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70544 and 70553 unbundled???

  1. #1
    Location
    Detroit Chapter
    Posts
    76
    Default 70544 and 70553 unbundled???
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    A provider is billing for a 70544-26,59 and 70553-26 for the same pt on the same day. CCI edits say that these codes are bundled together. can these be unbundled?

  2. #2
    Location
    Salt Lake City
    Posts
    841
    Default
    Yes you can bill both because the brain MRI looks at the struture of the brain and the MRA is focusing on the vasculature. I have been told by Radiologists that the MRI is used more to check for a bleed or stroke vs the MRA. Our protocl has been if they are doing the exam for "stroke protocol" we bill the MRI alone.
    Jenifer McPolin CPC, CPMA, RCC

  3. #3
    Location
    Alexandria, LA
    Posts
    518
    Default
    If both are ordered and performed and medically necessary both can be coded. Documentation must be clear that there were 2 separate technical exams - not one set of images that was interpreted as an MRI and then reformatted for MRA. See the CMS NCCI Policy Manual, Chapter 9; and ACR Coding Source Q & A.

  4. #4
    Location
    Detroit Chapter
    Posts
    76
    Wink
    thanks everyone

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