Results 1 to 3 of 3

Bundling Issue

  1. #1
    Location
    Long Island/New York
    Posts
    1,271
    Default Bundling Issue
    Exam Training Packages
    Could someone helpme with sugical bundling issues. I have a colorectal doc that does, at times, 10+ procedures in a single session and am not 100% sure how, outside NCCI, how and when certains procedures can be billed together. I use AAOS for ortho but can not find any source for colorectal surgery. Thanks.

  2. #2
    Location
    Charlotte, NC
    Posts
    534
    Default
    Can you give an example? 10+ procedures is a heck of a lot! 10 on one person?

    if there is a 45385, 45384, 45379, 45383 or a 45382 you would use a 59 on any of the second procedures as long as they are seperate meaning doc has to take the scope out and re-insert or be doing a procedure on another part of the colon.

    For example: 45385 snare removal of polyp.
    45380 (59) biopsy of same polyp (leftover) but doc withdrew the scope and re-inserted

    or 45384 hot biopsy of polyp ascending colong
    45380 (59) biopsy of polyp transverse colon

    Did this help?

  3. #3
    Location
    Long Island/New York
    Posts
    1,271
    Default
    Quote Originally Posted by coachlang3 View Post
    Can you give an example? 10+ procedures is a heck of a lot! 10 on one person?

    if there is a 45385, 45384, 45379, 45383 or a 45382 you would use a 59 on any of the second procedures as long as they are seperate meaning doc has to take the scope out and re-insert or be doing a procedure on another part of the colon.

    For example: 45385 snare removal of polyp.
    45380 (59) biopsy of same polyp (leftover) but doc withdrew the scope and re-inserted

    or 45384 hot biopsy of polyp ascending colong
    45380 (59) biopsy of polyp transverse colon

    Did this help?
    He's actually a colorectal surgeon that does some complicated procedures...just need a bundling guide rather than NCCI. Thanks..

Similar Threads

  1. Bundling issue
    By hmi158 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 04-13-2015, 03:42 PM
  2. bundling issue
    By efuhrmann in forum ENT/Otolaryngology
    Replies: 7
    Last Post: 01-06-2015, 09:38 AM
  3. Bundling issue!!!
    By Orthocoder269 in forum Orthopaedics
    Replies: 2
    Last Post: 03-15-2014, 05:28 AM
  4. bundling issue help
    By paula f3 in forum Outpatient Facilities
    Replies: 0
    Last Post: 05-06-2010, 02:16 PM
  5. PT bundling issue
    By orthopaedic01 in forum Orthopaedics
    Replies: 1
    Last Post: 02-08-2010, 04:26 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?

Login

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.