woleke@michigan.gov
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I have a Physician that is part of a Disease Wound Clinic that is billing for Wound Care on a patient (Codes 97597 and 97598) that has severe edematous and ulcered legs. The Physician is billing with a Place of Service of 22 (indicating Outpatient Facility). The Outpatient Facility is also billing for services on this patient and is billing Procedure Code 11042 and Revenue Code 0510.
My first concern is that the Physician and Hospital are billing two different codes, which I do not believe is correct? Can both the Physician and Hospital bill for the same services? My guess would be no, but I am not sure and am looking for some guidance.
Thank you in advance!
My first concern is that the Physician and Hospital are billing two different codes, which I do not believe is correct? Can both the Physician and Hospital bill for the same services? My guess would be no, but I am not sure and am looking for some guidance.
Thank you in advance!