Place of Service 23 is also called as POS 23 in medical billing. If the procedure performed in “Emergency room hospital”, then the claim is indicated with place of service 23.
POS 23 is indicated, when a portion of a hospital where emergency diagnosis and treatment of illness or injury is provided.
Answer: The claim may be denied as “Incorrect Place of service codes”. Place of service 23 is for an emergency room services and for medical office visit service the claim should be reported with the place of service 11 in order to process the claim correctly from the payers.
Answer: If the service was performed bedside while patient was in emergency room then it should be reported with place of service 23.
If the patient was taken to the operating room or procedure room but not admitted as an inpatient, then we should report the claim with place of service 22(Outpatient hospital) as per the below rules. The payment for both the place of service is paid same at the facility rate.
Answer: In this example, patient is inpatient as the patient is admitted on 12/17/2019 as the physician writes an admit order. Here we need to use place of service 21(Inpatient Hospital) instead of place of service 23(Emergency room hospital).
Answer: No, we should not use observation codes with place of service 23.
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