SlideShare una empresa de Scribd logo
1 de 5
Descargar para leer sin conexión
Place of Service Codes for Professional Claims
           Database (last updated September 10, 2007)
Listed below are place of service codes and descriptions. These codes should be used
 on professional claims to specify the entity where service(s) were rendered. Check
     with individual payers (e.g., Medicare, Medicaid, other private insurance) for
  reimbursement policies regarding these codes. If you would like to comment on a
     code(s) or description(s), please send your request to posinfo@cms.hhs.gov.

Place     Place of Service    Place of Service Description
of        Name
Service
Code(s
)
01        Pharmacy**          A facility or location where drugs and other medically
                              related items and services are sold, dispensed, or
                              otherwise provided directly to patients. (effective 10/1/05)
02        Unassigned          N/A
03        School              A facility whose primary purpose is education.
04        Homeless            A facility or location whose primary purpose is
          Shelter             to provide temporary housing to homeless
                              individuals (e.g., emergency shelters, individual
                              or family shelters).
05        Indian Health       A facility or location, owned and operated by the
          Service             Indian Health Service, which provides diagnostic,
          Free-standing       therapeutic (surgical and non-surgical), and
          Facility
                              rehabilitation services to American Indians and
                              Alaska Natives who do not require hospitalization.

06        Indian Health       A facility or location, owned and operated by the
          Service             Indian Health Service, which provides diagnostic,
          Provider-based      therapeutic (surgical and non-surgical), and
          Facility
                              rehabilitation services rendered by, or under the
                              supervision of, physicians to American Indians and
                              Alaska Natives admitted as inpatients or outpatients.

07        Tribal 638          A facility or location owned and operated by a
          Free-standing       federally recognized American Indian or Alaska
          Facility            Native tribe or tribal organization under a 638
                              agreement, which provides diagnostic, therapeutic
                              (surgical and non-surgical), and rehabilitation
                              services to tribal members who do not require
                              hospitalization.

08        Tribal 638          A facility or location owned and operated by a
          Provider-based      federally recognized American Indian or Alaska
          Facility            Native tribe or tribal organization under a 638
                              agreement, which provides diagnostic, therapeutic
(surgical and non-surgical), and rehabilitation
                          services to tribal members admitted as inpatients or
                          outpatients.

09-10   Unassigned        N/A
11      Office            Location, other than a hospital, skilled nursing
                          facility (SNF), military treatment facility,
                          community health center, State or local public
                          health clinic, or intermediate care facility (ICF),
                          where the health professional routinely provides
                          health examinations, diagnosis, and treatment
                          of illness or injury on an ambulatory basis.
12      Home              Location, other than a hospital or other facility,
                          where the patient receives care in a private
                          residence.
13      Assisted Living   Congregate residential facility with self-
        Facility          contained living units providing assessment of
                          each resident’s needs and on-site support 24
                          hours a day, 7 days a week, with the capacity to
                          deliver or arrange for services including some
                          health care and other services. (effective
                          10/1/03)
14      Group Home *      A residence, with shared living areas, where
                          clients receive supervision and other services
                          such as social and/or behavioral services,
                          custodial service, and minimal services (e.g.,
                          medication administration).
15      Mobile Unit       A facility/unit that moves from place-to-place
                          equipped to provide preventive, screening,
                          diagnostic, and/or treatment services.
16      Temporary         A short term accommodation such as a hotel, camp
        Lodging           ground, hostel, cruise ship or resort where the patient
                          receives care, and which is not identified by any other
                          POS code. (effective 4/1/08)
17-19   Unassigned        N/A
20      Urgent Care       Location, distinct from a hospital emergency
        Facility          room, an office, or a clinic, whose purpose is to
                          diagnose and treat illness or injury for
                          unscheduled, ambulatory patients seeking
                          immediate medical attention.

