sharonippolito
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Hello All,
I was hoping that someone would be able to help me out regarding the Unbundling of CPT codes:
I received a provider remittance advice from an insurance company that rejected coding that was done for a claimant. The bill was rejected because the following codes have an "unbundled relationship" with oneanother: CPT codes 95904 and 95861. They cannot be billed together and we don't know why. Based on the insurance company, sometimes it was paid and sometimes it wasn't. All of a sudden, United Healthcare is rejecting the codes being billed together. Can someone define "Unbundling?" Does it simply mean that certain codes can't be billed together??
The other codes that we were told could not be billed together OR have an "unbundled relationship" are CPT codes 95900 and 95903.
It appears that there is alot of inconsistency here. The insurance companies are not giving us the same answers when these CPT codes are billed together. Sometimes they pay it and sometimes they reject it saying that the codes have a "Unbundled Relationship"
Can someone verify the meaning of "unbundled relationship?"
Thanks!
I was hoping that someone would be able to help me out regarding the Unbundling of CPT codes:
I received a provider remittance advice from an insurance company that rejected coding that was done for a claimant. The bill was rejected because the following codes have an "unbundled relationship" with oneanother: CPT codes 95904 and 95861. They cannot be billed together and we don't know why. Based on the insurance company, sometimes it was paid and sometimes it wasn't. All of a sudden, United Healthcare is rejecting the codes being billed together. Can someone define "Unbundling?" Does it simply mean that certain codes can't be billed together??
The other codes that we were told could not be billed together OR have an "unbundled relationship" are CPT codes 95900 and 95903.
It appears that there is alot of inconsistency here. The insurance companies are not giving us the same answers when these CPT codes are billed together. Sometimes they pay it and sometimes they reject it saying that the codes have a "Unbundled Relationship"
Can someone verify the meaning of "unbundled relationship?"
Thanks!