Terilynn Trail
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I am having several surgery codes (21141, 21196, 21142, 21145) being denied if the POS is 22. The surgeons I work with perform the procedures with the patient admitted as a 23 hour observation, therefore I submit the claim using POS 22. It appears that Medicare and other federal payers will only reimburse the procedure if the POS is 21. Is there a list of procedures that are only payable if the POS is 21? Has anyone else had the same experience and if so what was done to avoid the denial?