Having trouble with insurance bundling.

A provider billed a 99201 with a 11750 procedure and used a 25 modifier on E/M code but insurance always bundles it. So what would be a more appropiate modifier to use.

re: Having trouble with insurance bundling.

What diagnosis code did you use (703.0) or a code showing infection or cellulitis. It would appear the modifier -25 is used appropriately. The following information should be included in the patient’s medical record:
o The patient’s primary complaint.
o A complete detailed description of the procedure performed.
o Type and quantity of local anesthetic agent used. For nail avulsions, if injectable anesthesia was not used, the reason must be clearly documented in the patient’s medical record.
o Postoperative instructions and any follow-up care (e.g., use of soaks, antibiotics and follow-up appointments).