Billing > Billing

medicare billable CPT, bundle codes

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jsummey:
I am having a problem with bundled codes as well.
For one specemen I am billing 88305 and 88108, the other specemen (same area) I am billing 88173 which is getting denied as bundled with 88108.  Since 88173 is for a different specimen wouldn't I code that with a 59 modifier?  The other girl here said she looked up the three codes and it showed that 88108 should get the 59 modifier but that doesn't make sense to me.  Please verify.  :-)

jsummey:
Oops....misspelled specimen.  :-)

Michele:
Since there really isn't a modifier to indicate separate specimen it sounds like the 59 may be your only option.  It may still get denied or bundled but you will just have to appeal.

Michele

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