Physician Billing for Wound Care Services

When billing for outpatient telehealth services during the COVID-19 PHE, providers should use the POS code that they would have otherwise used had the service been provided in person.

Q: What place of service (POS) codes and modifiers should be reported on physician claims for wound care services performed via telehealth during the novel coronavirus (COVID-19) public health emergency (PHE)?

A: POS codes are two-digit codes that delineate the location in which services were rendered by a provider.

When billing for outpatient telehealth services during the COVID-19 PHE, providers should use the POS code that they would have otherwise used had the service been provided in person.

The following POS codes may be reported on physician and non-physician practitioner claims for wound care services:

  • 11 (physician office): The wound clinic is designated as part of the physician’s office.
  • 19 (outpatient hospital off campus): The wound clinic is hospital based but not on campus.
  • 22 (outpatient hospital on campus): The wound clinic is designated as hospital based.

Physicians billing under Medicare should use modifier -GT (via interactive audio and video telecommunication systems) to indicate that the services were rendered via synchronous telecommunication.

For More Information: https://www.healthleadersmedia.com/revenue-cycle/physician-billing-wound-care-services-rendered-telehealth

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