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Place of Service Question - Podiatry facility

  1. Default
    Clearnace Sale
    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
    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

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