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99222 billed with place of service 55

cmcarden

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Patient was in a residential treatment facility for drug/alcohol, they're billing 99222 with POS 55 for treating physician. Aren't hospital visits CPT 99221 - 99233 for POS 21 or 25 only?
 
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Look into this for possible solution to your question.

We believe that you cannot use an inpatient hospital code if you were not seen in an acute care facility.

To bill for services rendered in a Rehabilitation Substance abuse treatment facility see codes

HCPCS BOOK (Level II Codes)

See...H0010 through H0013.

I hope this helps!


Carrington College Mid-day Coding Class.
 
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