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Wiki need help CPT code and POS code - having a problem

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bellsmom

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my practice is having a problem....

What code should i be using for a consult done in observation in the hospital but we r not the admitting doctor????

Also what is the P.O.S. code for it????

I have been using a new or est office level and the P.O.S. as 22.

Is anyone else out there having the same problem???

we r being denied for these claims from almost ever carrier.....

i have also tried to use new or est office levels with P.O.S. as 23 still being denied..

i am asking for any suggestion u may have, really need to get this resolved...
 
It is appropriate to use a new or established office visit code with a place of service 22. There shouldn't be any reason for you to be getting denials. If you are getting denials, I would suggest you appeal.
 
I would make sure the status of the patient wasn't changed to "in-patient" Also, some insurance companies still recognize consult codes. Be sure you are using these codes based on your payer. Otherwise, I would agree to use your new or est office codes. If using new office codes make sure the patient has not been seen with anyone in the practice/specialty within 3 years. The correct POS is 22. :)
 
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