AAPC - Back to school
Page 2 of 2 FirstFirst 12
Results 11 to 13 of 13

Thread: Bundled Services

  1. #11


    AAPC: Back to School
    Even though I do not agree with the use of this code, I do have clients who continually use it... Medicare certainly doesn't pay for it... the private insurers do sometimes... I think the charge is about 20 bucks and they pay about $5-$10

  2. #12
    Join Date
    Apr 2007

    Default Coding and Billing for Pediatrics

    In a coding audio seminar "Coding and Billing for Pediatrics", given by the AAPC last August, the presenter, Lisa Jensen, MHBL, CPC, recommended it's use. She indicated it could be used for paps and blood samples.

    See also

    According to this article from GI Practice Management News

    Venipuncture/Specimen Handling— Though some insurance companies will attempt to bundle venipuncture and the collection and processing of specimens into the E/M service, many others will pay separately for these services. If you do not bill for laboratory services and you send blood and other specimens to an outside lab for processing and analysis, you should bill Medicare for the venipuncture using HCPCS G0001 and CPT 36415 for all commercial insurers. For the collection and handling of other non-blood fluids or tissue samples, use CPT 99000.

    I know it comes out to a lot of revenue posted on our system, how much we actually are reimbursed and how much we have to write off is the next issue I guess. However, as coders, if a code exists for a procedure, arent we supposed to code it, regardless of reimbursement if it is justified by the documentation, unless it is bundled?

    Heather Winters, CPC, CFPC

  3. #13
    Join Date
    Apr 2007
    Kokomo, IN

    Default 99000

    This is funny! We were just having this very discussion this morning in the office. We recommended last year that this not be charged because the lab is owned by the hospital and our physicians are hospital employees. All expenses are incurred by the lab for supplies, they have a courier, etc. But, the article that came out in family practice coding alert Vol. 11 No. 5 2009 says it should be charged. They cite the CPT assistant Feb 1999 also as in a previous post. So, we discussed and decided to re-visit this issue. But, I'm still not convinced on this.

Page 2 of 2 FirstFirst 12

Similar Threads

  1. How to record bundled services
    By mauadajar in forum Billing/Reimbursement
    Replies: 1
    Last Post: 09-09-2015, 01:58 PM
  2. Bundled Services?
    By aprilsue in forum Dermatology
    Replies: 3
    Last Post: 01-20-2015, 09:27 AM
  3. Bundled Services on Claims
    By SUEV in forum Medicare Regulations
    Replies: 2
    Last Post: 11-06-2009, 09:40 AM
  4. Bundled Services
    By heatherwinters in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 03-24-2009, 09:43 AM
  5. billing for bundled services
    By sarahspeidel in forum Dermatology
    Replies: 5
    Last Post: 04-13-2008, 10:17 PM

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.