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Place of service for Capsule Endoscopy 91110 on Medicare patient

  1. Question Place of service for Capsule Endoscopy 91110 on Medicare patient
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    We had a Medicare patient - who was inpatient who had a Capsule Endoscopy and Medicare part B is saying we cant bill this procedure with the INPATIENT place of service.

    Does this code require mod TC or 26

  2. #2
    Columbia, MO
    it is a designated outpatient only procedure, if the patient was inpatient then there is nothing you can do except appeal with a letter of explanation.

    Debra A. Mitchell, MSPH, CPC-H

  3. Default
    Thank you for the quick answer, but I am so new at this I have to ask - HOW do you know this is designated as outpatient? Where do I look - or is this something in my CPT book?

    THANK YOU FOR your help !

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