Wiki Help! Billing Medicare HCPCS Code P9603

[eventidesky]

Hello!

I work at Lab and we send our Phlebotomists to Assisted Living & Nursing homes a few times a week. We are looking into billing to Medicare for the trip the Phlebotomist has to take to the patients and back to the lab. Has anyone billed the HCPCS code P9603 before to Medicare? is this the correct code? Are there any modifiers, etc.? Any help would be greatly appreciated. Thanks

 

[eventidesky]

Help!

If anybody knows the direction I should be looking or who I should ask. I would really appreciate your help.

Thanks!

 

[vjiles87]

I am new to billing, but at our office we use P9604. I believe you could add modifier -LR depending on the distance traveled.

Check out this link for a better explanation.
https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R2675CP.pdf

 

[eventidesky]

Thanks!

Thanks, this helps a lot. Do you by chance know if this applies to Assisted living facilities or just nursing home patient or homebound patients?