AAPC - Back to school
Results 1 to 3 of 3

Thread: Slg

  1. #1

    Default Slg

    AAPC: Back to School
    When coding 37785 and 37700, the 37785 is a component of the 37700, but can be billed with a modifier. I would interpret this to mean that if the Physician performed each of these procedures through seperate incisions I could bill both, even if performed on a different area of the same leg. However, I am getting rejections for our local carriers telling me these codes are bundled and cannot be paid seperately. Does anyone else have an opinion on this particular scenario ?


  2. #2
    Join Date
    Apr 2007
    San Diego



    I'm showing on CCI Edits that 37700 is a component of 37785 and that it is modifiable to unbundle, as in the scenario you describe (different incisions). I believe that the modifier should therefore go on the 37700. Is that how you've been billing it?
    Sylvia Thompson, CPC
    Billing Supervisor
    San Diego, CA

  3. #3

    Default slg

    Yes, that is how I've been billing it. I have a rejection from a local carrier that says it is bundled, but Charge Entry did not append the 59 modifier to the 37700, so I will rebill this.

    Thanks for your input.


Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.