21      Inpatient         A facility, other than psychiatric, which primarily
        Hospital          provides diagnostic, therapeutic (both surgical
                          and nonsurgical), and rehabilitation services by,
                          or under, the supervision of physicians to
                          patients admitted for a variety of medical
                          conditions.
22      Outpatient        A portion of a hospital which provides
        Hospital          diagnostic, therapeutic (both surgical and
                          nonsurgical), and rehabilitation services to sick
                          or injured persons who do not require
hospitalization or institutionalization.
23      Emergency          A portion of a hospital where emergency
        Room –             diagnosis and treatment of illness or injury is
        Hospital           provided.
24      Ambulatory         A freestanding facility, other than a physician's
        Surgical Center    office, where surgical and diagnostic services
                           are provided on an ambulatory basis.
25      Birthing Center    A facility, other than a hospital's maternity
                           facilities or a physician's office, which provides
                           a setting for labor, delivery, and immediate
                           post-partum care as well as immediate care of
                           new born infants.
26      Military           A medical facility operated by one or more of the
        Treatment          Uniformed Services. Military Treatment Facility
        Facility           (MTF) also refers to certain former U.S. Public
                           Health Service (USPHS) facilities now
                           designated as Uniformed Service Treatment
                           Facilities (USTF).
27-30   Unassigned         N/A
31      Skilled Nursing    A facility which primarily provides inpatient
        Facility           skilled nursing care and related services to
                           patients who require medical, nursing, or
                           rehabilitative services but does not provide the
                           level of care or treatment available in a hospital.
32      Nursing Facility   A facility which primarily provides to residents
                           skilled nursing care and related services for the
                           rehabilitation of injured, disabled, or sick
                           persons, or, on a regular basis, health-related
                           care services above the level of custodial care to
                           other than mentally retarded individuals.
33      Custodial Care     A facility which provides room, board and other
        Facility           personal assistance services, generally on a
                           long-term basis, and which does not include a
                           medical component.
34      Hospice            A facility, other than a patient's home, in which
                           palliative and supportive care for terminally ill
                           patients and their families are provided.
35-40   Unassigned         N/A
41      Ambulance -        A land vehicle specifically designed, equipped
        Land               and staffed for lifesaving and transporting the
                           sick or injured.
42      Ambulance –        An air or water vehicle specifically designed,
        Air or Water       equipped and staffed for lifesaving and
                           transporting the sick or injured.
43-48   Unassigned         N/A
49      Independent        A location, not part of a hospital and not
        Clinic             described by any other Place of Service code,
                           that is organized and operated to provide
                           preventive, diagnostic, therapeutic,
                           rehabilitative, or palliative services to
                           outpatients only. (effective 10/1/03)
50      Federally          A facility located in a medically underserved
Qualified Health   area that provides Medicare beneficiaries
        Center             preventive primary medical care under the
                           general direction of a physician.
51      Inpatient          A facility that provides inpatient psychiatric
        Psychiatric        services for the diagnosis and treatment of
        Facility           mental illness on a 24-hour basis, by or under
                           the supervision of a physician.
52      Psychiatric        A facility for the diagnosis and treatment of
        Facility-Partial   mental illness that provides a planned
        Hospitalization    therapeutic program for patients who do not
                           require full time hospitalization, but who need
                           broader programs than are possible from
                           outpatient visits to a hospital-based or hospital-
                           affiliated facility.
53      Community          A facility that provides the following services:
        Mental Health      outpatient services, including specialized
        Center             outpatient services for children, the elderly,
                           individuals who are chronically ill, and residents
                           of the CMHC's mental health services area who
                           have been discharged from inpatient treatment
                           at a mental health facility; 24 hour a day
                           emergency care services; day treatment, other
                           partial hospitalization services, or psychosocial
                           rehabilitation services; screening for patients
                           being considered for admission to State mental
                           health facilities to determine the
                           appropriateness of such admission; and
                           consultation and education services.
54      Intermediate       A facility which primarily provides health-
        Care               related care and services above the level of
        Facility/Mentall   custodial care to mentally retarded individuals
        y Retarded         but does not provide the level of care or
                           treatment available in a hospital or SNF.
55      Residential        A facility which provides treatment for
        Substance          substance (alcohol and drug) abuse to live-in
        Abuse              residents who do not require acute medical care.
        Treatment          Services include individual and group therapy
        Facility           and counseling, family counseling, laboratory
                           tests, drugs and supplies, psychological testing,
                           and room and board.
56      Psychiatric        A facility or distinct part of a facility for
        Residential        psychiatric care which provides a total 24-hour
        Treatment          therapeutically planned and professionally
        Center             staffed group living and learning environment.
57      Non-residential    A location which provides treatment for
        Substance          substance (alcohol and drug) abuse on an
        Abuse              ambulatory basis. Services include individual
        Treatment          and group therapy and counseling, family
        Facility           counseling, laboratory tests, drugs and supplies,
                           and psychological testing. (effective 10/1/03)
58-59   Unassigned         N/A
60      Mass               A location where providers administer
Immunization       pneumococcal pneumonia and influenza virus
            Center             vaccinations and submit these services as
                               electronic media claims, paper claims, or using
                               the roster billing method. This generally takes
                               place in a mass immunization setting, such as, a
                               public health center, pharmacy, or mall but may
                               include a physician office setting.
61          Comprehensive      A facility that provides comprehensive
            Inpatient          rehabilitation services under the supervision of
            Rehabilitation     a physician to inpatients with physical
            Facility           disabilities. Services include physical therapy,
                               occupational therapy, speech pathology, social
                               or psychological services, and orthotics and
                               prosthetics services.
62          Comprehensive      A facility that provides comprehensive
            Outpatient         rehabilitation services under the supervision of
            Rehabilitation     a physician to outpatients with physical
            Facility           disabilities. Services include physical therapy,
                               occupational therapy, and speech pathology
                               services.
63-64       Unassigned         N/A
65          End-Stage          A facility other than a hospital, which provides
            Renal Disease      dialysis treatment, maintenance, and/or
            Treatment          training to patients or caregivers on an
            Facility           ambulatory or home-care basis.
66-70       Unassigned         N/A
71          Public Health      A facility maintained by either State or local
            Clinic             health departments that provides ambulatory
                               primary medical care under the general
                               direction of a physician. (effective 10/1/03)
72          Rural Health       A certified facility which is located in a rural
            Clinic             medically underserved area that provides
                               ambulatory primary medical care under the
                               general direction of a physician.
73-80       Unassigned         N/A
81          Independent        A laboratory certified to perform diagnostic
            Laboratory         and/or clinical tests independent of an
                               institution or a physician's office.
82-98       Unassigned         N/A
99          Other Place of     Other place of service not identified above.
            Service
     * Revised, effective April 1, 2004.
     ** Revised, effective October 1, 2005

Más contenido relacionado

La actualidad más candente

Medical Billing AR Manual
Medical Billing AR ManualMedical Billing AR Manual
Medical Billing AR ManualJvs Prasad
 
Revenue cycle rcm
Revenue cycle   rcmRevenue cycle   rcm
Revenue cycle rcmCognizant
 
ALH 151 Health Insurance Chap 1-5 4
ALH 151 Health Insurance Chap 1-5 4ALH 151 Health Insurance Chap 1-5 4
ALH 151 Health Insurance Chap 1-5 4Sheretta Moore MBA
 
Discharge time final
Discharge time finalDischarge time final
Discharge time finalsyed imran
 
Denial series _ Invalid DX & CPT
Denial series _ Invalid DX & CPTDenial series _ Invalid DX & CPT
Denial series _ Invalid DX & CPTLeanmedicalbilling
 
Project report titles for mba in hospital administration
Project report titles for mba in hospital administrationProject report titles for mba in hospital administration
Project report titles for mba in hospital administrationmbaprojectconsultacy2014
 
Medical Billing 1
Medical Billing 1Medical Billing 1
Medical Billing 1Karna *
 
Medical billing procedures manual
Medical billing procedures manualMedical billing procedures manual
Medical billing procedures manualKuldeep Rawat
 
Denial management presentation
Denial management   presentationDenial management   presentation
Denial management presentationLeanmedicalbilling
 
