Reader Question:
Where Sleep Study Performed Determines POS
Published on Sun Jun 24, 2012
Question: Our otolaryngologists are certified to interpret sleep study results (95807-95811) at a privately owned sleep lab. Our physicians do not see the patients; they only interpret the test results. Which POS should I use? This is for a Medicare patient.Codify SubscriberAnswer: You should use the POS where the patient received the technical portion of the service, which is POS 81 (Independent laboratory).According to CMS Transmittal 2407, the POS code for all physicians paid under the Medicare Physician Fee Schedule "must match the setting in which the beneficiary receives the face-to-face service. Billable, non face-to-face services (such as when a physician interprets diagnostic test results) are billed to the POS in which the beneficiary received the technical portion of the service."In other words, if the patient had the sleep study in the hospital rather than an independent lab and the otolaryngologist interpreted the results in her office, you should report [...]
