Thursday 20 March 2014

Place of Service Codes

Full PLACE OF SERVICE CODES
PLACE OF SERVICE CODES

00    NOT SUPPLIED
01    PHARMACY
03    SCHOOL
04    HOMELESS SHELTER
05    INDIAN HEALTH SERVICE FREE-STANDING FACILITY
06    INDIAN HEALTH SERVICE PROVIDER-BASED FACILITY
07    TRIBAL 638 FREE-STANDING FACILITY
08    TRIBAL 638 PROVIDER-BASED FACILITY
11    OFFICE
12    HOME
13    ASSISTED LIVING FACILITY
14    GROUP HOME
15    MOBILE UNIT
20    URGENT CARE FACILITY
21    INPATIENT HOSPITAL
22    OUTPATIENT HOSPITAL
23    EMERGENCY ROOM - HOSPITAL
24    AMBULATORY SURGICAL CENTER
25    BIRTHING CENTER
26    MILITARY TREATMENT FACILITY
31    SKILLED NURSING FACILITY
32    NURSING FACILITY
33    CUSTODIAL CARE FACILITY
34    HOSPICE
41    AMBULANCE (LAND)
42    AMBULANCE (AIR OR WATER)
49    INDEPENDENT CLINIC
50    FEDERALLY QUALIFIED HEALTH CENTER
51    INPATIENT PSYCHIATRIC FACILITY
52    PSYCHIATRIC FACILITY, PARTIAL HOSPITALIZATION
53    COMMUNITY MENTAL HEALTH CENTER
54    INTERMEDIATE CARE FACILITY/MENTALLY RETARDED
55    RESIDENTIAL SUBSTANCE ABUSE TREATMENT FACILITY
56    PSYCHIATRIC RESIDENTIAL TREATMENT CENTER
57    NON-RESIDENTIAL SUBSTANCE ABUSE TREATMENT FACILITY
60    MASS IMMUNIZATION CENTER
61    COMPREHENSIVE INPATIENT REHABILITATION FACILITY
62    COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY
65    END STAGE RENAL DISEASE TREATMENT FACILITY
71    STATE OR LOCAL PUBLIC HEALTH CLINIC
72    RURAL HEALTH CLINIC
81    INDEPENDENT LABORATORY
99    OTHER UNLISTED FACILITY

Place of Service Crosswalk
 Place of Service Crosswalk  
 Type of Bill   Type of Bill Position 1 (Type of Facility)   Type of Bill Position 2 (Bill Classification)   Place of Service*   Place of Service Description 
 11X   Hospital   Inpatient   21   Inpatient Hospital  
 12X   Hospital   Inpatient   21   Inpatient Hospital  
 13X   Hospital   Outpatient   22   Outpatient Hospital  
 14X   Hospital   Other   22   Outpatient Hospital  
 18X   Hospital   Swing Bed   21   Inpatient Hospital  
 21X   Skilled Nursing   Inpatient   31   Skilled Nursing Facility 
 22X   Skilled Nursing   Inpatient   31   Skilled Nursing Facility 
 23X   Skilled Nursing   Outpatient   32   Nursing Facility  
 28X   Skilled Nursing   Swing Bed   32   Nursing Facility  
 32X   Home Health   Inpatient   12   Home  
 33X   Home Health   Outpatient   12   Home  
 34X   Home Health   Other   12   Home  
 41X   Religious Nonmedical   Inpatient   21   Inpatient Hospital  
 42X   Religious Nonmedical   Inpatient   21   Inpatient Hospital  
 43X   Religious Nonmedical   Outpatient   22   Outpatient Hospital  
 65X   Intermediate Care   Intermediate Care—Level I   54   Intermediate Care Facility/Mentally Retarded  
 66X   Intermediate Care   Intermediate Care—Level II  54   Intermediate Care Facility/Mentally Retarded  
 71X   Clinic or Hospital Based Renal Dialysis Facility   Rural Health Clinic (RHC)   72   Rural Health Clinic  
 72X   Clinic or Hospital Based Renal Dialysis Facility   Hospital Based or Independent Renal Dialysis Facility   65   End-Stage Renal Disease Treatment Facility  
 73X   Clinic or Hospital Based Renal Dialysis Facility   Free Standing Provider-Based Federally Qualified Health Center (FQHC)   49   Independent Clinic  
 74X   Clinic or Hospital Based Renal Dialysis Facility   Outpatient Rehabilitation Facility (ORF)   49   Independent Clinic  
 75X   Clinic or Hospital Based Renal Dialysis Facility   Comprehensive Outpatient Rehabilitation Facility (CORF)  62   Comprehensive Outpatient Rehabilitation Facility  
 76X   Clinic or Hospital Based Renal Dialysis Facility   Community Mental Health Center (CMHC)  53   Community Mental Health Center  
 79X   Clinic or Hospital Based Renal Dialysis Facility   OTHER   49   Independent Clinic  
 81X   Special facility or hospital ASC surgery   Hospice (Nonhospital Based)   34   Hospice  
 82X   Special facility or hospital ASC surgery   Hospice (Hospital Based)   34   Hospice  
 83X   Special facility or hospital ASC surgery   Ambulatory Surgical Center Services to Hospital Outpatients   24   Ambulatory Surgical Center 
 84X   Special facility or hospital ASC surgery   Free Standing Birthing Center  25   Birthing Center  
 85X   Special facility or hospital ASC surgery   Critical Access Hospital   22   Outpatient Hospital 


Place of Service Codes (POS) Payable for Evaluation and Management CPT Codes 99315-99350

CMS has defined the payable place of service codes for Evaluation and Management (E/M) for patients residing in facilities or at home (CPT Codes 99315 to 99350), Effective for dates of service on or after August 1, 2004 services billed without a payable POS will be rejected.

A table of these payable Place of Service codes follows.

CPT Payable Place of Service (POS) Codes

99315 32, 31, 54, 56
99316 32, 31, 54, 56
99341 12, 14
99342 12, 14
99343 12, 14
99344 12, 14
99345 12, 14
99347 12, 14
99348 12, 14
99349 12, 14
99350 12, 14

Key to Place of Service (POS) Codes

12 – Patient’s Home
13 – Assisted Living Facility
14 – Group Home
31 – Skilled Nursing Facility
32 – Nursing Home/Nursing Facility
33 – Custodial Care Facility
34 – Hospice Facility
54 – Intermediate Care Facility – Mentally Retarded
55 – Residential Substance Abuse Facility
56 – Psychiatric Residential Treatment Center
57 – Non-Residential Substance Abuse Treatment Facility

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