AR Followup Tips
AR Followup TipsAR Followup Tips
AR Followup TipsKarna *
 
Grievance handling mechanisms in health systems
Grievance handling mechanisms in health systemsGrievance handling mechanisms in health systems
Grievance handling mechanisms in health systemsrangasabhapathige
 
Medical Billing Cycle
Medical Billing CycleMedical Billing Cycle
Medical Billing Cyclesunnymemon
 
Medical Billing RCM Module
Medical Billing RCM Module Medical Billing RCM Module
Medical Billing RCM Module Guru Ragavendran
 
Quality assurance & monitoring in opd and outreach services
Quality assurance & monitoring in opd and outreach servicesQuality assurance & monitoring in opd and outreach services
Quality assurance & monitoring in opd and outreach serviceslionsleaders
 
Medical Billing Flow Chart
Medical Billing Flow ChartMedical Billing Flow Chart
Medical Billing Flow ChartKarna *
 

La actualidad más candente (20)

Hospital IT
Hospital ITHospital IT
Hospital IT
 
Medical Billing AR Manual
Medical Billing AR ManualMedical Billing AR Manual
Medical Billing AR Manual
 
Revenue cycle rcm
Revenue cycle   rcmRevenue cycle   rcm
Revenue cycle rcm
 
JCIA PRESENTATION
JCIA PRESENTATIONJCIA PRESENTATION
JCIA PRESENTATION
 
ALH 151 Health Insurance Chap 1-5 4
ALH 151 Health Insurance Chap 1-5 4ALH 151 Health Insurance Chap 1-5 4
ALH 151 Health Insurance Chap 1-5 4
 
Discharge time final
Discharge time finalDischarge time final
Discharge time final
 
Denial series _ Invalid DX & CPT
Denial series _ Invalid DX & CPTDenial series _ Invalid DX & CPT
Denial series _ Invalid DX & CPT
 
Clinical supportive service department
Clinical supportive service departmentClinical supportive service department
Clinical supportive service department
 
Medical billing
Medical billingMedical billing
Medical billing
 
Project report titles for mba in hospital administration
Project report titles for mba in hospital administrationProject report titles for mba in hospital administration
Project report titles for mba in hospital administration
 
Medical Billing 1
Medical Billing 1Medical Billing 1
Medical Billing 1
 
Medical billing procedures manual
Medical billing procedures manualMedical billing procedures manual
Medical billing procedures manual
 
PPT Presentation for Medical Billing Services
PPT Presentation for Medical Billing ServicesPPT Presentation for Medical Billing Services
PPT Presentation for Medical Billing Services
 
Denial management presentation
Denial management   presentationDenial management   presentation
Denial management presentation
 
AR Followup Tips
AR Followup TipsAR Followup Tips
AR Followup Tips
 
Grievance handling mechanisms in health systems
Grievance handling mechanisms in health systemsGrievance handling mechanisms in health systems
Grievance handling mechanisms in health systems
 
Medical Billing Cycle
Medical Billing CycleMedical Billing Cycle
Medical Billing Cycle
 
Medical Billing RCM Module
Medical Billing RCM Module Medical Billing RCM Module
Medical Billing RCM Module
 
Quality assurance & monitoring in opd and outreach services
Quality assurance & monitoring in opd and outreach servicesQuality assurance & monitoring in opd and outreach services
Quality assurance & monitoring in opd and outreach services
 
Medical Billing Flow Chart
Medical Billing Flow ChartMedical Billing Flow Chart
Medical Billing Flow Chart
 

Destacado

Modifier 59
Modifier 59Modifier 59
Modifier 59Karna *
 
AR Calling
AR CallingAR Calling
AR CallingKarna *
 
SNF Consolidated Billing - Q & A
SNF Consolidated Billing - Q & ASNF Consolidated Billing - Q & A
SNF Consolidated Billing - Q & AKarna *
 
WCB Prescribed Forms
WCB Prescribed FormsWCB Prescribed Forms
WCB Prescribed FormsKarna *
 
Anesthesia Services
Anesthesia ServicesAnesthesia Services
Anesthesia ServicesKarna *
 
Proper Use Of Modifier 59
Proper Use Of Modifier 59Proper Use Of Modifier 59
Proper Use Of Modifier 59Karna *
 
CMS 1500 Instructions
CMS 1500 InstructionsCMS 1500 Instructions
CMS 1500 InstructionsKarna *
 
CMS 1450 (UB-04) - Overview
CMS 1450 (UB-04) - OverviewCMS 1450 (UB-04) - Overview
CMS 1450 (UB-04) - OverviewKarna *
 
Medical billing process flow chat
Medical billing process flow chatMedical billing process flow chat
Medical billing process flow chatNarasimhan K
 

Destacado (10)

Modifier 59
Modifier 59Modifier 59
Modifier 59
 
AR Calling
AR CallingAR Calling
AR Calling
 
SNF Consolidated Billing - Q & A
SNF Consolidated Billing - Q & ASNF Consolidated Billing - Q & A
SNF Consolidated Billing - Q & A
 
WCB Prescribed Forms
WCB Prescribed FormsWCB Prescribed Forms
WCB Prescribed Forms
 
Anesthesia Services
Anesthesia ServicesAnesthesia Services
Anesthesia Services
 
Proper Use Of Modifier 59
Proper Use Of Modifier 59Proper Use Of Modifier 59
Proper Use Of Modifier 59
 
CMS 1500 Instructions
CMS 1500 InstructionsCMS 1500 Instructions
CMS 1500 Instructions
 
CMS 1450 (UB-04) - Overview
CMS 1450 (UB-04) - OverviewCMS 1450 (UB-04) - Overview
CMS 1450 (UB-04) - Overview
 
Medicare claims processing manual
Medicare claims processing manualMedicare claims processing manual
Medicare claims processing manual
 
Medical billing process flow chat
Medical billing process flow chatMedical billing process flow chat
Medical billing process flow chat
 

Similar a POS Codes

ReAssure 2.0 - Policy Wording.pdf
ReAssure 2.0 - Policy Wording.pdfReAssure 2.0 - Policy Wording.pdf
ReAssure 2.0 - Policy Wording.pdfarulkumar464845
 
