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.
  • CPT code: 99100

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 the CMS Medicare Claims Processing Manual (Pub. 100-04, Chapter 23, Section 30.2.2)

Contact Palmetto GBA JJ Part B Medicare

Provider Contact Center: 877-567-7271

Email JJ Part B

Contact a specific JJ Part B department



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