place of service codes, pos codes, pos,

Complete List With Place Of Services Codes (2022 Updated)

Descriptions of 99 place of service codes can be found below. Use the POS codes to describe a place where a service was performed.

Note: Reimbursement needs to be checked with the individual payers.

Place Of Service 01 (POS 01)

POS 01 can be used when the place of service is a pharmacy. A pharmacy is a location where medically related items are provided to patients.

Place of service 01 is effective forom October 1, 2003.

Place Of Service 02 (POS 02)

POS 2 can be used when the service is performed in with the help of telecommunication technology.

The place of service of the provider needs to be outside the patients home when the service is provided. (Use POS 10 if the patient is at home.)

Place of service 02 is effective forom January 1, 2003 and a description change effective January 1, 2022. This code is applicable for Medicare April 1, 2022.

Place Of Service 03 (POS 03)

POS 3 can be used when the place of service is a school. A school is a facility with the purpose of education.

Place of service 03 is effective forom January 1, 2003.

Place Of Service 04 (POS 04)

POS 4 can be used when the place of service is a homeless shelter. A homeless shelter is a facility that provide temporary housing for homeless people.

Emergency shelters are included.

Place of service 04 is effective forom January 1, 2003.

Place Of Service 05 (POS 05)

POS 5 can be used as a place of service if it is an Indian Health Service Facility. The facility (or location) needs to be free standing and owned by an indian health service.

The therapeutic-, diagnostic-, and rehabilitation services are performed on American Indians and Alaska Natives who do not require a hospital.

Place of service 06 is effective forom January 1, 2003.

Place Of Service 06 (POS 06)

POS 6 can be used as a place of service Indian Health Service Facility. The facility (or location) needs to be provider based and rendered by, or under the supervision of physicians to American Indians and Alaska Natives admitted as outpatients or inpatients.

Place of service 07 is effective forom January 1, 2003.

Place Of Service 07 (POS 07)

POS 7 can be used when the place of service when the location or facility is a American Indian or Alaska Native tribe or tribal organization (federally recognized) under a 638 agreement.

The facility needs to provide health services to tribal member who do not require a hospital. The services can be diagnostic, therapeutic (surgical and non-surgical), and rehabilitation.

Place of service 07 is effective from January 1, 2003.

Place Of Service 08 (POS 08)

Pos 8 can be used as a place of service when the facility or organization is owned, under a 638 agreement, by an American Indian or Alaska Native (or tribal) organization.

The facility or organization needs to provide therapeutic, diagnostic and rehabilitation services to it’s members as inpatients or outpatients.

Place of service 08 is effective from January 1, 2003.

Place Of Service 09 (POS 09)

POS 9 can be used if the place of service is a jail/prison, detention centre, reformatory or any similar facility which is runned by the government with the purpose of rehabilitation or confinement or criminal offenders.

Place of service 09 is effective from July 1, 2006.

Place Of Service 10 (POS 10)

POS 10 can be coded if the place of service is the service is provided through telecommunication technology.

The patient needs to be located in their home when the health service is provided. (Use POS 02 if the patient is not at home.)

Place of service 10 is effective from January 1, 2022 and available to Medicare on the 1st of April 2022.

Place Of Service 11 (POS 11)

POS 11 can be used when the place of service is an office. This is any location where the health professional routinely provides diagnosis, health examinations and treatment of illness or injury on an ambulatory basis other than a:

  • military treatment facility;
  • State or local public health clinic;
  • community health center;
  • skilled nursing facility (SNF);
  • hospital; or
  • intermediate care facility (ICF).

Place Of Service 12

POS 12 can be billed when the place of service is the home of the patient. This is a location other than facility or hospital where the patient receives care.

Place Of Service 13

POS 13 may be used when the place of service is an assisted living facility. This facility is a congregate residential facility with self contained living units.

Resident needs an support is provided on a 24/7 basis and some health care is delivered.

Place Of Service 13 is effective from the 1st of October 2003.

Place Of Service 14

POS 14 can be used when the place of service is a group home. A group home is a place with shared living areas where the following services can be provided:

  • supervision;
  • behavioral services;
  • minimal services;
  • social services; and
  • custodial services.

Place of service 14 is effective from the 1st of October 2003.

Place Of Service 15

POS 15 can be used if the place of service is a mobile unit. A mobile unit is a facility that can be moved and can provide:

  • screening services;
  • preventive services;
  • diagnostic services; and/or
  • treatment services.

Place of service 15 is effective from the 1st of January 2003.

Place Of Service 16

POS 16 may be billed when the place of service is a temporary lodging. This can be a hotel, hostel, camp ground, cruise ship or other place when the patient receives care but is not identified by any other place of service code.

