Coding > Coding
36415 Bundled
cturner75:
Yes, I tried locating information under LCD & NCD, but couldn't find anything.
An office visit was also billed. We did a blood draw to send to the lab, and also a urinalysis. Which we do often in our office.
Thanks-
cturner75:
I should also clarify that the insurance rep was the one who informed us that 36415 was bundled with 81003, not the office visit.
Michele:
Is Caresource a Medicare replacement plan?
I think at this point I would file a written appeal asking for an explanation of the denial. My main argument would be that it is not appropriate to bundle 36415 with a urine test, 81003. Include information as to what the 36415 was performed for.
Good luck!
Michele
Chodges:
36415 is probably bundling with the E&M and there is a CCI edit out there for that. If documentation supports an office visit then you can add mod 25 to the E&M.
Dradvarma:
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