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99236 billed with POS 23

  1. #1
    Staten Island, NY
    Default 99236 billed with POS 23
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    I'm trying to figure out if POS 23 is appropriate to bill with cpt 99236. I have researched this code using many different website and I find the information leads to any of the following: POS 21,22, or 23. I'd like to be sure if this is correct. Can anyone help?

    A NY state medicaid patient was seen by a ER physician who is billing for 99236 along with place of service 23.

    Thank you!
    Nancy V. CPC

  2. #2
    Milwaukee WI
    Default Observation or Inpatient?
    This is not really my area of expertise, but ....

    If you are billing 99236 (admission & discharge on same day), then I believe you need to use a POS of -22 or -21 (depending on whether patient was admitted to observation or to inpatient status).

    I would find it highly unusual for the ER physician to be providing this service, however. Usually a hospitalist or other physician is the admitting/discharging physician.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Staten Island, NY
    Thank you!

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