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Wiki Need help with Denial

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ccoleman822

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Oxford, MS
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My practice has received a denial from Cigna saying procedure codes 29806 & 23615 are bundled and cannot be billed together. I've checked everywhere and, from what I've seen, they are not bundled and can be billed together. I can kind of see what they are talking about since 29806 is shoulder scope near capsule and 23615 is for Open treatment of proximal humeral fracture. I can kind of see how they call it bundled since its near the same part, but also still believe they can be billed together.

Has anyone come across something like this before?

Any help would be appreciated.
Thanks,
 
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