Name | Value | Comments |
---|
caseSensitive | true | |
compositional | | |
content | not-present | complete | |
copyright | | |
date | 2022-04-07T00:00:00-00:00 | 2025-04-26T00:00:00-00:00 | |
description | Place of Service Codes are two-digit codes placed on health care professional claims to indicate the setting in which a service was provided. The Centers for Medicare & Medicaid Services (CMS) maintain POS codes used throughout the health care industry.
This code set is required for use in the implementation guide adopted as the national standard for electronic transmission of professional health care claims under the provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). HIPAA directed the Secretary of HHS to adopt national standards for electronic transactions. These standard transactions require all health plans and providers to use standard code sets to populate data elements in each transaction. The Transaction and Code Set Rule adopted the ASC X12N-837 Health Care Claim: Professional, volumes 1 and 2, as the standard for electronic submission of professional claims. This standard names the POS code set currently maintained by CMS as the code set to be used for describing sites of service in such claims. POS information is often needed to determine the acceptability of direct billing of Medicare, Medicaid and private insurance services provided by a given provider. | |
experimental | false | |
hierarchyMeaning | | |
jurisdiction | | |
name | CMSPlaceofServiceCodes | |
publisher | Centers for Medicare & Medicaid Services | |
purpose | | |
status | active | |
title | CMS Place of Service Codes (POS) | |
url | https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set | |
version | 1.1.1 | 20240502 | |
versionNeeded | | |
Code | Display | Comments |
---|
01 | | Pharmacy | |
02 | | Telehealth Provided Other than in Patient’s Home | |
03 | | School | |
04 | | Homeless Shelter | |
05 | | Indian Health Service Free-standing Facility | |
06 | | Indian Health ServiceProvider-based Facility | |
07 | | Tribal 638 Free-standing Facility | |
08 | | Tribal 638 Provider-based Facility | |
09 | | Prison/ Correctional Facility | |
10 | | Telehealth Provided in Patient’s Home | |
11 | | Office | |
12 | | Home | |
13 | | Assisted Living Facility | |
14 | | Group Home | |
15 | | Mobile Unit | |
16 | | Temporary Lodging | |
17 | | Walk-in Retail Health Clinic | |
18 | | Worksite | |
19 | | Off Campus-Outpatient Hospital | |
20 | | Urgent Care Facility | |
21 | | Inpatient Hospital | |
22 | | On Campus-Outpatient Hospital | |
23 | | Emergency Room – Hospital | |
24 | | Ambulatory Surgical Center | |
25 | | Birthing Center | |
26 | | Military Treatment Facility | |
27 | | Outreach Site/ Street | |
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/ Individuals with Intellectual Disabilities | |
55 | | Residential Substance Abuse Treatment Facility | |
56 | | Psychiatric Residential Treatment Center | |
57 | | Non-residential Substance Abuse Treatment Facility | |
58 | | Non-residential Opioid Treatment Facility | |
60 | | Mass Immunization Center | |
61 | | Comprehensive Inpatient Rehabilitation Facility | |
62 | | Comprehensive Outpatient Rehabilitation Facility | |
65 | | End-Stage Renal Disease Treatment Facility | |
66 | | Programs of All-Inclusive Care for the Elderly (PACE) Center* | |
71 | | Public Health Clinic | |
72 | | Rural Health Clinic | |
81 | | Independent Laboratory | |
99 | | Other Place of Service | |