Neurosurgery Coding Alert

As part of CMS' proposed revisions to the 2003 Physician Fee Schedule, the agency has recommended a number of changes to the "place-of-service indicators," e.g., 11 for the office, 22 for outpatient hospital.

Currently, several place-of-service indicators are in use for which there is no site-of-service (facility versus non-facility) designation. The CMS proposal would assign a site-of-service designation to these indicators, as well as revise several existing site-of-service designations. Under the resource-based practice expense methodology, CMS distinguishes practice expense relative value units (RVUs) for nonfacility and facility settings. According to CMS publication 1204-P, "This distinction is needed because of the higher resource costs to the physician in the nonfacility setting when the practitioner typically bears the cost of the resources associated with the service." When the beneficiary is a facility patient, Medicare reimburses the facility for the clinical staff, supplies and equipment, while the practitioner receives a generally lower facility practice expense rate. Therefore, changes to the site of service will directly affect physician reimbursement. For 2003, CMS has recommended that the following be considered facility settings: 06 Indian health service provider-based facility 08 tribal 638 provider-based facility 26 military treatment facility (currently nonfacility) 41 ambulance, land (currently nonfacility) 42 ambulance, air or water (currently nonfacility) 52 psychiatric facility partial hospitalization (currently nonfacility) 56 psychiatric residential treatment center (currently nonfacility) CMS has designated the following nonfacility settings: 04 homeless shelter 05 Indian health service free-standing facility 07 tribal 638 free-standing facility 15 mobile unit Note: If a mobile unit provides a service to a facility patient, report the appropriate facility place of service. 20 urgent care facility CMS has designated all other place-of-service indicators not specifically mentioned as nonfacility site-of-service locations. For the complete text of CMS 1204-P and a list of current place-of-service indicators, visit the CMS Web site at http://www.cms.gov/physicians/pfs/default.asp.