Wiki coding surgeries for orthopedic..bundled and unbundling

[msdwilborn@gmail.com]

I need help on the following codes because united health care is stating some of these codes are bundled with another code. i need to know if there is a modifier i can use to unbundle them and get them paid:
Here are the codes that are supported and not supported by united healthcare for each claim im working on:

1) 29806-supported, 29819,29807,29823-not supported they are included with 29806

2) 29827,29826-supported, 29822-not supported included with 29827

3) 29881,29876-supported, 29874-not supported included with 29881 and 29876

4) 29880-supported, 29876-not supported included with 29880

5) 29806-supported,29823-not supported included with 29806

6) 23410-supported, 29819-not supported included with 23410

7) 27328-supported, 29880-not supported included with 27328

8) 29880-supported, 29875,29877-not supported included with 29880

9) 27130-supported, 20902-not supported included with 27130

10) 27095-supported, 20610-not supported included with 27095

11) 29806-supported, 29823-not supported included with 29806

12) 29806-supported, 29819,29823, 29807-not supported included with 29806

13) 29880-supported, 29876-not supported included with 29880

14) 29881,29876-supported, 29874-not supported included with 29881 and 29876

15) 29881-supported, 29876-not supported included with 29881

16) 29876-supported, 29877-not supported included with 29876

 

[pegburch]

I checked a couple of your procedures in the CCI edits and no you cannot unbundle. In the first series, 29806 has the highest RVU's so you go with that one. The other procedures are included. I use Ingenix orthopedics comprehensive coding companion which has the CCI edits in it. I also check every procedure in EncoderPro against the CCI edits.