Join Date: Apr 2007
Posts: 198


Insurance help ??

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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