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Wiki Bundling Issue

bizmatics

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San Jose, CA
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Hi all,

I am getting a rejection from Veteran regarding procedure 29405, 29700, these being denied being bundled. I am just wondering if one can bill Application of leg cast and removal of leg cast at the same time. I would appreciate your help on this. thanks!!
 
The following comes from the NCCI manual. Hopefully this will be helpful.

G. Fractures, Dislocations, and Casting/Splinting/Strapping
1. The application of external immobilization devices (casts, splints, strapping) at the time of a procedure includes the subsequent removal of the device when performed by the same entity (e.g., physician, practice, group, employees, etc.). Providers shall not report removal or repair CPT codes 29700-29750 for those services. These removal or repair CPT codes may only be reported if the initial application of the cast, splint, or strapping was performed by a different entity.
 
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