Medical Billing Forum

General Category => New! => : Nadine November 01, 2010, 09:47:32 PM

: bundled proc. 11402
: Nadine November 01, 2010, 09:47:32 PM

I am a novice biller and need help with bundled procedures. Our facility has their respective departments, HIM and BO. We always butt heads and I always fall back on my books or policies. HIM wants a provider to code an EM for S/R which I thought was bundled to the surgical procedure-11402. S/R was done at the 4th visit and is the 13th day from when procedure was done.

Need help! nadine

: Re: bundled proc. 11402
: Michele November 02, 2010, 11:14:49 AM

If the EM was during the post op period and is for the same condition, then it is included with the surgery.  I'm assuming S/R is suture removal, and that is included in the surgery reimbursement.

: Re: bundled proc. 11402
: Nadine November 02, 2010, 11:55:37 AM

thank you, that is what i thought. i am so glad i found this site. you have been very helpful. plan to use this site more often. keep up the good work. nadine