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Thread: please help.. second time posting this question..

  1. #1

    Exclamation please help.. second time posting this question..

    AAPC: Back to School
    our doctor is a PCP and sees patients in Nursing Homes also.
    patient is staying in a nursing Home but the pt was in Hospice
    ca i bill this to Medicare?
    if yes how do I code this and what POS code should i use?

    will it be right if i use nursing home codes(99304-99310) and the POS code 34?

    I am not sure if this is right or wrong. Can anybody advise on this please...

    thank you for all your help

  2. #2
    Join Date
    Apr 2007
    Leesburg, VA


    You will probably need to contact your MAC directly for the correct answer to this. Different Medicare carriers may have different rules when billing these services. I would check with my MAC directly, just to be sure you are billing these correctly.

  3. #3
    Join Date
    Apr 2007

    Default Hospice

    Yes you can use the E/M 99304-99310 and 34 I work for a hospice company and those are the codes we use when our physicians go out to SNF & ALF

  4. #4
    Join Date
    Apr 2007


    Yes, you bill Medicare.

    As long as the PCP is not employed or paid by Hospice, you will file the appropriate CPT code along with modifier GV. If Medicare denies it, you can call them and ask them to re-open the claim with the modifier.

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