AAPC - Back to school
Results 1 to 2 of 2

Thread: POS and E/M category

  1. #1

    Smile POS and E/M category

    AAPC: Back to School
    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
    Join Date
    Apr 2007


    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.

Similar Threads

  1. Category III
    By kskiles in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 07-30-2014, 03:41 AM
  2. Replies: 2
    Last Post: 12-04-2013, 06:23 PM
  3. Billing for Path POS 24 vs POS 11
    By rlmiller in forum Outpatient Facilities
    Replies: 5
    Last Post: 09-19-2013, 12:48 PM
  4. help with a category II code
    By bsuse in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 04-11-2011, 07:36 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.