Author Topic: What is the difference between place of service code 11 vs. 49  (Read 1010 times)

bhbilling

  • Newbie
  • *
  • Posts: 1
What is the difference between place of service code 11 vs. 49
« on: December 27, 2012, 08:11:14 PM »
We are an outpatient mental health provider group and has been billing as place of service code 11, want to know the difference between code 11 and 49

PMRNC

  • Moderator
  • Hero Member
  • *****
  • Posts: 3645
    • One Stop Resources & Networking for Medical Billers
Re: What is the difference between place of service code 11 vs. 49
« Reply #1 on: December 28, 2012, 05:59:06 AM »
POS 11 would be outpatient hospital

POS 49 is described as : A location, not part of a hospital and not described by any other Place of Service code, that is organized and operated to provide preventive, diagnostic, therapeutic, rehabilitative, or palliative services to outpatients only.

So if you are providing the services in any portion of a hospital you would not be able to use 49
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources and Networking for Medical Billers
www.billerswebsite.com
http://www.facebook.com/billerswebsite

Michele

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 3886
    • Solutions Medical Billing
Re: What is the difference between place of service code 11 vs. 49
« Reply #2 on: January 03, 2013, 10:14:46 AM »
Am I missing something?  Isn't 22 outpatient hospital and 11 office?  Is this group part of a hospital but I don't see it?
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

PMRNC

  • Moderator
  • Hero Member
  • *****
  • Posts: 3645
    • One Stop Resources & Networking for Medical Billers
Re: What is the difference between place of service code 11 vs. 49
« Reply #3 on: January 04, 2013, 11:26:02 AM »
Quote
Am I missing something?  Isn't 22 outpatient hospital and 11 office?  Is this group part of a hospital but I don't see it?

OOPS my bad.. bad bad..    11 is office, 22 outpatient hospital. hey she said 11 first. LOL
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources and Networking for Medical Billers
www.billerswebsite.com
http://www.facebook.com/billerswebsite

Michele

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 3886
    • Solutions Medical Billing
Re: What is the difference between place of service code 11 vs. 49
« Reply #4 on: January 07, 2013, 07:11:35 AM »
LOL  OK, I was hesitant to even say anything!  I thought "what am I thinking?  Am I missing something?"  You had me scared for a minute there! 
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

PMRNC

  • Moderator
  • Hero Member
  • *****
  • Posts: 3645
    • One Stop Resources & Networking for Medical Billers
Re: What is the difference between place of service code 11 vs. 49
« Reply #5 on: January 07, 2013, 02:44:50 PM »
Oh don't worry about it.. I am usually wrong about twice a year. LOL <JK>
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources and Networking for Medical Billers
www.billerswebsite.com
http://www.facebook.com/billerswebsite