Wiki UA during Preventive Exam bundled?

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SHobbs

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We are getting denials for 81003 when claimed with a preventive exam and when I talked to one of our reps she said they just had the claim edit put in place. Is this new for the UA to be bundled with the PM visit? Where can I find this information?
 
I don't see any CCI edits for a PM and 81003. This may be a carrier specific edit. Are you getting it for more than one third-party payer?

Karen Hill, CPC, CPMA
 
I could not find it either. It is one of our Medicaid managed care companies in MO that said they recently recieved information that the only E/Ms the UAs would be allowed with are 99201-99215 and 99241-99245. So I figured if it was new and we would start seeing it with medicaid and the rest of the mc+ plans.

Thanks!
 
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