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Name of Manual - Blue Cross and Blue Shield of Minnesota

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Coding Policies <strong>and</strong> Guidelines (Coding)<br />

Edit Descriptions<br />

(continued)<br />

11-24<br />

An example would be billing the following procedure codes<br />

together:<br />

33207......Insertion <strong>of</strong> heart pacemaker, ventricular<br />

33208......Insertion <strong>of</strong> heart pacemaker, atrial <strong>and</strong> ventricular<br />

Procedure 33208 is identified as the primary procedure code. CPT<br />

33207 would be rebundled because it is an integral part <strong>of</strong><br />

procedure 33208. Rather than a line item denial, the procedure <strong>and</strong><br />

related charge will be summed together <strong>and</strong> a new allowance for<br />

the surviving code will be established based on your contracted fee<br />

schedule.<br />

Another example would be billing the following procedure codes<br />

together:<br />

82374......Carbon dioxide<br />

82435......Chloride<br />

84132......Potassium<br />

84295......Sodium<br />

In combination, the four codes above would be rebundled <strong>and</strong><br />

replaced with the more appropriate procedure 80051-electrolyte<br />

panel. Related charges will be summed together <strong>and</strong> the allowance<br />

based on the comprehensive code 80051.<br />

When this edit is applicable, the following message will appear on<br />

your current remittance advice:<br />

This service is a component <strong>of</strong> a procedure that has already<br />

been processed on this or another claim.<br />

<strong>Blue</strong> <strong>Cross</strong> <strong>and</strong> <strong>Blue</strong> <strong>Shield</strong> <strong>of</strong> <strong>Minnesota</strong> Provider Policy <strong>and</strong> Procedure <strong>Manual</strong> (07/12/12)

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