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Reader Questions: Get Paid for 94760 Based on Its Physician Fee Schedule Status

Published in Pulmonology Coding Alert, May 2010

Question: My practice has just started to bill pulmonary function tests (PFTs). In one case, I billed 94060, 94240, 94260, 94360, 94720, and 94760 to Medicare. I got a denial from Medicare for 94760, stating that it was bundled into the main procedure. I checked the CCI edits, which showed no such bundle. Could you explain how this happened?
Illinois Subscriber
Answer: If you looked closely in the Correct Coding Initiative (CCI) edits, you would see that [...]


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Published in Pulmonology Coding Alert, May 2010
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