sacook
Contributor
Hi everyone, I hope someone can clarify Pathology POS for me. I am billing for a Pathologist who has his own lab and is also the director of the lab at a hospital. As such I have been instructed to bill for the professional component of the clinical labs using POS 81.
For anatomical specimens sent to his office/lab I am told to use POS 11 and no modifier for commercial insurance as he does both the technical and professional components. For traditional medicare patients, modifier 26 and POS 21 if the patient is admitted to the hospital and 11 if they were outpatient.
Does this sound right?
For anatomical specimens sent to his office/lab I am told to use POS 11 and no modifier for commercial insurance as he does both the technical and professional components. For traditional medicare patients, modifier 26 and POS 21 if the patient is admitted to the hospital and 11 if they were outpatient.
Does this sound right?