Health Product By Edelweiss General Insurance
Health Product By Edelweiss General InsuranceHealth Product By Edelweiss General Insurance
Health Product By Edelweiss General InsuranceJonksDaniel
 
Place of Service-1.pdf
Place of Service-1.pdfPlace of Service-1.pdf
Place of Service-1.pdfAnushyaHepsiba
 
hospitaL AND its Organization.pptx
hospitaL AND its Organization.pptxhospitaL AND its Organization.pptx
hospitaL AND its Organization.pptxLubabahAbdulKarim
 
role and responsibility of nurses in ipd opd icu.pptx
role and responsibility of nurses in ipd opd icu.pptxrole and responsibility of nurses in ipd opd icu.pptx
role and responsibility of nurses in ipd opd icu.pptxDishaThakur53
 
Overview of Hospital and Clinic in the Philippines
Overview of Hospital and Clinic in the PhilippinesOverview of Hospital and Clinic in the Philippines
Overview of Hospital and Clinic in the PhilippinesKyla De Chavez
 
presentation203-220205061630.pptx
presentation203-220205061630.pptxpresentation203-220205061630.pptx
presentation203-220205061630.pptxReshmaSR9
 
Private Hosp Act Malaysia 1988
Private Hosp Act Malaysia 1988Private Hosp Act Malaysia 1988
Private Hosp Act Malaysia 1988Suprijanto Rijadi
 
Role and responsibilities of nurses in IPD,OPD,ICU.pptx
Role and responsibilities of nurses in IPD,OPD,ICU.pptxRole and responsibilities of nurses in IPD,OPD,ICU.pptx
Role and responsibilities of nurses in IPD,OPD,ICU.pptxDishaThakur53
 
One of the best Healthcare services updated 2023 doc 4.docx
One of the best Healthcare services updated 2023 doc 4.docxOne of the best Healthcare services updated 2023 doc 4.docx
One of the best Healthcare services updated 2023 doc 4.docxintel-writers.com
 
Hospital and its organization ppt.pptx
Hospital and its organization ppt.pptxHospital and its organization ppt.pptx
Hospital and its organization ppt.pptxShikhaSachde
 
An Insight to Hospital by Sumel Ashique
An Insight to Hospital by Sumel AshiqueAn Insight to Hospital by Sumel Ashique
An Insight to Hospital by Sumel Ashiquesumel ashique
 
Classification of health care organizations
Classification of health care organizationsClassification of health care organizations
Classification of health care organizationsmanuhirani
 

Similar a POS Codes (20)

ReAssure 2.0 - Policy Wording.pdf
ReAssure 2.0 - Policy Wording.pdfReAssure 2.0 - Policy Wording.pdf
ReAssure 2.0 - Policy Wording.pdf
 
Health Product By Edelweiss General Insurance
Health Product By Edelweiss General InsuranceHealth Product By Edelweiss General Insurance
Health Product By Edelweiss General Insurance
 
Place of Service-1.pdf
Place of Service-1.pdfPlace of Service-1.pdf
Place of Service-1.pdf
 
Glossary 201109
Glossary 201109Glossary 201109
Glossary 201109
 
hospital
hospitalhospital
hospital
 
hospitaL AND its Organization.pptx
hospitaL AND its Organization.pptxhospitaL AND its Organization.pptx
hospitaL AND its Organization.pptx
 
role and responsibility of nurses in ipd opd icu.pptx
role and responsibility of nurses in ipd opd icu.pptxrole and responsibility of nurses in ipd opd icu.pptx
role and responsibility of nurses in ipd opd icu.pptx
 
Overview of Hospital and Clinic in the Philippines
Overview of Hospital and Clinic in the PhilippinesOverview of Hospital and Clinic in the Philippines
Overview of Hospital and Clinic in the Philippines
 
presentation203-220205061630.pptx
presentation203-220205061630.pptxpresentation203-220205061630.pptx
presentation203-220205061630.pptx
 
Hospital and its organisation.pptx
Hospital and its organisation.pptxHospital and its organisation.pptx
Hospital and its organisation.pptx
 
Private Hosp Act Malaysia 1988
Private Hosp Act Malaysia 1988Private Hosp Act Malaysia 1988
Private Hosp Act Malaysia 1988
 
Role and responsibilities of nurses in IPD,OPD,ICU.pptx
Role and responsibilities of nurses in IPD,OPD,ICU.pptxRole and responsibilities of nurses in IPD,OPD,ICU.pptx
Role and responsibilities of nurses in IPD,OPD,ICU.pptx
 
One of the best Healthcare services updated 2023 doc 4.docx
One of the best Healthcare services updated 2023 doc 4.docxOne of the best Healthcare services updated 2023 doc 4.docx
One of the best Healthcare services updated 2023 doc 4.docx
 
Hospital and its organization ppt.pptx
Hospital and its organization ppt.pptxHospital and its organization ppt.pptx
Hospital and its organization ppt.pptx
 
Hospital as a system
Hospital as a systemHospital as a system
Hospital as a system
 
An Insight to Hospital by Sumel Ashique
An Insight to Hospital by Sumel AshiqueAn Insight to Hospital by Sumel Ashique
An Insight to Hospital by Sumel Ashique
 
Classification of health care organizations
Classification of health care organizationsClassification of health care organizations
Classification of health care organizations
 
Types of ward
Types of wardTypes of ward
Types of ward
 
Stm brochure
Stm brochureStm brochure
Stm brochure
 
1.01
1.01 1.01
1.01
 

Más de Karna *

Medicare Intermediaries & Carriers
Medicare Intermediaries & CarriersMedicare Intermediaries & Carriers
Medicare Intermediaries & CarriersKarna *
 
NF Arbitration Request Form
NF Arbitration Request FormNF Arbitration Request Form
NF Arbitration Request FormKarna *
 
Medicare Part A Modifiers
Medicare Part A ModifiersMedicare Part A Modifiers
Medicare Part A ModifiersKarna *
 
General Surgery Billing Guide
General Surgery Billing GuideGeneral Surgery Billing Guide
General Surgery Billing GuideKarna *
 
