"CPT copyright 2010 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association."

Humana Bundled CPT codes list


Humana utilizes the following code-editing logic:


• CPT 78593 will not be separately reimbursed when submitted with CPT 78585.

• CPT 11101 will not be separately reimbursed when submitted with CPT 17000.

• CPT 20936 will not be separately reimbursed when submitted with CPT 22630.

• CPT 29877 will not be separately reimbursed when submitted with CPT 29881.

• CPT 36410 will not be separately reimbursed when submitted with CPT 80053.

• CPT 36415 will not be separately reimbursed when submitted with the following CPT codes:

80048
82248
82948
84132
84520
86141
80050
82306
82950
84144
84550
86304
80051
82310
82951
84146
84702
86308
80053
82378
82962
84153
84703
86318
80055
82465
82977
84155
85007
86376
80061
82533
83001
84402
85013
86592
80069
82550
83036
84403
85014
86677
80074
82565
83090
84432
85018
86701
80076
82575
83516
84436
85025
86703
80162
82607
83540
84439
85027
86762
80164
82627
83615
84443
85060
86850
80178
82670
83655
84450
85610
86900
80185
82728
83718
84460
85651
87340
82040
82746
83721
84478
85652
87430
82105
82784
83735
84479
85730
82140
82785
83880
84480
86038
82150
82947
84100
84481
86140

• CPT 36416 will not be separately reimbursed when submitted with the following CPT codes:

80061
82947
83036
85013
85025
85610
82247
82948
83655
85014
85027
S3620
82465
82962
85007
85018
85048

• CPT 36540 will not be separately reimbursed when submitted with the following CPT codes:

80053
85025

• CPT 36600 will not be separately reimbursed when submitted with CPT 82803.

• CPT 51797 will not be separately reimbursed when submitted with CPT 51795.

• CPT 71010 will not be separately reimbursed when submitted with the following CPT codes:

99283
99284
99285

• CPT 71020 will not be separately reimbursed when submitted with the following CPT codes:

99283
99284
99285

• CPT 72020 will not be separately reimbursed when submitted with CPT 72100.

• CPT 72100 will not be separately reimbursed when submitted with CPT 72148.

• CPT 73600 will not be separately reimbursed when submitted with CPT 99283.

• CPT 73610 will not be separately reimbursed when submitted with CPT 99283.

• CPT 73620 will not be separately reimbursed when submitted with CPT 99283.

• CPT 74020 will not be separately reimbursed when submitted with CPT 99285.

• CPT 74022 will not be separately reimbursed when submitted with the following CPT codes:

99284
99285

• CPT 78890 will not be separately reimbursed when submitted with CPT 93015.

• CPT 92568 will not be separately reimbursed when submitted with CPT 92569.

• CPT 92950 will not be separately reimbursed when submitted with CPT 99291.

• CPT 93010 will not be separately reimbursed when submitted with the following CPT codes:

99213
99223
99233
99254
99291
99214
99232
99244
99255

• CPT 93041 will not be separately reimbursed when submitted with the following CPT codes:

A0426
A0427

• CPT 93042 will not be separately reimbursed when submitted with the following CPT codes:

99231
99232
99233
99254
99255

• CPT 94150 will not be separately reimbursed when submitted with the following CPT codes:

95115
95117
99213
99214

• CPT 94760 will not be separately reimbursed when submitted with the following CPT codes:

36415
93005
99202
99213
99245
64483
93010
99203
99214
99283
80053
94010
99204
99215
99284
85025
94640
99205
99243
99285
93000
99058
99212
99244
A0427

• CPT 94761 will not be separately reimbursed when submitted with the following CPT codes:

99213
99214
99284
99285

• CPT 96110 will not be separately reimbursed when submitted with the following CPT codes:

99391
99392

• CPT 99000 will not be separately reimbursed when submitted with the following CPT codes:

11100
80055
82947
85025
99213
99394
17000
80061
82948
85610
99214
99395
36410
80076
82950
88142
99215
99396
36415
81000
82962
99202
99244
99397
57454
81002
83036
99203
99385
58100
81003
84439
99204
99386
80048
82105
84443
99205
99391
80050
82270
85007
99211
99392
80053
82465
85018
99212
99393

• CPT 99001 will not be separately reimbursed when submitted with the following CPT codes:

80048
80053
85025

• CPT 99173 will not be separately reimbursed when submitted with the following CPT codes:

99213
99383
99393
99395
99214
99392
99394

• CPT A4208 will not be separately reimbursed when submitted with the following CPT codes:

99213
99214

• CPT A4212 will not be separately reimbursed when submitted with the following CPT codes:

99211
99213
99214

• CPT A4550 will not be separately reimbursed when submitted with the following CPT codes:

99213
99214

• CPT Q0091 will not be separately reimbursed when submitted with the following CPT codes:

99385
99387
99396
G0101
99386
99395
99397

• CPT 76645 will not be separately reimbursed when submitted with CPT 76942.

• CPT 76830 will not be separately reimbursed when submitted with CPT 76856.

• CPT 80076 will not be separately reimbursed when submitted with CPT 80053.

• CPT 82803 will not be separately reimbursed when submitted with CPT 99285.

• CPT 94260 will not be separately reimbursed when submitted with the following CPT codes:

94240
94761

• CPT 94640 will not be separately reimbursed when submitted with the following CPT codes:

94060
99285

• CPT 94664 will not be separately reimbursed when submitted with the following CPT codes:

99213
99214
99215
99244

• CPT 97002 will not be separately reimbursed when submitted with the following CPT codes:

97110
97140

• CPT 97004 will not be separately reimbursed when submitted with CPT 97110.

• CPT 97140 will not be separately reimbursed when submitted with CPT 98943.

• CPT 99070 will not be separately reimbursed when submitted with the following CPT codes:

A4550
J1100
J7050

• CPT 99215 will not be separately reimbursed when submitted with CPT 99396.

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