AAPC - Back to school
Page 2 of 2 FirstFirst 12
Results 11 to 13 of 13

Thread: Place of Service Question

  1. #11


    AAPC: Back to School
    And since POS22 is paid a "facility" fee, it would be conisidered "facility" per CPT terms for chemo/hydration/therapeutic infusions, all of which share the CPT statement "these codes are not to be reported by the physician in the facility setting". Is that correct? I think we have a confused clinic (hospital owned), who bills POS 22, but thinks they can bill these codes, since they are not being "split billed" (from the hospital). It's my understanding that the hospital should be reporting those on their side, right?


  2. #12


    Your physician office needs to be owned by the hospital in NY for you to be able to bill SOS 22 for the physicians otherwise you must bill SOS 11. To do otherwise is fraud.

  3. #13
    Join Date
    Apr 2007
    El Paso, TX


    Not to sure if thi is to late to comment on... but i has a similar question... what about diagnostic center "free-standing" not hospital owned. we bill pos 11... ive been looking into it and im stuck... pos 49 came as close to what we are as far as outpatient service... does anyone know who can break it down.

    Jesse C.
    Medical Coder

Page 2 of 2 FirstFirst 12

Similar Threads

  1. Place of Service question
    By bethb in forum Billing/Reimbursement
    Replies: 2
    Last Post: 12-03-2014, 07:24 AM
  2. Place of Service question
    By Kirstyn20 in forum Billing/Reimbursement
    Replies: 1
    Last Post: 02-06-2014, 03:41 PM
  3. Place of Service Question
    By shawes in forum Cardiology
    Replies: 2
    Last Post: 09-27-2013, 06:53 PM
  4. Place of Service Question
    By dsnider76 in forum Medicare Regulations
    Replies: 0
    Last Post: 10-11-2011, 08:10 AM
  5. Place of Service Question
    By JennH in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 04-29-2008, 08:07 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.