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Place of Service Codes

 

AMBULANCE AIR OR WATER (42):
An air or water vehicle specifically designed, equipped or staffed for lifesaving and transporting the sick or injured.

AMBULANCE LAND (41):
A land vehicle specifically designed, equipped or staffed for lifesaving and transporting the sick or injured.

AMBULATORY SURGICAL CENTER (ASC) (24):
A free standing facility, other than a physician's office, where surgical and diagnostic services are provided on an ambulatory basis.

ASSISTED LIVING FACILITY (13**):
Congregate residential facility with self-contained living units providing assessment of each resident's needs and on-site support 24 hours a day, seven days a week, with the capacity to deliver or arrange for services including some health care and other services.

BIRTHING CENTER (25):
A facility, other than a hospital's maternity facilities or a physician's office, which provides a setting for labor, delivery and immediate postpartum care as well as immediate care of newborn infants.

COMMUNITY MENTAL HEALTH CENTER (CMHC) (53):
A facility that provides the following services:

  1. Outpatient services, including specialized outpatient services for children, the elderly, individuals who are chronically ill, and residents of the CMHC's mental health services area who have been discharged from inpatient treatment at a mental facility.
  2. 24 hour a day emergency care services.
  3. Day treatment, other partial hospitalization services, or psychosocial rehabilitation services.
  4. Screening for patients being considered for admission to state mental health facilities to determine the appropriateness of such admission.
  5. Consultation and education services.

COMPREHENSIVE INPATIENT REHABILITATION FACILITY (61):
A facility that provides comprehensive rehabilitation services under the supervision of a physician to inpatients with physical disabilities. Services include physical therapy, occupational therapy, speech pathology, social or psychological services, and orthotics and prosthetics services.

COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF) (62):
A facility that provides comprehensive rehabilitation services under the supervision of a physician to outpatients with physical disabilities. Services include physical therapy, occupational therapy, and speech pathology services.

CUSTODIAL CARE FACILITY (33):
A facility, which provides room, board and other personal assistance services, generally on a long-term basis, and which does not include a medical component.

EMERGENCY ROOM-HOSPITAL (23):
A portion of a hospital where emergency diagnosis and treatment of illness or injury is provided.

END STAGE RENAL DISEASE TREATMENT FACILITY (65):
A facility other than a hospital, which provides dialysis treatment, maintenance and/or training to patients or care givers on an ambulatory or home-care basis.

FEDERALLY QUALIFIED HEALTH CENTER (50):
A facility located in a medically under served area that provides Medicare beneficiaries preventive primary medical care under the general direction of a physician.

GROUP HOME (14**) (Description revised effective April 2004)
A residence, with shared living areas, where clients receive supervision and other services such as social and/or behavioral services, custodial service, and minimal services (e.g., medication administration).

HOME (PATIENT'S) (12):
Location, other than a hospital or other facility, where the patient receives care in a private residence.

HOMELESS SHELTER (04*):
A facility or location whose primary purpose is to provide temporary housing to homeless individuals (e.g., emergency shelters, individual or family shelters)

HOSPICE (34):
A facility, other than a patient's home, in which palliative and supportive care for terminally ill patients and their families are provided.

INDEPENDENT CLINIC (49**):
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.

INDEPENDENT LABORATORY (81):
A laboratory certified to perform diagnostic and/or clinical tests independent of an institution or a physician's office.

INPATIENT HOSPITAL (21):
A facility, other than a psychiatric facility, which primarily provides diagnostic, therapeutic (both surgical and nonsurgical) and rehabilitation services, by, or under, the supervision of physicians to patients admitted for a variety of medical conditions.

INPATIENT PSYCHIATRIC FACILITY (51):
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.

INTERMEDIATE CARE FACILITY/MENTALLY RETARDED (54):
A facility which primarily provides health-related care and services above the level of custodial care to mentally retarded individuals but does not provide the level of care or treatment available in a hospital or skilled nursing facility (SNF).

MASS IMMUNIZATION CENTER (60):
A location where providers administer pneumococcal pneumonia and influenza virus vaccinations and submit these services using the roster billing method. This generally takes place in a mass immunization setting, such as, a public health center, pharmacy, or mall but may include a physician office setting.

MILITARY TREATMENT FACILITY (MTF) (26):
A medical facility operated by one or more of the Uniformed Services. Military Treatment Facility (MTF) also refers to certain former U.S. Public Health Service (USPHS) facilities now designated as Uniformed Service Treatment Facilities (USTF).

MOBILE UNIT (15*):
A facility/unit that moves from place-to-place equipped to provide preventive, screening, diagnostic, and/or treatment services.

NON-RESIDENTIAL SUBSTANCE ABUSE TREATMENT FACILITY (57**):
A location which 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.

NURSING FACILITY (NF) (32):
A facility, which primarily provides to residents, skilled nursing care and related services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care services above the level of custodial care to other than mentally retarded individuals.

OFFICE (11):
Location, other than a hospital, skilled nursing facility (SNF), military treatment facility, community health center, state or local public health clinic or intermediate care facility (ICF), where the health professional routinely provides health examination, diagnosis and treatment of illness or injury on an ambulatory basis.

OTHER UNLISTED FACILITY (99):
Other service facilities not identified in this listing.

OUTPATIENT HOSPITAL (22):
A portion of a hospital, which provides diagnostic, therapeutic (both surgical and nonsurgical), and rehabilitation services to sick or injured persons who do not require hospitalization or institutionalization.

PRISON/CORRECTIONAL FACILITY (09)

PSYCHIATRIC FACILITY PARTIAL HOSPITALIZATION (52):
A facility for the diagnosis and treatment of mental illness that provides a planned therapeutic program for patients who do not require full-time hospitalization, but who need broader programs than are possible from outpatient visits to a hospital-based or hospital-affiliated facility.

PSYCHIATRIC RESIDENTIAL TREATMENT CENTER (56):
A facility or distinct part of a facility for psychiatric care which provides a total 24-hour therapeutically planned and professionally staffed group living and learning environment.

RESIDENTIAL SUBSTANCE ABUSE TREATMENT FACILITY (55):
A facility, which 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 counseling, family counseling, laboratory tests, drugs and supplies, psychological testing, and room and board.

RURAL HEALTH CLINIC (RHC) (72):
A certified facility, which is located in a rural medically underserved area that provides ambulatory primary medical care under the general direction of a physician.

SCHOOL (03*):
A facility whose primary purpose is education.

SKILLED NURSING FACILITY (SNF) (31):
A facility, which 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.

STATE OR LOCAL PUBLIC HEALTH CLINIC (71):
A facility maintained by either state or local health departments that provides ambulatory primary medical care under the general direction of a physician.

TEMPORARY LODGING (16):
A short-term accommodation such as a hotel, camp ground, hostel, cruise ship or resort ere the patient receives care, and which is not identified by any other POS code.

URGENT CARE FACILITY (20*):
Location, distinct from a hospital emergency room, an office, or a clinic, whose purpose is to diagnose and treat illness or injury for unscheduled, ambulatory patients seeking immediate medical attention.

* - An asterisk flags new place of service codes that will be valid January 1, 2003 and after.
** - Indicates new place of service codes that will be valid October 1, 2003 and after.

Page Last Modified: 07/30/06

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