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unbundle

  1. K

    Wiki Do you still see unbundling errors in practice?

    One would think insurance companies detect unbundling during claims processing but they still seem to be fairly common in practice. What is your experience?
  2. N

    Wiki Unrelated E/M with procedure

    Hi, general question... Is it appropriate to bill an E/M -25 when its unrelated to the primary procedure on every visit? It's not bundled due to both codes being unrelated. For example, patient comes in for debridement 11042 on right ankle, but provider treats edema in another area which is new...
    • nittamarable
    • Thread
    • e/m e/m with modifier 25 e/m with procedure evaluation & management followup modifier 25 ncci ncci edits unbundle wound care
    • Replies: 5
    • Forum: E/M
  3. J

    Wiki Complex closure

    Physician bills 21012,13131-59. They bundle per CCI. Is it allowed to unbundle for same lesion/location?
    • JYSPA
    • Thread
    • allowed bills cci lesion/location unbundle
    • Replies: 4
    • Forum: Dermatology
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