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 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
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 |
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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