Medical Billing Forum

Coding => Coding => : sbjilly November 04, 2009, 07:18:19 PM

: Denied Claim for Bundling
: sbjilly November 04, 2009, 07:18:19 PM
I am new to this website, so please forgive me if this has been discussed before. I am also a self-taught biller, and so far have had much success with being paid for claims I have submitted. I work for a solo practioneer and recently gave a patient a superbill to send to their provider. The format I used included the DOS, ICD-9 codes (792.21, 627.2, and 272.4) and the CPT code 99214. The claim was denied with the following: Claims Denied (4599) - No benefits due to coding/bundling servcs (SEL 2 & 3). Can anyone tell me what I did wrong. Much appreciation.
: Re: Denied Claim for Bundling
: jcbilling November 04, 2009, 07:29:31 PM
Was 99214 the only procedure on the claim?
: Re: Denied Claim for Bundling
: sbjilly November 04, 2009, 09:08:45 PM
Yes
: Re: Denied Claim for Bundling
: Michele November 04, 2009, 10:20:14 PM
If 99214 was the only code billed then it doesn't make any sense that they are denying stating bundling.  I would call customer service and ask them for an explanation.

Michele
: Re: Denied Claim for Bundling
: sbjilly November 05, 2009, 03:59:08 PM
Thank you so much for your help. That's what I thought, but wanted to double check. Much appreciation.