AAPC - Back to school
Results 1 to 3 of 3

Thread: 93015 denial for place of service

  1. #1
    Join Date
    Apr 2007

    Default 93015 denial for place of service

    AAPC: Back to School
    We have a cardiologist that joined our practice and has started doing stress tests as outpatient hospital. We were billing with 93015 and medicare denied for not authorized place of service 22. Could we bill 93016 as the supervision and then bill 93018 for interpretation and report?

  2. #2
    Join Date
    Apr 2007
    Louisville, KY


    93015 would be inappropriate with a POS of 22--based on what you have mentioned. 93015 represents the "global" package for stress. Since your physician would be billing only the pro fees, you cannot code for a global (the facility deserves its cut!).

    93018 or 93016 would be more appropriate, based upon the specifics of how these exams/tests are managed.

    Hope this is some help.
    Kevin B. Shields, RHIT, CPCO, CCS, CPC, COC, CCS-P, CPC-P, CPC-I

  3. #3
    Join Date
    Apr 2007


    Thanks! that is what we thought.

Similar Threads

  1. Site of Service / Place of service for professional claims?
    By Denise in forum Outpatient Facilities
    Replies: 0
    Last Post: 03-14-2012, 05:41 AM
  2. Place Of Service
    By jbaader in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 01-25-2012, 07:55 AM
  3. Place of Service
    By charla in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 12-06-2011, 02:06 PM
  4. Place of Service and Date of Service
    By NESmith in forum Billing/Reimbursement
    Replies: 1
    Last Post: 10-07-2011, 08:52 AM
  5. Place of Service
    By Partha in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 08-11-2009, 07:48 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.