Moderate sedation denied in office POS 11
We received the same denial of 99152 and invalid place of service. I spoke with Medicare this morning and the representative states that 99152 is only valid for inpatient and outpatient out-of-office settings such as ASC, off-campus outpatient facility, etc. and cannot be billed with the POS 11. My denials are all related to spinal epidural steroid injections (LESI, RFA, etc). I am unable to find any literature regarding to the places of service allowed for this code. Can someone direct me to that specific information? I have received payment from our local BCBS and UHC, just not Medicare.
Thanks in advance!