Where are place of service codes located?
CMS website
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.
When filling a CMS 1500 What number represents the place of service POS code for doctors office visits?
11
C.F.R. 413.65. 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 does place of service 31 on a CMS 1500 form represent?
Item 30 – Leave blank. Not required by Medicare. Item 31 – Enter the signature of provider of service or supplier, or his/her representative, and either the 6-digit date (MM | DD | YY), 8-digit date (MM | DD | CCYY), or alpha- numeric date (e.g., January 1, 1998) the form was signed.
What is the place of service code used on the CMS 1500 claim?
Place of Service Codes are codes for CMS-1500 forms that tell the payer where the patient’s medical care was given. That could be an office (POS 11), state or local public health clinic (POS 71), outpatient hospital (Place of Service 22), or other location.
How is place of service determined?
According to the Medicare Claims Processing Manual, chapter 26, section 10.5, the POS is determined based on the patient’s registration status at the time that the physician sees the patient. When a physician/practitioner furnishes services to a registered inpatient, payment is made under the PFS at the facility rate.
What is the place of service code for ASC?
24
Finally, the correct place of service code for an ASC is “24.” CMS defines the ASC place of service as “a freestanding facility, other than a physician’s office, where surgical and diagnostic services are provided on an ambulatory basis.”
What is the difference between POS 22 and 11?
I think it would be POS 11 even if it is owned by the hospital it is offsite and in an office. 22 POS to me is when a service is performed in the hospital and the patient is never admitted.
What is the POS for an office visit?
POS 11- Office visit: It is the non-facility, where Healthcare provider routinely provides the health examinations, diagnosis the illness or injury and provides treatment on an ambulatory basis.
What does POS 11 represent?
Database (updated September 2021)
| Place of Service Code(s) | Place of Service Name |
|---|---|
| 09 | Prison/ Correctional Facility |
| 10 | Telehealth Provided in Patient’s Home |
| 11 | Office |
| 12 | Home |
What is another name for place of service code 22?
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 |