Place of Service 24 in Medical Billing:
Place of Service 24 is also called as POS 24 in Medical billing. Place of service 24 is indicated when procedure performed in an “Ambulatory Surgical Center”.
POS 24 Description:
Place of service 24 is indicated when a freestanding facility, other than a physician’s office, where surgical and diagnostic services are provided on an ambulatory basis.
Frequently asked questions on POS 24:
- A provider office, who also owns an Ambulatory Surgical Center (ASC), wants to bill his Professional service as well as facility service. When to use place of service 11 or place of service 24 for professional service as well as facility service?
Answer: As per the CMS rules, claims (Professional service as well as Facility service) need to be reported with where the procedure or service took place (face to face service), it is not the place where the interpretation takes place.
According to this we need to report the claims with place of service 24 for both the professional service as well as facility service, it the services related to ASC.
Professional service needs to report with HCFA 1500 and place of service 24, if the service related to ASC. Facility service needs to report with UB 04 and place of service 24. Each claim will have same procedure codes but different charges.
Important note on place of service 24 :
- As per the CMS, if the professional service related to ASC, then it should be reported with place of service 24. Suppose if the professional service is not related to services being provided in the Ambulatory Surgical Center, then professional claims needs to be reported with place of service 11.
- A list of drug code is not separately reimbursable with facility POS 24. As per the Center of Medicare and Medicaid service NCCI, drug administration codes CPT 96360 to 96379, 96401 to 96425, and 96521 to 96523 are considered included in the facility payment when reported in place of service 24. In alignment with CMS, the UHC insurance will not reimburse the drug administration codes 96360 to 96379, 96401 to 96425, and 96521 to 96523 reported by a physician or other qualified health care professional in POS 24.