Does it matter how the CPT codes are listed on the claim form?
No, the sequence in which any CPT codes are listed is irrelevant to payment. Payment and reductions are made by Relative Value Units (RVUs) and the multiple surgical service reduction edits, not on how the codes appear on the CMS-1500 claim form. Can I use more than one type of repair to close a single defect? That depends on what type of repairs you are trying to bill. The only way to know the answer to that question is to enter the codes into the Medicare CCI (Correct Coding Initiative) tables and see if any of the combinations you are trying to bill are bundled. If they are bundled, then you can only code the repairs that are not bundled. Here are some examples: All of the above combinations are fine except example C. In that example, CPT code 13131 is bundled into code 14040 and cannot be billed separately. Therefore, only CPT codes 14040 and 15240 can be billed.
