliosis study. Is there any specified...
  4. M

    Pulse oximetry in ER 94760-94761

    I'm doing a little research to see if this is something we can bill for in the ER. I know Medicare & Medicaid will not pay for this service they consider it to be bundled with the E&M. I'm not sure on our commercial payers though.
  5. L

    partial nephrectomy with adrenelctomy

    Good morning everybody, i have a patient with ADRENAL cancer, INVADING THE UPPER POLE OF LT KIDNEY .... so the surgeon performed LT ADRENALECTOMY +PARTIAL UPPER POLE NEPHRECTOMY do i need to assign 60540 with 50240? or adrenelctomy is bundled into nephrectomy? I know that adrenelctomy is...
  6. D

    CPT 77280 bundled with 77301

    We received notice that simple sims 77280 are now going to be bundled into the APC payment for IMRT planning services. Are we to take it that the professional component is also bundled as we can still bill the professional component of the imaging 77014,26 but not the technical side?
  7. S

    80301 and 80302 bundled?

    Has anyone seen any information on these codes being bundled? We are billing to some of our Medicaid plans and 80302 pays but 80301 denies stating CCI incidental to or part of primary procedure, CMS medicaid NCCI unbundling? Just looking for any insight into this. Thank you. We use an...
  8. T

    Segmental Mastectomy w/ additional margin excision

    Are re-cuts to the margin of a surgical eval & micro billed separately or should they be bundled into the primary surgical pathology code? I have a case for a localized segmental mastectomy with 2 specimens labeled: 1 Additional left breast medial-inferior margin,excision Breast tissue, no...
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