Some commercial insurance carriers follow Medicare bundling guidelines (CCI edits) and some do not. As far as ortho coding, AAOS has their own set of bundling guidelines, and many insurances follow that. BCBS, UHC, AETNA and CIGNA have published some guidelines (similar to Medicare LCDs), so look at them. Workers Comp and no-fault are jurisdiction specific, so query your state agencies.
Bottom line is that there are a spectrum of bundling guidelines (and medical necessity guidelines) and getting to know them can be a daunting task. The old standby is to file claims and wait for the outcomes.
Richard Mann, your pain management coder
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