tci General Surgery Coding Alert - 2005 Issue 10

Reader Questions: 'Separate Procedures' Means Bundled Billing

Question: Recently, I filed a claim for 43830, 44005 and 44015. Medicare reimbursed us only for 43830. Is this correct, or are the other procedures bundled?Ohio Subscriber Answer: Your Medicare payer is correct in this case and has followed AMA and National Correct Coding Initiative (NCCI) conventions in denying payment for 44005 (Enterolysis [freeing of intestinal adhesion] [separate procedure]) and +44015 (Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method [list separately in addition to code for primary procedure]) with 43830 (Gastrostomy, open; without construction of gastric tube [e.g., Stamm procedure] [separate procedure]). CPT designates...

To read the full article, sign in and subscribe to tci General Surgery Coding Alert.


Leverage vital, to-the-point monthly guidance to boost your reporting accuracy and your coding know-how. We make it convenient for your team to stay informed, compliant, and profitable with a subscription to TCI’s General Surgery Coding Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 2100 articles
  • ALL years/issues back to 1999 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci General Surgery Coding Alert +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.