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 |