Physician Billing For Wound Care Services Rendered Via Telehealth

November 26, 2020  by  Allzone MS   373

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