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POS and E/M category

  1. Smile POS and E/M category
    Medical Coding Books
    Small town hospital that has an attached OP clinic as well as an attached office visit clinic that this physician works at.

    Scenario 1: Patient is an IP at the hospital. They wheeled the patient down to the physicians office so the physician could see the patient (physician didn't want to leave his office and since the hospital is right down the hall they brought the patient to him). The physician did x-rays in his office (he owns the equipment and does the interpretation) and he dictated the progress note in the hospital chart. This is basically a subsequent IP visit except they brought the patient to the physician, instead of the physician going to the patient.

    Scenario 2: Pateint is an IP at the hospital. They wheeled the patient down to the OP clinic and the physician saw the patient and dictated a progress note in the hospital chart.

    Does the location of the visit matter in these situations or would they just bill the 9923x with a POS 21 even though the actual visit took place at a POS 11 and POS 22? What about the xrays?

    Any help on this would be greatly appreciated.

  2. #2
    I think they would bill under 9923x with POS 21 because this is an IP at the hospital. Pt has not been discharged yet and the responsibility falls on the hospital and the physician is working for the hospital as my understanding.

    In regard to the x rays, the equipment that was used does not belong to the hospital then I think they would bill as OP.

    This is my opinion. I m not an expertise I m just start studying to take my exam.

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