Coding > Coding

Denied Claim for Bundling

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sbjilly:
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.

jcbilling:
Was 99214 the only procedure on the claim?

sbjilly:
Yes

Michele:
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

sbjilly:
Thank you so much for your help. That's what I thought, but wanted to double check. Much appreciation.

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