Where do I find the place of service code?
Where do I find the place of service code?
A: The Place of Service codes can be found on the CMS website and contains 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) maintains POS codes used throughout the health care industry.
What is the difference between POS 19 and 22?
Beginning January 1, 2016, POS code 22 was redefined as “On-Campus Outpatient Hospital” and a new POS code 19 was developed and defined as “Off-Campus Outpatient Hospital.” Effective January 1, 2016, POS 19 must be used on professional claims submitted for services furnished to patients registered as hospital …
What is the difference between POS 31 and 32?
POS 32. Use POS 31 when the patient is in a skilled nursing facility (SNF), which is a short-term care/rehabilitation facility. Use POS 32 when the patient is in a long-term nursing care facility.
What place of service should an independent or reference laboratory report when billing?
A: When billing, the place of service reported should be the location where the specimen was obtained, For example, a specimen removed from a hospitalized patient and sent to the laboratory would be reported with (POS) 21 or 22; a sample taken at a physician’s office and referred to the laboratory would be reported …
What is place of service code 22?
Campus-Outpatient Hospital
Database (updated September 2021)
| Place of Service Code(s) | Place of Service Name |
|---|---|
| 22 | On Campus-Outpatient Hospital |
| 23 | Emergency Room – Hospital |
| 24 | Ambulatory Surgical Center |
| 25 | Birthing Center |
What does POS 11 represent?
Physicians shall use POS code 11 (office) when services are performed in a separately maintained physician office space in the hospital or on the hospital campus and that physician office space is not considered a provider-based department of the hospital.
What is place of service 22 in medical billing?
On Campus-Outpatient Hospital
When should I use place of service 99?
When a service is provided in the “community” and no other appropriate place of service code applies, the place of service code should be indicated as 99 (other) and the modifier “HQ” should be used with procedure codes H2010 and H2015 to specify that the service was provided in the community.
Can labs be billed with modifier 26?
Laboratory Codes: Split-Billable When billing for only the professional component, use modifier 26. When billing for only the technical component, use modifier TC.
What is reference lab billing?
“Reference laboratory” – A Medicare-enrolled laboratory that receives a specimen from another, referring laboratory for testing and that actually performs the test. “Billing laboratory” – The laboratory that submits a bill or claim to Medicare.
What is place of service code 24?
Ambulatory Surgical Center
Database (updated September 2021)
| Place of Service Code(s) | Place of Service Name |
|---|---|
| 23 | Emergency Room – Hospital |
| 24 | Ambulatory Surgical Center |
| 25 | Birthing Center |
| 26 | Military Treatment Facility |
What is place of service code 13?
Database (updated September 2021)
| Place of Service Code(s) | Place of Service Name |
|---|---|
| 12 | Home |
| 13 | Assisted Living Facility |
| 14 | Group Home * |
| 15 | Mobile Unit |
