Wiki 99222 denied/bundled with 99232 - need clarification

[Delanna Stephens]

My provider treated and billed 99222 on 06/29/21, and treated and billed (same patient) 99232 on 06/30/21. Both dates of service were submitted on the same claim. Initially, insurance paid both line items, but now are stating overpayment for the 99222 due to incorrect billing. When I called for clarification of this, I was told that they now are bundling the two line items because they were submitted on the same claim. This is the first time that I've had this to happen. Is this correct? Should 99222 be submitted on a separate claim than the subsequent visits? I'm just trying to make sense of what she told me.

 

[thomas7331]

This is clearly and error on their part and they're giving you incorrect information. Services performed on different dates can't be bundled. I would recommend escalating this or appealing this for a higher level of review.