Wiki What is the correct pos for Q3014 ? What is the correct way to bill for the rendering provider part?

[staley]

Hello, I need to know what POS falls under the CPT Q3014. Been having a lot of denials for this code. Also, The rendering provider is the site itself. Should I change it to the provider that 's rendering the services??? Any help would be greatly appreciated. molly.staley@icloud.com Thanks in advance!

 

[thomas7331]

Q3014 is a facility fee that is excluded from coverage on the physician fee schedule because the code was created specifically for use by facilities billing on a UB-04. Under normal circumstance, this code would not be payable with any POS if billed by a professional provider.

I have read that payers may be allowing this as an exception under the current COVID health emergency, but I have not seen any published coding guidance that that says how this should be billed by non-facility providers. You may need to contact the payers who are denying this to find out if they are in fact allowing it to be billed by non-institutional providers and if so, what place of service they require for payment.

 

[gutjahr]

I recently read that "
The originating site facility can bill Q3014 (originating site facility fee) and that can be submitted on the CMS 1500 or UB-04."
If the provider clinic is using staff to facilitate an originating site connection for a patient in the office with a specialist. The clinic physician is not even present in the fee-for-service clinic at the time. This is now billable by the clinic on the 1500. What names/NPI should go on the claim in J: rendering provider ID #, 32. Service Facility location info and 33. Billing provider info?
Thank you!