Medicare Claims Processing Manual (Pub. 100-04), Ch. 12 § 30.6.14.1

Home or Residence Services (Codes 99341 - 99350) When

Last amended: 2022Year: 2022Length: 205 wordsOfficial source
30.6.14.1 - Home or Residence Services (Codes 99341 - 99350) When Performed in Place of Service 12 (Home) (Rev. 11732, Issued: 12-08-22, Effective: 01-01-23, Implementation: 01-03-23) A. Requirement for Physician Presence in Place of Service 12 (Home) A home visit using codes 99341-99350 with POS 12 cannot be billed by a physician unless the physician was actually present in the beneficiary’s home. Section 10.1.1 in Chapter 1 of this manual provides additional information on billing with POS 12. B. Homebound Status Under the home health benefit the beneficiary must be confined to the home for services to be covered. For home services provided by a physician using 99341-99350 with POS 12, the beneficiary does not need to be confined to the home. C. Fee Schedule Payment for Services to Homebound Patients under General Supervision Payment may be made in some medically underserved areas where there is a lack of medical personnel and home health services for injections, EKGs, and venipunctures that are performed for homebound patients under general physician supervision by nurses and paramedical employees of physicians or physician-directed clinics. Section 60.4 in Chapter 15 of the Medicare Benefit Policy Manual (Pub. 100-02) provides additional information on the provision of services to homebound Medicare patients.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 12 § 30.6.14.1: Home or Residence Services (Codes 99341 - 99350) When | Justis AI