We have the need to do a CPT code change to a different code. However, it is a bundled set of cpt codes to a single cpt code. For commercial payors only. No government payors.
So, if a claim has 80053,84443, and 85025 (all three on the same claim) is there a way to 1. Identify those claims, and 2. Auto change those three codes (remove those three codes from the claim) to 1 CPT code 80050? Is this possible?
I have tried explosion codes = 1 to 1 or 1 to Many, but not many to 1
Would a Bundled CPT Rule work, even if the 80050 CPT is not one of the original codes on the claim?
Any thoughts?