Wiki 99236 billed with POS 23

[Velna01]

Hello,

I'm trying to figure out if POS 23 is appropriate to bill with cpt 99236. I have researched this code using many different website and I find the information leads to any of the following: POS 21,22, or 23. I'd like to be sure if this is correct. Can anyone help?

Scenario:
A NY state medicaid patient was seen by a ER physician who is billing for 99236 along with place of service 23.

Thank you!
Nancy V. CPC

 

[FTessaBartels]

Observation or Inpatient?

This is not really my area of expertise, but ....

If you are billing 99236 (admission & discharge on same day), then I believe you need to use a POS of -22 or -21 (depending on whether patient was admitted to observation or to inpatient status).

I would find it highly unusual for the ER physician to be providing this service, however. Usually a hospitalist or other physician is the admitting/discharging physician.

Hope that helps.

F Tessa Bartels, CPC, CEMC

 

[Velna01]

Thank you!