You cannot separately code for 67039 when 67042( a higher RVU procedure is being performed)together. It bundles as you mentioned..
This is how is it.CCI has paired several vitrectomy procedures into mutually exclusive bundles, which means that practitioners would not usually perform the two bundled codes together. If you do report the two codes separately without modifiers, Medicare payers will only reimburse for one of them.
Mark these edits: Code 67039 (Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation) is bundled into 67040 (... with endolaser panretinal photocoagulation), 67041 (... with removal of preretinal cellular membrane [e.g., macular pucker]), 67042 (...with removal of internal limiting membrane of retina [e.g., for repair of macular hole, diabetic macular edema], includes, if performed, intraocular tamponade [i.e., air, gas, or silicone oil]), and 67043 (...with removal of subretinal membrane [e.g., choroidal neovascularization], includes, if performed, intraocular tamponade [i.e., air, gas, or silicone oil] and laser photocoagulation).
A previous edit put 67039 into column 1 and 67040 into column 2 of a mutually exclusive bundle.In a mutually exclusive bundle (as with a column 1/column 2 bundle), Medicare payers will only recognize the column 1 procedure if you report the two together without modifiers.
So, if you were to report 67040 and 67039 together without a modifier, you would only see reimbursement for the column 1 procedure, 67040.
Also, 67040 is now bundled into 67042 and 67043. Code 67041 is bundled into 67040, 67042, and 67043; and 67042 is bundled into 67043.