AAPC - Back to school
Results 1 to 3 of 3

Thread: Bundling of UA

  1. #1
    Join Date
    Apr 2007

    Default Bundling of UA

    AAPC: Back to School
    Has anyone else been denied by Health Alliance Plan (or other insurance companies) stating that the UA (81002) is being combined with the physical codes? HAP states that it is part of the CCI edits and should have been this way for some time. Any input would be appreciated. Thank you

    Pediatric Consultants of Troy
    Troy, MI

  2. #2
    Join Date
    Apr 2007
    Kachina Coders


    Good Afternoon,

    Yes I've also been getting denials on the 81002. We have billed various insurance companies and I have never been able to get this procedure paid. The encoder program we have says that this is not a bundled code and can be billed with an office visit, however, I've had no luck thus far. It does say Medicare considers this code a 'Statutory Exclusion.'

    I know this doesn't help much but I just thought I'd let you know you're not alone.


    Cheryl Miles, CPC

  3. #3
    Join Date
    Apr 2007
    Sioux Falls South Dakota


    Although most encoder programs don't show a non-microscopic UA as bundled, some claims editing software used by the insurance companies does bundle these into the office visits. If I remember correctly from when I worked at the insurance company, the rationale was that a "dip" only UA work would be included in the work/allowance for an E/M. Some insurance companies do this, others don't. I've not had any luck appealing these.
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

Similar Threads

  1. Bundling
    By Cindyev67 in forum Medical Coding General Discussion
    Replies: 6
    Last Post: 01-04-2012, 09:07 AM
  2. Bundling Help Please???
    By cmac in forum Pathology & Clinical Laboratory
    Replies: 1
    Last Post: 06-24-2010, 04:44 PM
  3. Bundling
    By Earnose in forum ENT/Otolaryngology
    Replies: 2
    Last Post: 08-25-2009, 12:48 PM
  4. Bundling help please?
    By cmac in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 06-10-2009, 01:48 PM
  5. Bundling
    By lcoopercoop in forum Medicare Regulations
    Replies: 1
    Last Post: 04-19-2009, 03:30 PM

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?


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.