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When was the effective date for bundling 95938 & 95939 to 95955?

Connie Posted Mon 23rd of July, 2012 21:57:11 PM

I'm questioning when the effective date for bundling these codes95938' and95939' bundled to 95955 occurred. SuperCoder states effective July 1, 2012 and Medicare states it was effective January 1, 2012. If the correct date is July 1, 2012, is there proof available for me to submit my appeal to Medicare. Previous to July 1, 2012, these codes 95938, 95939, and 95955 have been billed seperatly and has been paid. After July 1st, CCI edits shws 95938 and 95939 is bundled to code 95955. So, I need some clarification and proof to submit my appeal to Medicare. Thank You.

SuperCoder Answered Tue 24th of July, 2012 08:07:09 AM

No, it was actually July 1, 2012 as you said and it is accurate information. There is nothing like January edits where it's bundled with CPT 95955. We are following CMS edits and I have checked all the previos versions of edits and nothing bundled.

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