Results 1 to 4 of 4

United healthcare ins ???

  1. Default United healthcare ins ???
    Medical Coding Books
    UNITED HEALTHCARE INS SENT US REBUNDLING POLICY FOR US TO FOLLOW. IT SEEMS LIKE THERE ARE VISITS THAT THEY ARE CONSIDERING IT AS BUNDLE. EXAMP. PT COMES IN AND IS SUFFERING FROM ASTHMA AND WE GIVE THE PT A PEAK FLOW 94200, SO WE BILL IT AS:

    99213
    94200
    DIAGNSIS 493.90

    SO THE INS UNITED HEALTHCARE DOES NOT WANT TO PAY FOR PEAK FLOW 94200, THEIR SAYING ITS A BUNDLE PROCEDURE. MY QUESTION IS, CAN WE USE MODIFIER 25 IN THIS CASE. OR IS IT A BUNDLE VISIT??
    THANK YOU IN ADVANCE
    MSMADDY

  2. Default
    I'm pretty sure they only bundled it because you didn't put the -25 modifier on the office visit. I would try re-submitting a corrected claim.

    Lisi, CPC

  3. #3
    Default
    It is my experience with my organization that quite a few commercial insurances include PeakFlows in the work for the E/M done that day. The same with Pulse Oxs. We end up writing them off when they get denied if we have a contract with them.

  4. Default
    My question is: Is 94200 really being performed or are they just using a peak flow meter?

    94200 Measures the patient's maximum breathing capacity and/or maximum voluntary ventilation (the maximum that can be inhaled and exhaled in 60 seconds) on a spirometer.

    If they are just using a peak flow meter that is included in the E/M.

Similar Threads

  1. United Healthcare 51 modifier
    By DEDGE CGIC in forum Modifiers
    Replies: 6
    Last Post: 06-12-2014, 11:38 AM
  2. 29880 and United HealthCare
    By IRISHCODER in forum Orthopaedics
    Replies: 1
    Last Post: 06-28-2013, 08:37 AM
  3. United Healthcare
    By JENNKBICKLEY92 in forum Dermatology
    Replies: 2
    Last Post: 06-18-2013, 11:07 AM
  4. United healthcare
    By ALPINE in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 11-30-2011, 05:21 PM
  5. 33 and UNITED HEALTHCARE
    By ASC CODER in forum Modifiers
    Replies: 3
    Last Post: 06-30-2011, 10:24 AM

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?

Login

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.