Medicare Claims Processing Manual (Pub. 100-04), Ch. 14 § 20.3

Rebundling of CPT Codes

Last amended: 2003Year: 2003Length: 84 wordsOfficial source
20.3 - Rebundling of CPT Codes (Rev. 1, 10-01-03) The general CCI rebundling instructions apply to processing claims from ASC facilities services. In general, if an ASC bills a CPT code that is considered to be part of another more comprehensive code that is also billed for the same beneficiary on the same date of service, only the more comprehensive code is covered, provided that code is on the list of ASC approved codes. Refer to Chapter 23 for a description of these instructions.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 14 § 20.3: Rebundling of CPT Codes | Justis AI