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Billing POS 11 for Satellite Location

Victoria Posted Thu 14th of May, 2020 11:48:25 AM
Our provider currently bills POS 11. And if we were to have a Satellite location for COVID19 Antibody testing, Would we still be able to bill as POS 11? One potential location would be inside of another provider's office, would this matter in this situation??
SuperCoder Answered Fri 15th of May, 2020 03:57:21 AM

Hi Victoria,

 

As per latest guidelines, any telehealth visit related to COVID-19 testing would be billed under POS 11. Medicare will pay the non-facility amount for telehealth services when they are billed with the place of service (POS) the physician would have used if the service had been provided in person (e.g., POS 11 – Office). Physicians should append modifier -95 to the claim lines delivered via telehealth. Claims with POS 02 – Telehealth will be paid at the normal facility rate, which is typically less than the non-facility rate under the Medicare physician fee schedule.

 

Append CS modifier for covid-19 testing-related services that result in an order for or administration of a covid-19 test.

 

Thanks!

Victoria Posted Fri 15th of May, 2020 10:22:05 AM
Thank you this helps! For the CS modifier I was reading and it mentions only U0001,U0002 and 87635. For CPT 86769 that be applicable?!
SuperCoder Answered Mon 18th of May, 2020 01:34:05 AM

Hi Victoria,

 

Yes, CS modifier is an appropriate modifier for CPT code 86769.

 

SuperCoder is showing this modifier as a eligible modifier for this CPT code.

 

You can subscribe to supercoder and look for all the appropriate modifiers for your codes.

 

Thanks!

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