tci E/M Coding Alert - 2017 Issue 1

Reader Question: Navigate Coding For Workplace Annual Well Visits

Question: My physician performs annual well visits for the employees of a company at the work site. I assumed place of service (POS) code 18 (Place of employment, worksite…) would be sufficient, but it said to use no later than May 1, 2013. Is this POS code still billable? If not, would the proper POS be 99 (Other place of service)? California Subscriber Answer: This answer hinges on how you are billing the services. Medical necessity is the overarching criteria for billing a third-party payer. If your physician goes on-site to perform annual well visits that the business...

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