Results 1 to 2 of 2

EP with no bundle of HIS done

  1. #1
    Question EP with no bundle of HIS done
    New Call-to-action
    Provider does what would normally be coded as 93620-26 but no bundle of HIS is done. How do we code this?

    All of the literature we have is directing us to use 93602, 93603, 93610, 93612, and 93618 (all with 26 modifiers of course). The issue is the CCI edits are telling us that in order to bill some of these together you need a 59. How do you determine if a 59 is appropriate?

    Also, if you add the money up, you make more doing the individual components than the comprehensive code which doesn't make sense and makes me nervous.

    Any help or insight is greatly appreciated.


    Laura, CPC, CPMA, CEMC

  2. Default ep study
    you are correct. When less than a full package is documented you must bill individual components.

    You have to add 59 modifier and even tho you say it is more money as long as you have documentation to back you up there should not be a problem.

    three of the codes need 59 mod, they are

    the rest do not.
    hope this helps!

Similar Threads

  1. To Bundle or not to bundle and procedure ?s
    By sparkles1077 in forum Dermatology
    Replies: 0
    Last Post: 10-08-2014, 02:34 PM
  2. gyn bundle?
    By in forum Billing/Reimbursement
    Replies: 1
    Last Post: 07-02-2014, 08:11 AM
  3. Bundle
    By asaithambi in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 08-03-2011, 06:17 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?


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.