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43239, 43248, 43245, have I unbundled?

  1. Default 43239, 43248, 43245, have I unbundled?
    Medical Coding Books
    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
    Default unbundled??
    You have not unbundled, but you should have put a -59 modifier on the two subsequent procedures.
    Thanks, D

  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?

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