Place of Service Codes (POS)
A school facility where a recipient receives a Medicaid service. This new place of service is effective with HIPAA implementation.
Location, other than a hospital, skilled nursing facility (SNF), military treatment facility, community health center, state or local public health clinic, intermediate care facility (ICF), or mobile van where the health professional routinely provides health examination, diagnosis and treatment of illness or injury on an ambulatory basis.
12 Patient’s Home
Location, other than a hospital or other facility, where the patient receives care in a private residence.
13 Assisted Living Facility
Congregate residential facility with self-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.
14 Group Home
Congregate residential foster care setting for children and adolescents in state custodythat provides some social, health care, and educational support services and that promotes rehabilitation and reintegration of residents into the community.
21 Inpatient Hospital
A facility, other than psychiatric, which primarily provides diagnostic, therapeutic (both surgical and non surgical) and rehabilitation services, by or under the supervision of physicians, to patients admitted for a variety of medical conditions.
22 Outpatient Hospital
A portion of a hospital that provides diagnostic, therapeutic (both surgical and non surgical), and rehabilitation services to sick or injured persons who do not require hospitalization or institutionalization.
23 Emergency Room – Hospital
A portion of a hospital where emergency diagnosis and treatment of illness or injury is provided on a 24-hour basis.
24 Ambulatory Surgical Center
A freestanding facility, other than a physician’s 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, that provides a setting for labor, delivery and immediate postpartum care as well as immediate care of newborn infants.
31 Skilled Nursing Facility
A facility that primarily provides inpatient 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 that primarily provides residents with skilled nursing care and related services for rehabilitation of an injured, disabled, or sick person; or on a regular basis, healthrelated care services above the level of custodial care to other than mentally retarded individuals.
33 Custodial Care Facility
A facility that provides room, board and other personal assistance services, generally on a long-term basis, and which does not include a medical component.
A facility other than a patient’s home, in which palliative and supportive care for terminally ill patients and their families are provided.
Note: This place of service can only be used when the actual service is performed in a hospice facility. If a hospice patient receives services in a setting other than a hospice facility, then the specific location for that service must be used.
49 Independent Clinic
A location, not part of a hospital and not 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.
51 Inpatient Psychiatric Facility
A facility that provides inpatient psychiatric services for the diagnosis and treatment of mental illness on a 24-hour basis, by or under the supervision of a physician. This place of service code is only used for Medicare crossover billing.
53 Community Mental Health Center
A facility that provides comprehensive mental health services on an ambulatory basis primarily to individuals residing or employed in a defined area.
54 Intermediate Care Facility for the Developmentally Disabled (IFC-DD)
A facility that primarily provides health-related care and services above the level of custodial care to developmentally disabled individuals, but does not provide the level of care or treatment available in a hospital or a skilled nursing facility.
55 Residential Substance Abuse Treatment Facility
A facility that provides treatment for substance (alcohol and drug) abuse to live-in residents who do not require acute medical care. Services include individual and group therapy and counseling, family counseling, laboratory tests, drugs and supplies, psychological testing, and room and board.
57 Non-residential Substance Abuse Treatment Facility
A location that provides treatment for substance (alcohol and drug) abuse on an ambulatory basis. Services include individual and group therapy and counseling, family counseling, laboratory tests, drugs and supplies, and psychological testing.
62 Comprehensive Outpatient Rehabilitation Facility
A facility that provides comprehensive rehabilitation services under the supervision of a physician to outpatients with physical disabilities.
65 End Stage Renal Disease Treatment Facility
A facility other than a hospital, which provides dialysis treatment, and maintenance or training to patients or caregivers.
71 State or Local Public Health Clinic
A facility maintained by either state or local health departments that provides ambulatory primary care under the general direction of a physician.
72 Rural Health Clinic or Federally Qualified Health Center
A certified facility located in a rural medically underserved area that provides ambulatory primary medical care under the general direction of a physician.
A certified facility located in a medically underserved area that provides ambulatory primary medical care under the general direction of a physician.
81 Independent Laboratory
A laboratory certified to perform diagnostic or clinical tests independent of an institution or a physician’s office.
99 Other Unlisted Facility
Other service facilities not identified above.
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