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.


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Apr 28th, 2015 - LBAROGIANIS 250 

re: Place of Service

SEE THIS ARTICLE: http://165.189.64.111/Documents/Board%20Services/Position%20Statements/Physician.pdf

THEN GO TO THIS PAGE: http://www.deadiversion.usdoj.gov/pubs/manuals/pract/index.html

THIS SHOULD GIVE YOU THE ANSWERS.

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Apr 28th, 2015 - jdumez 1 

re: Place of Service

Thanks for the references and the response!

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