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Florida BCBS bundling edits


BCBSF uses the following code-editing logic; please note that this is a listing of all customized edits from the standard recommended code editing logic. This does not represent a complete list of all procedure code edits. For more information please visit bcbsfl.com

Code 76376 will not be separately reimbursed when submitted with the following:

70450 70460 70470 70480 70481 70482 70486 70487 70488 70490
70491 70492 70540 70542 70543 70551 70552 70553 70557 70558
70559 71250 71260 71270 71550 71551 71552 72125 72126 72127
72128 72129 72130 72131 72132 72133 72141 72142 72146 72147
72148 72149 72156 72157 72158 72192 72193 72194 72195 72196
72197 73200 73201 73202 73218 73219 73220 73221 73222 73223
73700 73701 73702 73718 73719 73720 73721 73722 73723 74150
74160 74170 74181 74182 74183 76093 76094 76380 77058 77059

Code 76377 will not be separately reimbursed when submitted with the following:

70450 70460 70470 70480 70481 70482 70486 70487 70488 70490
70491 70492 70540 70542 70543 70551 70552 70553 70557 70558
70559 71250 71260 71270 71550 71551 71552 72125 72126 72127
72128 72129 72130 72131 72132 72133 72141 72142 72146 72147
72148 72149 72156 72157 72158 72192 72193 72194 72195 72196
72197 73200 73201 73202 73218 73219 73220 73221 73222 73223
73700 73701 73702 73718 73719 73720 73721 73722 73723 74150
74160 74170 74181 74182 74183 76093 76094 76380 77058 77059

Code 76942 will not be separately reimbursed when submitted with the following:

36470 36471

Code 90887 will not be separately reimbursed when submitted with the following:

90802 90849 90862 90870 90880

Code 93970 will not be separately reimbursed when submitted with the following:

36470 36471

Code 93971 will not be separately reimbursed when submitted with the following:

36470 36471

Code 97112 will not be separately reimbursed when submitted with the following:

98943

Code 97124 will not be separately reimbursed when submitted with the following:

98943

Code 97140 will not be separately reimbursed when submitted with the following:

98943

Code 99053 will not be separately reimbursed when submitted with the following:

Any anesthesia, surgery, radiology, lab, or evaluation and management service

Code 99082 will not be separately reimbursed when submitted with the following:

99291 99292

Code 99100 will not be separately reimbursed when submitted with the following:

Any anesthesia code

Code 99116 will not be separately reimbursed when submitted with the following:

Any anesthesia code

Code 99135 will not be separately reimbursed when submitted with the following:

Any anesthesia code

Code 99140 will not be separately reimbursed when submitted with the following:

Any anesthesia code

Code 99358 will not be separately reimbursed when submitted with the following:

99221 99222 99223 99231 99232 99233 99238 99239

Code 99359 will not be separately reimbursed when submitted with the following:

99201 99202 99203 99204 99205 99211 99212 99213 99214 99215
99221 99222 99223 99231 99232 99233 99238 99239

Codes A4206 through A9999 will not be separately reimbursed when submitted with the following:

Any surgical or evaluation and management code

Code Q0091 will not be separately reimbursed when submitted with the following:

P3000 P3001

Code S9083 will not be separately reimbursed when submitted with the following:

99201 99202 99203 99204 99205 99211 99212 99213 99214 99215
99241 99242 99243 99244 99245 99281 99282 99283 99284 99285

Code S9088 will not be separately reimbursed when submitted with the following:

99201 99202 99203 99204 99205 99211 99212 99213 99214 99215
99241 99242 99243 99244 99245 99281 99282 99283 99284 99285

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