Forum - Questions & Answers

Oct 3rd, 2016 - karthikcbo 1 

Nursing facility care with prolonged visit

Has anyone else had trouble billing "Nursing facility care with prolonged visit"

Medicare HMO We tried billing 99306 as the primary with prolonged code 99356--this was denied as: "CPT® 99356 billed with POS 32 is a non eligible service performed in a non facility settings".

We billed this out as 99306 and 99356, as place of service 32 UHC is covering the 99306 but denying the other code as "procedure code/bill type is inconsistent with the place of service".

Any suggestions? Are we billing this correctly?

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