We have a patient with an intrathecal pump that needed to be seen at home. The doctor analyzed and reprogrammed the pump. We billed 62368 and Medicare denied saying that the home (POS12) is an inappropriate place of service. The pumps are often refilled at home and we bill 62370 without any issues. Not quite sure why Medicare says it’s an inappropriate POS. It’s considered a surgical code, but so is 62370. Anyone have any ideas? And does anyone know if you can appeal with Medicare and actually get paid?
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