AAPC - Back to school
Results 1 to 4 of 4

Thread: 43239, 43248, 43245, have I unbundled?

  1. #1

    Default 43239, 43248, 43245, have I unbundled?

    AAPC: Back to School
    Hey all,

    I have coded 43239 pointing to 535.00, 43248 pointing to 750.3, and 43245 pionting to 537.3. I have not added a 59 mod to any of these since the CMS website doesn't show a need for it. UHC is denying this on a claim saying these procedures are all bundled in 43245. Is this true, am I missing something?



  2. #2
    Join Date
    Apr 2007
    Madison, WI

    Default unbundled??

    You have not unbundled, but you should have put a -59 modifier on the two subsequent procedures.
    Thanks, D

  3. #3

    Default supporting documentation.

    I've been receiving denials even with the 59 modifier. Can anyone direct me to supporting documentation for appealing the denials?

  4. #4


    Can you post the procedure report? without patient info of course

    And what is the denial reason?

Similar Threads

  1. 43239, 43248, 43453 (?)
    By plynn in forum Gastroenterology
    Replies: 3
    Last Post: 07-26-2013, 02:37 PM
  2. 43239/43248-51
    By lisner1204 in forum Gastroenterology
    Replies: 2
    Last Post: 08-06-2012, 05:05 PM
  3. 43248 (?)
    By plynn in forum Gastroenterology
    Replies: 6
    Last Post: 02-13-2012, 11:20 AM
  4. Cci edits for 43248, 43239
    By kathleenw84 in forum Gastroenterology
    Replies: 2
    Last Post: 11-29-2011, 10:54 AM
  5. UHC stating 43248 and 43239 are bundled
    By blathrop19@gmail.com in forum Gastroenterology
    Replies: 7
    Last Post: 07-21-2011, 02:40 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.