During claim review, a medical assistant notes that a minor procedure and the associated anesthesia were submitted under one comprehensive CPT code rather than separate codes for each component. Which coding term describes this practice of submitting related services under a single code?
Upcoding
Downcoding
Bundling
Unbundling
Bundling is the practice of combining related medical procedures or services under one comprehensive CPT code when those services are considered integral to each other. This simplifies billing and usually reflects how payers expect the claim to be reported. Unbundling is the opposite-billing each component separately-which can inflate costs and trigger audits. Upcoding occurs when a higher-paying code is chosen than the service warrants, and downcoding is selecting a lower-paying code.
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