Practice Quiz

Medical Coding

Category - Compliance and Regulatory

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Can you report component codes separately?
  1. Yes, you can report component codes separately and may receive better reimbursement if you do.
  2. No, you cannot report component codes separately because this type of code only reports a portion of the service described. Look for comprehensive codes that are “bundled” to maximize reimbursement.
  3. Yes, you can report component codes separately. Even though it is bundled with another service, you can report both the component and the comprehensive codes.
  4. Yes, you should report component codes separately. Many times there is more than one component of a procedure and by separating each you can use multiple codes.
Explanation
Answer: B - No, you should not report component codes separately as they are only a “piece” of the service provided. They should be billed as part of the comprehensive code or “bundled” service to maximize reimbursement. Medicare payers will typically only pay for the higher-valued procedure if more than one bundled procedure is submitted for the same patient on the same day.

Comprehensive codes are component codes that are billed together “bundled”; they are broader codes. Component codes are reimbursed at lower rates and, if reported in addition to the comprehensive code, will not be reimbursed. A provider should not unbundle comprehensive codes. Doing so will result in lower reimbursement.
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