Wiki CPT codes not compatible with POS 22

[Terilynn Trail]

I am having several surgery codes (21141, 21196, 21142, 21145) being denied if the POS is 22. The surgeons I work with perform the procedures with the patient admitted as a 23 hour observation, therefore I submit the claim using POS 22. It appears that Medicare and other federal payers will only reimburse the procedure if the POS is 21. Is there a list of procedures that are only payable if the POS is 21? Has anyone else had the same experience and if so what was done to avoid the denial?

 

[mitchellde]

Yes on the Medicare website there is a list of inpatient only allowable procedures, I do not have the current link but you should be able to search for it.