bundling

At least 90% of the time EOBs come back with CPT® code 21355 (Open Nose Reduction) bundled with 30520 (Repair of Nasal Septum). I am somewhat new at coding but all the material I have read says that those two codes should not be bundled. I would surely appreciate any help with this problem.

re: bundling

As long as you have a medically necessary diagnosis for each, shouldn't be an issue.

re: bundling

icd 9 code 7540 (congenital musculoskeletal deformities of skull, face, and jaw) is used for CPT® code 21335 and for 30520 icd 9 code 470 (deviated nasal septum). is this okay?

Appreciate your help.

re: bundling

Should be OK. Guess you have to send documentation of medical necessity

re: bundling

No, in looking at this again you are saying you are treating fractured septum. Also coding 30520, repair of nasal septum. I can see why they denied 21335. Did you mean to say code 21335?

re: bundling

yes, it is 21335 with diagnosis 7540.

re: bundling

How is a fractured septum a congenital condition? What is the patient's age? I agree that both would not be coded together.

re: bundling

I so agree with you - I went to my supervisor and pointed out the diagnosis - it has been changed and now I will refile and see what happens. Thanks so much for your help.