I have a physician who made a house call at the request of the patient. We billed 99056 ( services provided at request of patient in a location other than
physician's office which are normally provided in the office.) Medicare denied as included in allowance for another service. I have not been able to find
any NCD or LCD for this. From researching on the internet I have found conflicting information. Some say you can bill patient as long as you have an ABN from
patient and use GY modifier. However I have also seen where you can't bill unless you are an "opt-out" provider.
I find it hard to believe that the physician can't receive compensation for his time out of the office from Medicare or the patient?
My questions are:
1) Can we bill patient or not ?
2) Is there a better CPT code to use for out of office home visits?
Thanks.
I find it hard to believe that the physician can't receive compensation for his time out of the office from Medicare or the patient?
My questions are:
1) Can we bill patient or not ?
2) Is there a better CPT code to use for out of office home visits?
Thanks.
