5838Unbundling Proc w/Blue Cross?
- Jan 16, 2013Got a denial from Blue Cross today.
99397 - denied
99214-25 - paid
17110-59 - paid
90471-59 - paid
90732 - paid
Blue cross didn't put a "reason code" as to why they denied the 99397. I had to call them to discover why it was denied. They said that according to CCI edits that 99397 has an "unbundle relationship with 17110".(?)
Pt came in for a well adult PE and then a sick visit was also addressed (99214), as he had "a list of concerns"; and then Dr. froze lesions and pt got a pneumonia shot.
I cannot find anything on CCI about this, can anyone else? Should I have billed it with a modifier? If so which one?
Melinda Brown, CMBS
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