Advanced Search

Radiology Coding Alert

Reader Question:

Know the News on POS Implementation Date

Published on Wed Oct 31, 2012

Question: I've been expecting to see more information about CMS's place of service (POS) rule with an October 1 implementation date. Have there been any updates?North Carolina SubscriberAnswer: CMS has delayed implementation for the POS rule you reference. The new effective and implementation dates are both April 1, 2013. CMS also added some revisions and clarifications to the rule regarding global diagnostic services, determining payment locality, and inpatient and outpatient services.For instance: When reporting global 71010 (Radiologic examination, chest; single view, frontal), meaning without modifier 26 (Professional component) or TC (Technical component), the claim should reflect the ZIP code of the testing facility that performed the X-ray. And you may report the global code only when the same physician/supplier performs both the TC and PC, and the TC and PC are furnished in the same fee schedule locality.There's an MLN Matters article on the topic at www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM7631.pdf.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Radiology Coding Alert

View All