I used place of service (POS) code 11 when billing for an inpatient consultation. Why was my claim denied?
Inpatient consultation codes are considered services rendered to a hospital inpatient, a resident of a nursing facility or patients in a partial hospital setting. The most common place of service used would be POS code 21. Place of service code 11 describes an office setting and represents a location other than the hospital. You can find a list of place of service codes at the Centers for Medicare and Medicaid Services Internet Only Manual Publication 100-4 Medicare Claims Processing Chapter 26 Section 10 at www.cms.hhs.gov/manuals/downloads/clm104c26.pdf.
Related Questions
- I have an outpatient claim that denied with reason code C7050 because the dates of service fall within the dates of service of an inpatient hospital claim. What do I do?
- If the patient is readmitted and the same physician is requested again for consultation, can we bill another initial inpatient hospital service code?
- When submitting a claim on or after April 1, 2009 with date of service prior to April 1, 2009, what billing format should be used?