General Coding Terminology
General Coding TerminologyGeneral Coding Terminology
General Coding TerminologyKarna *
 
ER Billing Training - An Old Manual
ER Billing Training - An Old ManualER Billing Training - An Old Manual
ER Billing Training - An Old ManualKarna *
 
Downcoding And Bundling Claims
Downcoding And Bundling ClaimsDowncoding And Bundling Claims
Downcoding And Bundling ClaimsKarna *
 
Dental Claim Form
Dental Claim FormDental Claim Form
Dental Claim FormKarna *
 
CMS 1500
CMS 1500CMS 1500
CMS 1500Karna *
 
CMS 1450 (UB-04) Instructions
CMS 1450 (UB-04) InstructionsCMS 1450 (UB-04) Instructions
CMS 1450 (UB-04) InstructionsKarna *
 
CMS 1450 (UB 04)
CMS 1450 (UB 04)CMS 1450 (UB 04)
CMS 1450 (UB 04)Karna *
 
Medical Billing
Medical BillingMedical Billing
Medical BillingKarna *
 
HIPAA Basics
HIPAA BasicsHIPAA Basics
HIPAA BasicsKarna *
 
Emergency and ICU Procedures
Emergency and ICU ProceduresEmergency and ICU Procedures
Emergency and ICU ProceduresKarna *
 
Medicare HIC Number Suffixes
Medicare HIC Number SuffixesMedicare HIC Number Suffixes
Medicare HIC Number SuffixesKarna *
 
Modifiers 2
Modifiers 2Modifiers 2
Modifiers 2Karna *
 

Más de Karna * (18)

Medicare Intermediaries & Carriers
Medicare Intermediaries & CarriersMedicare Intermediaries & Carriers
Medicare Intermediaries & Carriers
 
NF3
NF3NF3
NF3
 
NF Arbitration Request Form
NF Arbitration Request FormNF Arbitration Request Form
NF Arbitration Request Form
 
Medicare Part A Modifiers
Medicare Part A ModifiersMedicare Part A Modifiers
Medicare Part A Modifiers
 
General Surgery Billing Guide
General Surgery Billing GuideGeneral Surgery Billing Guide
General Surgery Billing Guide
 
General Coding Terminology
General Coding TerminologyGeneral Coding Terminology
General Coding Terminology
 
ER Billing Training - An Old Manual
ER Billing Training - An Old ManualER Billing Training - An Old Manual
ER Billing Training - An Old Manual
 
Downcoding And Bundling Claims
Downcoding And Bundling ClaimsDowncoding And Bundling Claims
Downcoding And Bundling Claims
 
Dental Claim Form
Dental Claim FormDental Claim Form
Dental Claim Form
 
CMS 1500
CMS 1500CMS 1500
CMS 1500
 
CMS 1450 (UB-04) Instructions
CMS 1450 (UB-04) InstructionsCMS 1450 (UB-04) Instructions
CMS 1450 (UB-04) Instructions
 
CMS 1450 (UB 04)
CMS 1450 (UB 04)CMS 1450 (UB 04)
CMS 1450 (UB 04)
 
HIPAA
HIPAAHIPAA
HIPAA
 
Medical Billing
Medical BillingMedical Billing
Medical Billing
 
HIPAA Basics
HIPAA BasicsHIPAA Basics
HIPAA Basics
 
Emergency and ICU Procedures
Emergency and ICU ProceduresEmergency and ICU Procedures
Emergency and ICU Procedures
 
Medicare HIC Number Suffixes
Medicare HIC Number SuffixesMedicare HIC Number Suffixes
Medicare HIC Number Suffixes
 
Modifiers 2
Modifiers 2Modifiers 2
Modifiers 2
 

Último

Entrepreneurship lessons in Philippines
Entrepreneurship lessons in  PhilippinesEntrepreneurship lessons in  Philippines
Entrepreneurship lessons in PhilippinesDavidSamuel525586
 
Horngren’s Financial & Managerial Accounting, 7th edition by Miller-Nobles so...
Horngren’s Financial & Managerial Accounting, 7th edition by Miller-Nobles so...Horngren’s Financial & Managerial Accounting, 7th edition by Miller-Nobles so...
Horngren’s Financial & Managerial Accounting, 7th edition by Miller-Nobles so...ssuserf63bd7
 
trending-flavors-and-ingredients-in-salty-snacks-us-2024_Redacted-V2.pdf
trending-flavors-and-ingredients-in-salty-snacks-us-2024_Redacted-V2.pdftrending-flavors-and-ingredients-in-salty-snacks-us-2024_Redacted-V2.pdf
trending-flavors-and-ingredients-in-salty-snacks-us-2024_Redacted-V2.pdfMintel Group
 
Go for Rakhi Bazaar and Pick the Latest Bhaiya Bhabhi Rakhi.pptx
Go for Rakhi Bazaar and Pick the Latest Bhaiya Bhabhi Rakhi.pptxGo for Rakhi Bazaar and Pick the Latest Bhaiya Bhabhi Rakhi.pptx
Go for Rakhi Bazaar and Pick the Latest Bhaiya Bhabhi Rakhi.pptxRakhi Bazaar
 
Memorándum de Entendimiento (MoU) entre Codelco y SQM
Memorándum de Entendimiento (MoU) entre Codelco y SQMMemorándum de Entendimiento (MoU) entre Codelco y SQM
Memorándum de Entendimiento (MoU) entre Codelco y SQMVoces Mineras
 
Traction part 2 - EOS Model JAX Bridges.
Traction part 2 - EOS Model JAX Bridges.Traction part 2 - EOS Model JAX Bridges.
Traction part 2 - EOS Model JAX Bridges.Anamaria Contreras
 
EUDR Info Meeting Ethiopian coffee exporters
EUDR Info Meeting Ethiopian coffee exportersEUDR Info Meeting Ethiopian coffee exporters
EUDR Info Meeting Ethiopian coffee exportersPeter Horsten
 
BAILMENT & PLEDGE business law notes.pptx
BAILMENT & PLEDGE business law notes.pptxBAILMENT & PLEDGE business law notes.pptx
BAILMENT & PLEDGE business law notes.pptxran17april2001
 
