Forum - Questions & Answers

Apr 27th, 2015 - jdumez 1 

Place of Service

Hello Everyone!

We are a hemophilia treatment center that dispenses clotting factor to patients to be self infused for either prophylaxis or as needed for bleeds. We do not have a licensed pharmacy, but reside in WI, which is classified as a physician dispensing state, therefore are not required to obtain a license for pharmacy. We do not mix any drug, strictly buy and bill for vials dispensed to patients. Therefore, in most cases, we bill to through the medical policy.

I have been using the POS 12, which I know is not accurate for this service. My instinct is to use POS 1, but my pharmacist has some hesitations that this would require that we possess a pharmacy license. The way I read CPT® is that that is not required unless specified by the payer.

Can I please get some insight from some of you more experienced coders out there? I'd really appreciate your take on it.

Thanks in advance for any guidance you can provide me.

0 Votes - Sign in to vote or reply.
Apr 28th, 2015 - LBAROGIANIS 250 

re: Place of Service




0 Votes - Sign in to vote or reply.
Apr 28th, 2015 - jdumez 1 

re: Place of Service

Thanks for the references and the response!

0 Votes - Sign in to vote or reply.

About Codapedia by InnoviHealth Systems Contact Us Terms of Use Privacy Policy Advertise with Us

Codapedia™ by InnoviHealth Systems™ - 62 E 300 North, Spanish Fork, UT 84660 - Phone 801-770-4203 (9-5 Mountain) - Fax (801) 770-4428

Copyright © 2009-2019 Find A Code, LLC - CPT® copyright American Medical Association