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80048 and bundling

  1. #1
    Default 80048 and bundling
    Clearnace Sale
    UHC seems to bundling a lot of our lab charges under 80048-bmp

    My understanding of these lab panels is that you have to draw each of those in that panel to charge for it. Is this correct or did I misunderstand the guidelines for this.

    Example: We drew 84520,84295,84132,82565,82435. We did not draw a 82947, 82374 or 82310. How can UHC bundle our payment into a 80048?

  2. #2
    UHC uses the CCI edits to process claims. All of those codes hit to CCI edit for 80048. A modifier 59 will bypass the edit, but make sure you use the modifier correctly. Just because it's a separate test doesn't mean it's a (modifier 59) separate and distinct procedure.

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