tci E/M Coding Alert - 2021 Issue Q3

Reader Questions: Stay Compliant Despite This Bundling Dilemma

Question: Is there anything I can do from a coding perspective to prevent bundling denials when my interventional radiologist performs an office procedure with an evaluation and management (E/M) service? Michigan Subscriber Answer: Because your job is to exclusively translate the provider’s services into codes for the payer, your hands are tied. You have to follow the guidelines and stay compliant. However, keeping in constant communication with the billing department could help to streamline these services. If they make you aware that a particular code is frequently denied when billed alongside an E/M service, you can send the...

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