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help!

We billed the following cpt codes... 93510-26 93543 93545 93556-26 93555-26 92980 RC The insurance co. paid the claim but only after they bundled codes 93556-26, 93555-26 and 93545? We are seeing this...

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Re: help!

UCH and Horizon BCBS are notorious for this. You must appeal. They are trying to bundle those codes in with the 92980 when proper coding guidelines (including CCI) state they should not be bundled....

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Re: help!

I should add that this started happening about 6/07, when the major carriers got "upgrades" to their claim screening system (name omitted for legal purposes but we all know who they are). It is simply...

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Re: help!

Commercial carrier bundling issues are not new to us. I checked those codes you listed with the NCCI edits and per NCCI, they are not deemed to be bundled, BUT, commercial insurance companies are not...

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