Wiki Place of service for Capsule Endoscopy 91110 on Medicare patient

[jynbean]

We had a Medicare patient - who was inpatient who had a Capsule Endoscopy and Medicare part B is saying we cant bill this procedure with the INPATIENT place of service.

Does this code require mod TC or 26

 

[mitchellde]

it is a designated outpatient only procedure, if the patient was inpatient then there is nothing you can do except appeal with a letter of explanation.

 

[jynbean]

Thank you for the quick answer, but I am so new at this I have to ask - HOW do you know this is designated as outpatient? Where do I look - or is this something in my CPT book?

THANK YOU FOR your help !