Wiki 99385 denial

[adaniel]

Question.... we billed

99385
90715
90471
36415
81003
87210

All was paid by a commercial insurance except for 99385, which was denied stating "separately billed services/tests have been bundled as they are considered components of same procedure." Is a 25 needed? Which code is this bundling with?
HELP!!!!

 

[bigredcag]

Yep you would need the modifier 25 and it is bundling with the injection code 90471. good luck

 

[adaniel]

Great thanks!

 

[zivazquez]

Do we add a mod 25 with CPT code 99385 and 36415?

Thanks

 

[MMBurci]

25 mod

25 mod is applied to cpt 99385