tci E/M Coding Alert - 2016 Issue 1

You Be the Coder: Is 81001 POS Dependent?

Question: Is 99214 payable if coded with 81001 when the place of service is 22? Is urinalysis part of office visit? I know if I use place of service 11 we get reimbursed for 99214 and separately for 81001. New York Subscriber Answer: The place of service doesn’t necessarily play into the reimbursement for the 81001 (Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy) unless the equipment to do the analysis (along with the provider) is not owned/leased by...

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