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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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