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© 2021 Palmetto GBA, LLC

We frequently update our articles to reflect the latest changes and updates to Medicare, and strongly recommend you visit this article at link below to confirm you have the latest version.

Published Date:02/08/2018

Printed Date: 9/22/2015

URL: http://palmgba.com/marlowe/redesign6/article.html

Unlisted Supplies: Bundling Denials

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Procedure Code:

  • CPT code: 99070

Denial Reason, Reason/Remark Code(s)

  • B15 Bundling: Payment adjusted because this procedure/service requires that a qualifying service/procedure be received and covered. The qualifying other service/procedure has not been received/adjudicated. 
Resolution/Resources
  • This code is listed as 'Status B' in the Medicare Physician Fee Schedule Database (MPFSDB), which means that payment for this service is always included in payment for other services performed on the same date that are reimbursed under the Medicare Physician Fee Schedule
Reference
  • Access the CMS Medicare Physician Fee Schedule Database and 'Status Indicators'
  • Find definitions of 'Status Indicators' in CMS Pub. 100-04, Chapter 23, Section 30.2.2 (PDF, 1.92 MB)

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Last Updated: 02/08/2018

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