AAPC - Back to school
Results 1 to 2 of 2

Thread: Cahaba PFT's denied for place of service

  1. #1

    Default Cahaba PFT's denied for place of service

    AAPC: Back to School
    We are receiving denials from Cahaba for POS for the new 2012 PFT codes, 94726, 94727, 94728 & 94729. Our physicians interp the studies and we apply modifier 26 for the professional component. We use the POS based on where the study was performed, 21, 22 or 11. Cahaba will only pay the claim if the POS billed is 11. Is anyone else having this issue? Thanks!

  2. #2


    I would bill this service where your physician is actually performing the interp, not where the study was performed. Bill POS 11.

    Annette M Roberts, CPC

Similar Threads

  1. PFT Dates of service
    By Kentuckygirl1984 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 02-04-2015, 11:50 AM
  2. 25071 denied as inappropriate place of service
    By JesseL in forum Dermatology
    Replies: 15
    Last Post: 08-14-2014, 10:35 AM
  3. Site of Service / Place of service for professional claims?
    By Denise in forum Outpatient Facilities
    Replies: 0
    Last Post: 03-14-2012, 05:41 AM
  4. Cahaba Customer Service complaint
    By lchasteen in forum Billing/Reimbursement
    Replies: 0
    Last Post: 03-17-2011, 12:16 PM

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.