BC Advantage - 2007 Issue 1

THE EOB SAYS

Payers often bundle separate codes together so that they can pay you less. Just because the EOB says the codes are bundled doesn't mean you have to let the insurance company get away with it.   Fight Back!!!How does bundling work?  If a patient presents for evaluation of diabetes, and the doctor notices two suspicious skin lesionsone on the neck and one on the back and he decides to biopsy one and excise the other. You code: 99213 with modifier -25 (E&M for evaluation of diabetes); 11402 (back lesion excision, benign, 2.0 cm); 11100...

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