Hi -
A Nevada Medicaid product is bundling an 11 year old's circumcision as "incidental to primary procedure", which appears they are calling the 54360 - the whole claim was billed with 54324, 54360, & 54235 with the 54161. AUA coding says it was all ok to bill. I can not find any additional CCIEdit for these codes. I'm thinking it's just a plan issue not a coding one, but I just want confirmation. Any thoughts?
Thank you!
Jessica
A Nevada Medicaid product is bundling an 11 year old's circumcision as "incidental to primary procedure", which appears they are calling the 54360 - the whole claim was billed with 54324, 54360, & 54235 with the 54161. AUA coding says it was all ok to bill. I can not find any additional CCIEdit for these codes. I'm thinking it's just a plan issue not a coding one, but I just want confirmation. Any thoughts?
Thank you!
Jessica