Onemonitar Android Spy App Features: Explore Advanced Monitoring Capabilities
Onemonitar Android Spy App Features: Explore Advanced Monitoring CapabilitiesOnemonitar Android Spy App Features: Explore Advanced Monitoring Capabilities
Onemonitar Android Spy App Features: Explore Advanced Monitoring CapabilitiesOne Monitar
 
Introducing the Analogic framework for business planning applications
Introducing the Analogic framework for business planning applicationsIntroducing the Analogic framework for business planning applications
Introducing the Analogic framework for business planning applicationsKnowledgeSeed
 
20220816-EthicsGrade_Scorecard-JP_Morgan_Chase-Q2-63_57.pdf
20220816-EthicsGrade_Scorecard-JP_Morgan_Chase-Q2-63_57.pdf20220816-EthicsGrade_Scorecard-JP_Morgan_Chase-Q2-63_57.pdf
20220816-EthicsGrade_Scorecard-JP_Morgan_Chase-Q2-63_57.pdfChris Skinner
 
Appkodes Tinder Clone Script with Customisable Solutions.pptx
Appkodes Tinder Clone Script with Customisable Solutions.pptxAppkodes Tinder Clone Script with Customisable Solutions.pptx
Appkodes Tinder Clone Script with Customisable Solutions.pptxappkodes
 
PSCC - Capability Statement Presentation
PSCC - Capability Statement PresentationPSCC - Capability Statement Presentation
PSCC - Capability Statement PresentationAnamaria Contreras
 
Effective Strategies for Maximizing Your Profit When Selling Gold Jewelry
Effective Strategies for Maximizing Your Profit When Selling Gold JewelryEffective Strategies for Maximizing Your Profit When Selling Gold Jewelry
Effective Strategies for Maximizing Your Profit When Selling Gold JewelryWhittensFineJewelry1
 
Excvation Safety for safety officers reference
Excvation Safety for safety officers referenceExcvation Safety for safety officers reference
Excvation Safety for safety officers referencessuser2c065e
 
NAB Show Exhibitor List 2024 - Exhibitors Data
NAB Show Exhibitor List 2024 - Exhibitors DataNAB Show Exhibitor List 2024 - Exhibitors Data
NAB Show Exhibitor List 2024 - Exhibitors DataExhibitors Data
 
The McKinsey 7S Framework: A Holistic Approach to Harmonizing All Parts of th...
The McKinsey 7S Framework: A Holistic Approach to Harmonizing All Parts of th...The McKinsey 7S Framework: A Holistic Approach to Harmonizing All Parts of th...
The McKinsey 7S Framework: A Holistic Approach to Harmonizing All Parts of th...Operational Excellence Consulting
 
Supercharge Your eCommerce Stores-acowebs
Supercharge Your eCommerce Stores-acowebsSupercharge Your eCommerce Stores-acowebs
Supercharge Your eCommerce Stores-acowebsGOKUL JS
 
Lucia Ferretti, Lead Business Designer; Matteo Meschini, Business Designer @T...
Lucia Ferretti, Lead Business Designer; Matteo Meschini, Business Designer @T...Lucia Ferretti, Lead Business Designer; Matteo Meschini, Business Designer @T...
Lucia Ferretti, Lead Business Designer; Matteo Meschini, Business Designer @T...Associazione Digital Days
 

Último (20)

Entrepreneurship lessons in Philippines
Entrepreneurship lessons in  PhilippinesEntrepreneurship lessons in  Philippines
Entrepreneurship lessons in Philippines
 
Horngren’s Financial & Managerial Accounting, 7th edition by Miller-Nobles so...
Horngren’s Financial & Managerial Accounting, 7th edition by Miller-Nobles so...Horngren’s Financial & Managerial Accounting, 7th edition by Miller-Nobles so...
Horngren’s Financial & Managerial Accounting, 7th edition by Miller-Nobles so...
 
trending-flavors-and-ingredients-in-salty-snacks-us-2024_Redacted-V2.pdf
trending-flavors-and-ingredients-in-salty-snacks-us-2024_Redacted-V2.pdftrending-flavors-and-ingredients-in-salty-snacks-us-2024_Redacted-V2.pdf
trending-flavors-and-ingredients-in-salty-snacks-us-2024_Redacted-V2.pdf
 
Go for Rakhi Bazaar and Pick the Latest Bhaiya Bhabhi Rakhi.pptx
Go for Rakhi Bazaar and Pick the Latest Bhaiya Bhabhi Rakhi.pptxGo for Rakhi Bazaar and Pick the Latest Bhaiya Bhabhi Rakhi.pptx
Go for Rakhi Bazaar and Pick the Latest Bhaiya Bhabhi Rakhi.pptx
 
Memorándum de Entendimiento (MoU) entre Codelco y SQM
Memorándum de Entendimiento (MoU) entre Codelco y SQMMemorándum de Entendimiento (MoU) entre Codelco y SQM
Memorándum de Entendimiento (MoU) entre Codelco y SQM
 
Traction part 2 - EOS Model JAX Bridges.
Traction part 2 - EOS Model JAX Bridges.Traction part 2 - EOS Model JAX Bridges.
Traction part 2 - EOS Model JAX Bridges.
 
