AAPC - Back to school
Results 1 to 3 of 3

Thread: POS Codes

  1. #1
    Join Date
    Apr 2007
    Indianapolis, IN

    Question POS Codes

    AAPC: Back to School
    This seems like a simple issue and maybe I'm overthinking it, but I'd like a second opinion. I recently started doing billing for a surgical practice. They see patients "in clinic." The prior biller used POS code 11 -office - (Location, other than a hospital, skilled nursing facility (SNF), military treatment facility, community health center, State or local public health clinic, or intermediate care facility (ICF), where the health professional routinely provides health examinations, diagnosis, and treatment of illness or injury on an ambulatory basis.), as this is the only "office" they use. The office is actually a section of the hospital that they share with other practices. We rent the space on certain days, and other departments rent it on other days.

    I'm wondering if this is actaully a POS code of 11, since it is located within the hospital. Would it not be considered outpatient, (A portion of a hospital which provides diagnostic, therapeutic (both surgical and nonsurgical), and rehabilitation services to sick or injured persons who do not require hospitalization or institutionalization.)

    How can I tell for sure?
    Thanks in advance for your help

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    Do you actually rent this space? or is it just designated for your use on certain days. The reimbursement is different for a POS 11 from a POS 22. to use the POS 22 then the ancillary staff used is the facility's, meaning they are paying the salaries not your physician. The drugs used are purchased by the facility and you do not reimburse them. So look closely at the arrangement. If the staff (all your staff) is paid out of the physician pocket and you are paying rent to cover the space and utilities and any drugs you use are purchased by the physician then this is an 11. IF you just use the designated space and use the facility staff for the RNs and everything else then this is a 22.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Join Date
    Apr 2007
    Indianapolis, IN


    Actually, I think they bring their own staff and use some of the hospital staff. I'll definately check into it more closely.
    Thanks for your help!

Similar Threads

  1. Hospital E&M codes for pos 61
    By medipro in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 07-24-2015, 10:18 AM
  2. CPT codes not compatible with POS 22
    By Terilynn Trail in forum Medicare Regulations
    Replies: 1
    Last Post: 10-29-2014, 09:14 AM
  3. POS 61 which codes to use
    By dmsmith73 in forum E/M
    Replies: 0
    Last Post: 11-07-2013, 08:45 AM
  4. POS 12 And Corresponding Procedure Codes
    By SKS in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 02-14-2013, 10:18 AM
  5. POS codes
    By armymomryan in forum Medicare Regulations
    Replies: 1
    Last Post: 09-01-2010, 10:47 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.