Place of Service

Hello Everyone!

We are a hemophilia treatment center that dispenses clotting factor to patients to be self infused for either prophylaxis or as needed for bleeds. We do not have a licensed pharmacy, but reside in WI, which is classified as a physician dispensing state, therefore are not required to obtain a license for pharmacy. We do not mix any drug, strictly buy and bill for vials dispensed to patients. Therefore, in most cases, we bill to through the medical policy.

I have been using the POS 12, which I know is not accurate for this service. My instinct is to use POS 1, but my pharmacist has some hesitations that this would require that we possess a pharmacy license. The way I read CPT® is that that is not required unless specified by the payer.

Can I please get some insight from some of you more experienced coders out there? I'd really appreciate your take on it.

Thanks in advance for any guidance you can provide me.

Apr 28th, 2015 - LBAROGIANIS 250

re: Place of Service

SEE THIS ARTICLE: http://165.189.64.111/Documents/Board%20Services/Position%20Statements/Physician.pdf

THEN GO TO THIS PAGE: http://www.deadiversion.usdoj.gov/pubs/manuals/pract/index.html

THIS SHOULD GIVE YOU THE ANSWERS.

Apr 28th, 2015 - jdumez 1

re: Place of Service

Thanks for the references and the response!