EUDR Info Meeting Ethiopian coffee exporters
EUDR Info Meeting Ethiopian coffee exportersEUDR Info Meeting Ethiopian coffee exporters
EUDR Info Meeting Ethiopian coffee exporters
 
BAILMENT & PLEDGE business law notes.pptx
BAILMENT & PLEDGE business law notes.pptxBAILMENT & PLEDGE business law notes.pptx
BAILMENT & PLEDGE business law notes.pptx
 
Onemonitar Android Spy App Features: Explore Advanced Monitoring Capabilities
Onemonitar Android Spy App Features: Explore Advanced Monitoring CapabilitiesOnemonitar Android Spy App Features: Explore Advanced Monitoring Capabilities
Onemonitar Android Spy App Features: Explore Advanced Monitoring Capabilities
 
Introducing the Analogic framework for business planning applications
Introducing the Analogic framework for business planning applicationsIntroducing the Analogic framework for business planning applications
Introducing the Analogic framework for business planning applications
 
20220816-EthicsGrade_Scorecard-JP_Morgan_Chase-Q2-63_57.pdf
20220816-EthicsGrade_Scorecard-JP_Morgan_Chase-Q2-63_57.pdf20220816-EthicsGrade_Scorecard-JP_Morgan_Chase-Q2-63_57.pdf
20220816-EthicsGrade_Scorecard-JP_Morgan_Chase-Q2-63_57.pdf
 
Appkodes Tinder Clone Script with Customisable Solutions.pptx
Appkodes Tinder Clone Script with Customisable Solutions.pptxAppkodes Tinder Clone Script with Customisable Solutions.pptx
Appkodes Tinder Clone Script with Customisable Solutions.pptx
 
PSCC - Capability Statement Presentation
PSCC - Capability Statement PresentationPSCC - Capability Statement Presentation
PSCC - Capability Statement Presentation
 
Effective Strategies for Maximizing Your Profit When Selling Gold Jewelry
Effective Strategies for Maximizing Your Profit When Selling Gold JewelryEffective Strategies for Maximizing Your Profit When Selling Gold Jewelry
Effective Strategies for Maximizing Your Profit When Selling Gold Jewelry
 
Excvation Safety for safety officers reference
Excvation Safety for safety officers referenceExcvation Safety for safety officers reference
Excvation Safety for safety officers reference
 
The Bizz Quiz-E-Summit-E-Cell-IITPatna.pptx
The Bizz Quiz-E-Summit-E-Cell-IITPatna.pptxThe Bizz Quiz-E-Summit-E-Cell-IITPatna.pptx
The Bizz Quiz-E-Summit-E-Cell-IITPatna.pptx
 
NAB Show Exhibitor List 2024 - Exhibitors Data
NAB Show Exhibitor List 2024 - Exhibitors DataNAB Show Exhibitor List 2024 - Exhibitors Data
NAB Show Exhibitor List 2024 - Exhibitors Data
 
The McKinsey 7S Framework: A Holistic Approach to Harmonizing All Parts of th...
The McKinsey 7S Framework: A Holistic Approach to Harmonizing All Parts of th...The McKinsey 7S Framework: A Holistic Approach to Harmonizing All Parts of th...
The McKinsey 7S Framework: A Holistic Approach to Harmonizing All Parts of th...
 
Supercharge Your eCommerce Stores-acowebs
Supercharge Your eCommerce Stores-acowebsSupercharge Your eCommerce Stores-acowebs
Supercharge Your eCommerce Stores-acowebs
 
Lucia Ferretti, Lead Business Designer; Matteo Meschini, Business Designer @T...
Lucia Ferretti, Lead Business Designer; Matteo Meschini, Business Designer @T...Lucia Ferretti, Lead Business Designer; Matteo Meschini, Business Designer @T...
Lucia Ferretti, Lead Business Designer; Matteo Meschini, Business Designer @T...
 