Place of service 16 is effective from the 1st of January 2008.

Place Of Service 17

POS 17 can be used to specifiy that the place of service is a walk in retail health clinic. This is a walk in clinic and isn’t a:

  • urgent care facility;
  • office;
  • pharmacy; or an
  • independent facility.

This code can be used if it is not described by other POS codes. It needs to be located within a retail operation and provides on an ambulatory basis and provide primary care services.

Place of service 17 is effective from the 1st of May 2010.

Place Of Service 18

POS 18 may be used to describe a place of service that is defined as a place of employment/worksite.

The location can’t be described by other place of service codes and is owned by a private or public entity where the patient is employed.

The health provided provides the patient with episodic or on-going occupational:

  • rehabilitative services;
  • therapeutic services; or
  • medical services.

Place of service code 18 is effective from the 1st of January 2013.

Place Of Service 19

POS 19 can be used as a place of service code when the health service is performed in an off campus outpatient hospital. (Use POS 22 if the place of service is on campus).

This is a place for sick or injured persons who do not require institutionalization or hospitalization. It is an off capus hospital provider that provides:

  • therapeutic (surgical) services.
  • therapeutic (nonsurgical) services.
  • diagnostic services; and
  • rehabilitation services.

Place of service code 19 is effective from the 1st of January 2016.

Place Of Service 20

POS 20 can be used if the place of service is an urgent care facility. This facility is a distinct from an emergency room in a hospital, office or clinic whose purpose is to treat and diagnose injury or illness for (unscheduled) ambulatory patients who seek medical attention.

Place of service code 20 is effective from the 1st of January 2003.

Place Of Service 21

POS 21 can be used if the place of service is inpatient hospital. Psychiatric facilities are not included. This facility provides:

  • rehabilitation services;
  • therapeutic (surgical) services;
  • therapeutic (non surgical) services; and or
  • diagnostic services.

The services are provided to patients under the supervision of physicians and admitted for a a wide range of medical conditions.

Place Of Service 22

POS 22 can be used to specify that the place of service is a on campus outpatient hospital. Use POS 19 if the place of service is off campus.

This place is a portion of a hospital’s main campus where the following service are provided:

  • rehabilitation;
  • diagnostic;
  • therapeutic (non surgical); and
  • therapeutic (surgical).

The services are performed to injured or sick patients who do not require institutionalization or hospitalization.

Place of service code 22 is effective from the 1st of January 2016.

Place Of Service 23

POS 23 can be used when the place of service is an emergency room of a hospital. The emergency room is a place in a hospital where treatment and diagnosis is provided for injuries or ilnesses that are considered an emergency.

Place Of Service 24

POS 24 can be used when the place of service is an ambulatory surgical center.

The center is (other than a physician’s office) a freestanding facility. Diagnostic and surgical services are provided on an ambulatory basis.

Place Of Service 25

POS 25 can be billed when the place of service is a birthing center. Hospital maternity facilities and physician’s offices are excluded.

The center provided services for labor, immediate post partum care and the delivery and care for newborns.

Place Of Service 26

POS 26 can be billed when the place of service is a military treatment facility. The medical facility needs to be one or more of the Uniformed Services.

Be aware that MTF’s (Military Treatment Facilities) refer to certain former U.S. Public Health Service (USPHS) facilities as well.

They are currently designated as Uniformed Service Treatment Facilities.

Place Of Service 27

POS 27 is currently unassigned as a place of service code.

Place Of Service 28

POS 28 is currently unassigned as a place of service code.

Place Of Service 29

POS 29 is currently unassigned as a place of service code.

Place Of Service 30

POS 30 is currently unassigned as a place of service code.

Place Of Service 31

POS 31 can be billed when the place of service is a skilled nursing facility. This facility is provides skilled nursing care (inpatient) and other services.

The services are provided to patients who are in need of:

  • rehabilitative services;
  • medical services; or
  • nursing services.

The facility does not provide the same level of care or treatment as a hospital.

Place Of Service 32

POS 32 can be billed when the place of service is a nursing facility. The facility provides nursing and related services to residents.

The services are for disabled/injured or sick persons. It can also provides, other than individuals with intellectual disabilities, on a regular basis, health services above the level of custodial care.

Place Of Service 33

POS 33 can be used when the place of service is a custodial care facility. This place provides:

  • board services;
  • room services; and
  • other personal assistance services.

The services are normally provided for long term. The medical component is not included.

Place Of Service 34

POS 34 can be used to identify a place of service as hospice. A hospice is a place where supportive and palliative care services are performed for terminally ill patients and their families.

