eutsler
Networker
The office billed 80053, 82043-QW, 80061, 83036-QW, 82248, 82977.
Regence BCBS of Oregon denied 80061, 82248, and 82977 as –M15--Separately billed services/tests have been bundled as they are considered components of that same procedure.
Three of us have looked at all these codes, and at the Medicare guidelines, including the table of chemistry panels, and unbundled the codes to check for NCCI edits. We can't find any reason for them to be denied.
I don't know if this is limited to Regence, or if this is an across-the-board issue; the coding team was sent only the denial.
Is anyone having problems with these codes?
Regence BCBS of Oregon denied 80061, 82248, and 82977 as –M15--Separately billed services/tests have been bundled as they are considered components of that same procedure.
Three of us have looked at all these codes, and at the Medicare guidelines, including the table of chemistry panels, and unbundled the codes to check for NCCI edits. We can't find any reason for them to be denied.
I don't know if this is limited to Regence, or if this is an across-the-board issue; the coding team was sent only the denial.
Is anyone having problems with these codes?