mkissinger
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Psychiatrist Performing Med Management in Field -Which E/M code & POS Should We Use?
Our outpatient program psychiatrists sometimes perform medication management sessions out in the field -for example at a Starbucks, at a park, etc. There are various reasons for this (homelessness, etc), but this is generally done because our patients are severely mentally ill so our doctors see them wherever they can. My question is what E/M code and place of service (POS) code combination are appropriate for this situation? We've been using "office" E/M codes (99201-99215) since the description for this E/M code range says "office or other", with field as the place of service (POS code 99). Medicare denies our claims stating POS is inconsistent with service code so we assumed this was just not a payable service. However, I recently heard from another provider that they bill these types of services with "home" E/M codes (99341-99350) and field (POS code 99) and get paid.
We'd love to get paid for these but want to confirm that billing with the "home" E/M codes is appropriate. Does anyone have any information or experience with this. Thanks!!
Our outpatient program psychiatrists sometimes perform medication management sessions out in the field -for example at a Starbucks, at a park, etc. There are various reasons for this (homelessness, etc), but this is generally done because our patients are severely mentally ill so our doctors see them wherever they can. My question is what E/M code and place of service (POS) code combination are appropriate for this situation? We've been using "office" E/M codes (99201-99215) since the description for this E/M code range says "office or other", with field as the place of service (POS code 99). Medicare denies our claims stating POS is inconsistent with service code so we assumed this was just not a payable service. However, I recently heard from another provider that they bill these types of services with "home" E/M codes (99341-99350) and field (POS code 99) and get paid.
We'd love to get paid for these but want to confirm that billing with the "home" E/M codes is appropriate. Does anyone have any information or experience with this. Thanks!!