The home of the patient is not included in this code.

Place Of Service 35

POS 35 is currently unassigned as a place of service code.

Place Of Service 36

POS 36 is currently unassigned as a place of service code.

Place Of Service 37

POS 37 is currently unassigned as a place of service code.

Place Of Service 38

POS 38 is currently unassigned as a place of service code.

Place Of Service 39

POS 39 is currently unassigned as a place of service code.

Place Of Service 40

POS 40 is currently unassigned as a place of service code.

Place Of Service 41

POS 41 can be used when the place of service is an ambulance on land. An ambulance is a car that carries trained staff and is designed to provide lifesaving care for the sick.

It is fully equiped to provide lifesaving services. It can transport injured or sick patients.

Place Of Service 42

POS 42 can be used when the place of service is an ambulance in the air or on the water.

These ambulance carry trained staff and is designed to provide lifesaving care for the sick and is fully equiped for this purpose. It can transport injured or sick patients.

Place Of Service 43

POS 43 is currently unassigned as a place of service code.

Place Of Service 44

POS 44 is currently unassigned as a place of service code.

Place Of Service 45

POS 45 is currently unassigned as a place of service code.

Place Of Service 46

POS 46 is currently unassigned as a place of service code.

Place Of Service 47

POS 47 is currently unassigned as a place of service code.

Place Of Service 48

POS 48 is currently unassigned as a place of service code.

Place Of Service 49

POS 49 can be used when the place of service is an independent clinic. The clinic is not part of hospital and is not described by any other place of service code.

The clinic provides, to outpatients only,:

  • palliative services
  • rehabilitative services
  • therapeutic services
  • diagnostic services; or
  • preventive services.

Place of service code 49 is effective from the 1st of October 2003.

Place Of Service 50

POS 50 can be used when the place of service is a federally qualified health center. The center is a facility that provides medicare beneficiaries and located in a medically underserved area.

Under the general direction of a physician it provides s preventive primary medical care.

Place Of Service 51

POS 51 can be used to report inpatient psychiatric facility as a place of service. A psychiatric facility provides inpatient psychiatric services for mental illness treatment and diagnosis.

The care is 24/7 and under the supervision of a physician.

Place Of Service 52

POS 52 can be used when the place of service is a psychiatric facility (partial hospitalization).

The psychiatric facility provides a planned therapeutic program to treat and diagnose mental illness. Patients do not require full time hospitalization.

The patient need broader programs than the ones that are provided (from outpatient visits) by hospital-based or hospital affiliated facilities.

Place Of Service 53

POS 53 can be billed when the place of service is a community mental health center.

A community mental health center is a facility that provides the following services:

  • day treatment;
  • psychosocial rehabilitation services;
  • education services;
  • consultation services;
  • 24 hour a day emergency care services;
  • screening for patients being considered for admission to State mental health facilities to determine the appropriateness of such admission;
  • other partial hospitalization services; and
  • outpatient services including:
    • the elderly
    • residents of the CMHC’s mental health services area who have been discharged from inpatient treatment at a mental health facility
    • specialized outpatient services for children; and
    • individuals who are chronically ill.

Place Of Service 54

POS 54 can be used to identify an intermediate care facility for individuals with intellectual disabilities as a place of service.

Health related care is provided by the facility and is a primarily focus. It provides a level of care or treatment available in a hospital or SNF but the services are not above the level of custodial care to patients.

Place Of Service 55

POS 55 can be billed when the place of service is a residential substance abuse treatment facility.

This is a facility that provides services to live in residents for drug and alcohol abuse. The patients do not require acute medical care.

Provided services include:

  • psychological testing;
  • family counseling;
  • drugs and supplies;
  • group therapy;
  • laboratory tests;
  • room and board; and
  • counseling.

Place Of Service 56

POS 56 can be used when the place of service is a psychiatric residential treatment center.

The center can be a distinct part of a facility for psychiatric care or a stand alone facility. therapeutically planned services are performed 24/7 by staffed group in a learning and living environment.

Place Of Service 57

POS 57 can be used if the place of service is a non residential substance abuse treatment facility.

This is a facility where alcohol and drug abusers are treated on an ambulatory basis. Services that are provided include:

  • counseling;
  • family counseling;
  • drugs and supplies;
  • group therapy;
  • individual therapy;
  • laboratory tests; and
  • psychological testing.

Place of service code 57 is effective from the 1st of October 2003.

Place Of Service 58

POS 58 can be used when the place of service is a non residential opioid treatment facility.

