Results 1 to 3 of 3

Bundling in Cardiology - unbundled services

  1. #1
    Question Bundling in Cardiology - unbundled services
    Exam Training Packages
    BCBS is bundling our echo interpretation 93306-26 with inpatient consult 99254 stating unbundled services even after we have appealed. Is this appropriate, how can they do this when no one else does?

  2. #2
    We have had this same problem, according to our provider Rep BCBS is stating that the interp for the echo is included in the descission making component of the E/M code. Her advice was to do a claim editing appeal and I have been doing this with luck, but I have been placing a -25 on the E/M code and a -26-59 on the echo code and sending in the reports with my appeal form and this seems to be working for us.
    Autumn G. CPC, CCC
    Grand River Cardiology PLC
    Grand Rapids, MI

  3. #3
    What supporting evidence are you using to appeal or under what circumstances are you stating that they are not bundled?

Similar Threads

  1. Replies: 0
    Last Post: 02-12-2013, 02:51 PM
  2. Cardiology Related bundling issues
    By amym in forum Cardiology
    Replies: 1
    Last Post: 01-30-2013, 12:42 PM
  3. Bundling in Cardiology
    By amym in forum Billing/Reimbursement
    Replies: 12
    Last Post: 09-24-2012, 01:52 PM
  4. Bundling
    By nyyankees in forum Cardiology
    Replies: 0
    Last Post: 09-01-2011, 02:24 PM
  5. Bundling Help Please???
    By cmac in forum Pathology & Clinical Laboratory
    Replies: 1
    Last Post: 06-24-2010, 05:44 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.