POS Codes

  • 1. Place of Service Codes for Professional Claims Database (last updated September 10, 2007) Listed below are place of service codes and descriptions. These codes should be used on professional claims to specify the entity where service(s) were rendered. Check with individual payers (e.g., Medicare, Medicaid, other private insurance) for reimbursement policies regarding these codes. If you would like to comment on a code(s) or description(s), please send your request to posinfo@cms.hhs.gov. Place Place of Service Place of Service Description of Name Service Code(s ) 01 Pharmacy** A facility or location where drugs and other medically related items and services are sold, dispensed, or otherwise provided directly to patients. (effective 10/1/05) 02 Unassigned N/A 03 School A facility whose primary purpose is education. 04 Homeless A facility or location whose primary purpose is Shelter to provide temporary housing to homeless individuals (e.g., emergency shelters, individual or family shelters). 05 Indian Health A facility or location, owned and operated by the Service Indian Health Service, which provides diagnostic, Free-standing therapeutic (surgical and non-surgical), and Facility rehabilitation services to American Indians and Alaska Natives who do not require hospitalization. 06 Indian Health A facility or location, owned and operated by the Service Indian Health Service, which provides diagnostic, Provider-based therapeutic (surgical and non-surgical), and Facility rehabilitation services rendered by, or under the supervision of, physicians to American Indians and Alaska Natives admitted as inpatients or outpatients. 07 Tribal 638 A facility or location owned and operated by a Free-standing federally recognized American Indian or Alaska Facility Native tribe or tribal organization under a 638 agreement, which provides diagnostic, therapeutic (surgical and non-surgical), and rehabilitation services to tribal members who do not require hospitalization. 08 Tribal 638 A facility or location owned and operated by a Provider-based federally recognized American Indian or Alaska Facility Native tribe or tribal organization under a 638 agreement, which provides diagnostic, therapeutic
  • 2. (surgical and non-surgical), and rehabilitation services to tribal members admitted as inpatients or outpatients. 09-10 Unassigned N/A 11 Office Location, other than a hospital, skilled nursing facility (SNF), military treatment facility, community health center, State or local public health clinic, or intermediate care facility (ICF), where the health professional routinely provides health examinations, diagnosis, and treatment of illness or injury on an ambulatory basis. 12 Home Location, other than a hospital or other facility, where the patient receives care in a private residence. 13 Assisted Living Congregate residential facility with self- Facility contained living units providing assessment of each resident’s needs and on-site support 24 hours a day, 7 days a week, with the capacity to deliver or arrange for services including some health care and other services. (effective 10/1/03) 14 Group Home * A residence, with shared living areas, where clients receive supervision and other services such as social and/or behavioral services, custodial service, and minimal services (e.g., medication administration). 15 Mobile Unit A facility/unit that moves from place-to-place equipped to provide preventive, screening, diagnostic, and/or treatment services. 16 Temporary A short term accommodation such as a hotel, camp Lodging ground, hostel, cruise ship or resort where the patient receives care, and which is not identified by any other POS code. (effective 4/1/08) 17-19 Unassigned N/A 20 Urgent Care Location, distinct from a hospital emergency Facility room, an office, or a clinic, whose purpose is to diagnose and treat illness or injury for unscheduled, ambulatory patients seeking immediate medical attention. 21 Inpatient A facility, other than psychiatric, which primarily Hospital provides diagnostic, therapeutic (both surgical and nonsurgical), and rehabilitation services by, or under, the supervision of physicians to patients admitted for a variety of medical conditions. 22 Outpatient A portion of a hospital which provides Hospital diagnostic, therapeutic (both surgical and nonsurgical), and rehabilitation services to sick or injured persons who do not require
  • 3. hospitalization or institutionalization. 23 Emergency A portion of a hospital where emergency Room – diagnosis and treatment of illness or injury is Hospital provided. 24 Ambulatory A freestanding facility, other than a physician's Surgical Center office, where surgical and diagnostic services are provided on an ambulatory basis. 25 Birthing Center A facility, other than a hospital's maternity facilities or a physician's office, which provides a setting for labor, delivery, and immediate post-partum care as well as immediate care of new born infants. 26 Military A medical facility operated by one or more of the Treatment Uniformed Services. Military Treatment Facility Facility (MTF) also refers to certain former U.S. Public Health Service (USPHS) facilities now designated as Uniformed Service Treatment Facilities (USTF). 27-30 Unassigned N/A 31 Skilled Nursing A facility which primarily provides inpatient Facility skilled nursing care and related services to patients who require medical, nursing, or rehabilitative services but does not provide the level of care or treatment available in a hospital. 32 Nursing Facility A facility which primarily provides to residents skilled nursing care and related services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care services above the level of custodial care to other than mentally retarded individuals. 33 Custodial Care A facility which provides room, board and other Facility personal assistance services, generally on a long-term basis, and which does not include a medical component. 34 Hospice A facility, other than a patient's home, in which palliative and supportive care for terminally ill patients and their families are provided. 35-40 Unassigned N/A 41 Ambulance - A land vehicle specifically designed, equipped Land and staffed for lifesaving and transporting the sick or injured. 42 Ambulance – An air or water vehicle specifically designed, Air or Water equipped and staffed for lifesaving and transporting the sick or injured. 43-48 Unassigned N/A 49 Independent A location, not part of a hospital and not Clinic described by any other Place of Service code, that is organized and operated to provide preventive, diagnostic, therapeutic, rehabilitative, or palliative services to outpatients only. (effective 10/1/03) 50 Federally A facility located in a medically underserved
  • 4. Qualified Health area that provides Medicare beneficiaries Center preventive primary medical care under the general direction of a physician. 51 Inpatient A facility that provides inpatient psychiatric Psychiatric services for the diagnosis and treatment of Facility mental illness on a 24-hour basis, by or under the supervision of a physician. 52 Psychiatric A facility for the diagnosis and treatment of Facility-Partial mental illness that provides a planned Hospitalization therapeutic program for patients who do not require full time hospitalization, but who need broader programs than are possible from outpatient visits to a hospital-based or hospital- affiliated facility. 53 Community A facility that provides the following services: Mental Health outpatient services, including specialized Center outpatient services for children, the elderly, individuals who are chronically ill, and residents of the CMHC's mental health services area who have been discharged from inpatient treatment at a mental health facility; 24 hour a day emergency care services; day treatment, other partial hospitalization services, or psychosocial rehabilitation services; screening for patients being considered for admission to State mental health facilities to determine the appropriateness of such admission; and consultation and education services. 54 Intermediate A facility which primarily provides health- Care related care and services above the level of Facility/Mentall custodial care to mentally retarded individuals y Retarded but does not provide the level of care or treatment available in a hospital or SNF. 55 Residential A facility which provides treatment for Substance substance (alcohol and drug) abuse to live-in Abuse residents who do not require acute medical care. Treatment Services include individual and group therapy Facility and counseling, family counseling, laboratory tests, drugs and supplies, psychological testing, and room and board. 56 Psychiatric A facility or distinct part of a facility for Residential psychiatric care which provides a total 24-hour Treatment therapeutically planned and professionally Center staffed group living and learning environment. 57 Non-residential A location which provides treatment for Substance substance (alcohol and drug) abuse on an Abuse ambulatory basis. Services include individual Treatment and group therapy and counseling, family Facility counseling, laboratory tests, drugs and supplies, and psychological testing. (effective 10/1/03) 58-59 Unassigned N/A 60 Mass A location where providers administer
  • 5. Immunization pneumococcal pneumonia and influenza virus Center vaccinations and submit these services as electronic media claims, paper claims, or using the roster billing method. This generally takes place in a mass immunization setting, such as, a public health center, pharmacy, or mall but may include a physician office setting. 61 Comprehensive A facility that provides comprehensive Inpatient rehabilitation services under the supervision of Rehabilitation a physician to inpatients with physical Facility disabilities. Services include physical therapy, occupational therapy, speech pathology, social or psychological services, and orthotics and prosthetics services. 62 Comprehensive A facility that provides comprehensive Outpatient rehabilitation services under the supervision of Rehabilitation a physician to outpatients with physical Facility disabilities. Services include physical therapy, occupational therapy, and speech pathology services. 63-64 Unassigned N/A 65 End-Stage A facility other than a hospital, which provides Renal Disease dialysis treatment, maintenance, and/or Treatment training to patients or caregivers on an Facility ambulatory or home-care basis. 66-70 Unassigned N/A 71 Public Health A facility maintained by either State or local Clinic health departments that provides ambulatory primary medical care under the general direction of a physician. (effective 10/1/03) 72 Rural Health A certified facility which is located in a rural Clinic medically underserved area that provides ambulatory primary medical care under the general direction of a physician. 73-80 Unassigned N/A 81 Independent A laboratory certified to perform diagnostic Laboratory and/or clinical tests independent of an institution or a physician's office. 82-98 Unassigned N/A 99 Other Place of Other place of service not identified above. Service * Revised, effective April 1, 2004. ** Revised, effective October 1, 2005