June 29, 2015
Improper Use of Place of Service Code 12 (Home)
CGS identified an issue within our Kentucky Part B Region that allowed CPT Codes 99201 – 99215 to process when submitted with a place of service code 12 (Home).
Effective immediately – CGS system has been updated to no longer recognize Place of Service Code 12 (Home) for CPT Codes 99201-99215.
Home Services Codes
CPT codes 99341 through 99350 are used to report E/M services furnished to a patient residing in his or her own private residence. Related CR3922 instructs carriers to interpret the term "private residence" as a private home, an apartment, town home, or other non-congregate/shared facility living arrangement. Home Services CPT codes 99341 through 99350 should be used with POS code 12 (Home).
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