Treatments for opiod use disorder are provided on an ambulatory basis. Provided services include forms of Medication Assisted Treatment (e.g. methadone).

Place Of Service 59

POS 59 is currently unassigned as a place of service code.

Place Of Service 60

POS 60 can be used when the place of service is a mass immunization center. This is a place where influenza virus vaccinations and pneumococcal pneumonia is adminitered.

The services are paper claims, electronic media claims or the use of roster billing method. This mostly happens a mass immunization setting (for example a pharmacy, public health center or mall).

It may also include a physician office setting.

Place Of Service 61

POS 61 can be used when the place of service is a comprehensive inpatient rehabilitation facility.

Comprehensive rehabilitation services are provided. The supervision of a physician to inpatients with physical disabilities is required.

Services include:

  • occupational therapy;
  • psychological services;
  • social services;
  • physical therapy;
  • orthotics services;
  • speech pathology; and
  • prosthetics services.

Place Of Service 62

POS 62 can be used when the place of service is a comprehensive outpatient rehabilitation facility.

The supervision of a physician to outpatients with physical disabilities is required for comprehensive rehabilitation services. Services include:

  • occupational therapy;
  • physical therapy; and
  • speech pathology services.

Place Of Service 63

POS 63 is currently unassigned as a place of service code.

Place Of Service 64

POS 64 is currently unassigned as a place of service code.

Place Of Service 65

POS 65 can be used when the place of service is and end stage renal disease treatment facility. Hospitals are not included.

The facility provides on home care or ambulatory basis with the following services:

  • maintenance;
  • dialysis treatment; and/or
  • training to caregivers or patients.

Place Of Service 66

POS 66 is currently unassigned as a place of service code.

Place Of Service 67

POS 67 is currently unassigned as a place of service code.

Place Of Service 68

POS 68 is currently unassigned as a place of service code.

Place Of Service 69

POS 69 is currently unassigned as a place of service code.

Place Of Service 70

POS 70 is currently unassigned as a place of service code.

Place Of Service 71

POS 71 can be used when the place of service is a public health clinic.

It provides ambulatory primary medical care under the general direction of a physician and is maintained by local health departments or the State.

Place Of Service 72

POS 72 can be used when the place of service is a rural health clinic.

The facility needs to be certified and provides ambulatory primary medical care under the general direction of a physician in a rural medically underserved area.

Place Of Service 73

POS 73 is currently unassigned as a place of service code.

Place Of Service 74

POS 74 is currently unassigned as a place of service code.

Place Of Service 75

POS 75 is currently unassigned as a place of service code.

Place Of Service 76

POS 76 is currently unassigned as a place of service code.

Place Of Service 77

POS 77 is currently unassigned as a place of service code.

Place Of Service 78

POS 78 is currently unassigned as a place of service code.

Place Of Service 79

POS 79 is currently unassigned as a place of service code.

Place Of Service 80

POS 80 is currently unassigned as a place of service code.

Place Of Service 81

POS 81 can be used when the place of service is an indepedent laboratory.

It needs to be certified and independent of a a physician’s office or institution and can perform clinical test or/and diagnostic tests.

Place Of Service 81

POS 81 is currently unassigned as a place of service code.

Place Of Service 82

POS 82 is currently unassigned as a place of service code.

Place Of Service 83

POS 83 is currently unassigned as a place of service code.

Place Of Service 84

POS 84 is currently unassigned as a place of service code.

Place Of Service 85

POS 85 is currently unassigned as a place of service code.

Place Of Service 86

POS 86 is currently unassigned as a place of service code.

Place Of Service 87

POS 87 is currently unassigned as a place of service code.

Place Of Service 88

POS 88 is currently unassigned as a place of service code.

Place Of Service 89

POS 89 is currently unassigned as a place of service code.

Place Of Service 90

POS 90 is currently unassigned as a place of service code.

Place Of Service 91

POS 91 is currently unassigned as a place of service code.

Place Of Service 92

POS 92 is currently unassigned as a place of service code.

Place Of Service 93

POS 93 is currently unassigned as a place of service code.

Place Of Service 94

POS 94 is currently unassigned as a place of service code.

Place Of Service 95

POS 95 is currently unassigned as a place of service code.

Place Of Service 96

POS 96 is currently unassigned as a place of service code.

Place Of Service 97

POS 97 is currently unassigned as a place of service code.

Place Of Service 98

POS 98 is currently unassigned as a place of service code.

Place Of Service 99

POS 99 can be used when the place of service is not identified by another POS code.

Reference for Place Of Service Codes: http://www.cms.gov/MLNMattersArticles/Downloads/MM7631.pdf

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