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Bundled Injections

  1. #1
    Default Bundled Injections
    Medical Coding Books
    Is anyone having problems getting 27096 & 62311 paid on the same claim? Pain doctors are doing both injections for different diagnosis. Been billing as follows -
    62311
    27096-59
    Insurance is paying 27096-59 and then stating the modifier is missing from 62311 - any thoughts?

  2. #2
    Default
    Check the NCCI edits. Effective 4/1/09 62311 is inclusive of 27096 with a qualifier of "0" which means cannot over-ride with a modifier. There are lots and lots of block bundling CCI changes that went into effect 4/1/09.

    NCCI weblink:
    http://www.cms.hhs.gov/NationalCorre....asp#TopOfPage

    Julie, CPC

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