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11 year old circ bundling

Hi –

A Nevada Medicaid product is bundling an 11 year old’s circumcision as "incidental to primary procedure", which appears they are calling the 54360 – the whole claim was billed with 54324, 54360, & 54235 with the 54161. AUA coding says it was all ok to bill. I can not find any additional CCIEdit for these codes. I’m thinking it’s just a plan issue not a coding one, but I just want confirmation. Any thoughts?

Thank you!

Jessica

Medical Billing and Coding Forum