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Un-bundling

Any sugestions for un-bundling codes.ex. 98941-97012-97014 bundledThanks,JBACKDOC

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Re: Un-bundling

The 98941 shouldn't be causing the problem and should be payable.However, CCI edits cause problems with the 97012 and 97014 billed on the same day. You probably can get it paid, if it was performed on...

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Re: Un-bundling

Thanks for answering my question.Could you please site the specific CCI edits and where to find them that address this bundling. I can't seem to locate them.Thanks,JBACKDOCOhio

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Re: Un-bundling

I use the ChiroCode Deskbook for coding and the CCI edits are listed, in section F.BeckiBecki,MichiganMom to Carol 9, Sydney 7, Holly 5 and Michael 20 monthsChiropractic Medical Biller

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Re: Un-bundling

Becki,You use a 25 modifier to get 97140 paid? Not 59?Catherine

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Re: Un-bundling

LOL Catherine--you got me. It is -59. -25 is only for E&M's.BeckiBecki,MichiganMom to Carol 9, Sydney 7, Holly 5 and Michael 20 monthsChiropractic Medical Biller

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Re: Un-bundling

Thanks in advance for your patience and guidance.I just visited the chirocode webs site and down loaded the recent CCI edits and I could see where it stated that 97012 or 97014 couldnt be billed on...

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Re: Un-bundling

Doc,I don't see anywhere where it says 98940-98943 couldn't be billed on the same day as 97012 or 97014.The codes that cause problems with 98940-43 are: 98926-29, 95831, 95832, 95833, 95834, 95851,...

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Re: Un-bundling

It makes sense to me that if -59 gets 97012 paid on a region other than where the CMT was performed, that a -59 should also get a 97014 paid.... but then again, sometimes sense has nothing to do with...

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Re: Un-bundling

I have no problem getting 97012 paid separately from 9894* with no modifier at all.BeckiBecki,MichiganMom to Carol 9, Sydney 7, Holly 5 and Michael 20 monthsChiropractic Medical Biller

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