Forum - Questions & Answers
Place of Service
What is the difference between POS 21 & POS 22
Can i bill 99223 with POS 22- outpatient hosp?
re: Place of Service
No, you cannot bill POS code 22 with CPT® 99223 as 99233 represents and inpatient service. Please see definition below.
CPT® 99223:
Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is unstable or has developed a significant complication or a significant new problem. Physicians typically spend 35 minutes at the bedside and on the patient's hospital floor or unit.
21 Inpatient Hospital A facility, other than psychiatric, which primarily provides diagnostic, therapeutic (both surgical and nonsurgical), and rehabilitation services
by, or under, the supervision of physicians to patients admitted for a variety of medical conditions.
22 Outpatient Hospital A portion of a hospital which provides diagnostic, therapeutic (both surgical and nonsurgical), and rehabilitation services to sick or injured persons who do not require hospitalization or institutionalization.