Author Topic: how to unbundle codes that were bundled for clinical laboratory drug screen  (Read 828 times)

brandilyon

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Hi,
Hopefully someone can help me resolve this matter. I work for a billing company that bills drug screen testing for an in house laboratory. On a recent claim the insurance provider bundled a few procedure code that were not suppose to be bundled. Therefore I will need to provide documentation that supports these codes not being bundled together. the only problem is that I am unsure of what type of documentation I need to submit for reconsideration. A letter of reconsideration is not enough. The insurance company is need other type of documentation and not just my word. Has anyone else come across this issue and had success in unbundling to receive payment? The specific code that are being bundled are as follows; 83840,82542 included with 83925; and 80160,80166,80174,80182 are included with 80152. Please help!!!