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Thread: Revenue code unbundled?

  1. #1
    Join Date
    Apr 2007
    Augusta, GA

    Default Revenue code unbundled?

    AAPC: Back to School
    If a revenue code is billed and not CPT/HCPCS (ex. 258 IV Solutions) would it be considered unbundled from a primary procedure? I have been told the CPT/HCPCS code has to be billed in order for it to be unbundled?

    Please help and site your source if possible

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    Can you put your question in context with an example I am not understanding what you are asking.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Join Date
    Apr 2007
    Augusta, GA

    Default revenue codes unbundled?

    Hospital billed

    Revenue code


    CPT 96413
    HCPCS J9035

    The Fluids and supplies are "indicent to" the chemotherapy administration. Should the revenue codes be unbundled from 96413?

  4. #4
    Join Date
    Apr 2007
    Jacksonville Beach, FL


    I think it would have to depend on your contract with the insurance. You can bill the two separtately, and if your contract allows you to bill for the drugs then you will be paid.

    Just an opinion

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