CMS Pub. 100-04, ch. 12, § 30.6.14.1

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.