tbragg36
Networker
My provider has hospital privileges and performs all kinds of codes as inpatient and outpatient. Though he has a tendency to bill codes in the office setting place of service11 and they are denied by Medicare because of the place of service. I'm told the code cannot be billed in an office setting. My provider wants to see these things in writing. When I ask Medicare for help finding these things in writing, they are unable to help. Between our coding software and the CPT books we have, I'm unable to see anything about these codes only being performed in a hospital setting. Is there a way I can find out if certain codes are only allowed in a hospital setting?
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