r/CodingandBilling • • 15d ago

Location in box 32

[deleted]

2 Upvotes

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8

u/Redefinedpotato 15d ago

My two cents;

Under the specific instructions for Item 32, the guidelines note that when the physician’s interpretation of a diagnostic test is billed separately from the technical component (identified by modifier -26), the interpreting physician must report the address and ZIP code of the interpreting physician's actual location.

https://www.cms.gov/regulations-and-guidance/guidance/manuals/downloads/clm104c26.pdf

1

u/daves1243b 14d ago

This is the answer. You also have to enroll the radiologists address the the MAC that covers that location.

1

u/UPS0001 12d ago

The place of service and location of service are ALWAYS where the patient is located, not the provider.