HL7 Terminology (THO)
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This page is part of the HL7 Terminology (v3.1.0: Release) based on FHIR R4. The current version which supercedes this version is 5.2.0. For a full list of available versions, see the Directory of published versions

: CMS Place of Service Codes (POS) - XML Representation

Active as of 2020-10-26

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<NamingSystem xmlns="http://hl7.org/fhir">
  <id value="CMSPlaceofServiceCodes"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><h3>Summary</h3><table class="grid"><tr><td>Defining URL</td><td>http://terminology.hl7.org/NamingSystem/CMSPlaceofServiceCodes</td></tr><tr><td>Name</td><td>CMSPlaceofServiceCodes</td></tr><tr><td>Status</td><td>active</td></tr><tr><td>Definition</td><td><div><p>Place of Service Codes are two-digit codes placed on health care professional claims to indicate the setting in which a service was provided. The Centers for Medicare &amp; Medicaid Services (CMS) maintain POS codes used throughout the health care industry.</p>
<p>This code set is required for use in the implementation guide adopted as the national standard for electronic transmission of professional health care claims under the provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). HIPAA directed the Secretary of HHS to adopt national standards for electronic transactions. These standard transactions require all health plans and providers to use standard code sets to populate data elements in each transaction. The Transaction and Code Set Rule adopted the ASC X12N-837 Health Care Claim: Professional, volumes 1 and 2, version 4010, as the standard for electronic submission of professional claims. This standard names the POS code set currently maintained by CMS as the code set to be used for describing sites of service in such claims. POS information is often needed to determine the acceptability of direct billing of Medicare, Medicaid and private insurance services provided by a given provider.</p>
</div></td></tr><tr><td>Publisher</td><td>Centers for Medicare &amp; Medicaid Services</td></tr></table><h3>Identifiers</h3><table class="grid"><tr><td><b>Type</b></td><td><b>Value</b></td><td><b>Preferred</b></td></tr><tr><td>OID</td><td>2.16.840.1.113883.15.5</td><td>true</td></tr><tr><td>URI</td><td>https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set</td><td>true</td></tr></table></div>
  </text>
  <extension url="http://hl7.org/fhir/tools/StructureDefinition/extension-title">
    <valueString value="CMS Place of Service Codes (POS)"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/5.0/StructureDefinition/extension-NamingSystem.url">
    <valueUri
              value="http://terminology.hl7.org/NamingSystem/CMSPlaceofServiceCodes"/>
  </extension>
  <extension
             url="http://terminology.hl7.org/StructureDefinition/ext-namingsystem-version">
    <valueString value="1.0.0"/>
  </extension>
  <name value="CMSPlaceofServiceCodes"/>
  <status value="active"/>
  <kind value="codesystem"/>
  <date value="2020-10-26T00:00:00-04:00"/>
  <publisher value="Centers for Medicare &amp; Medicaid Services"/>
  <responsible value="Centers for Medicare &amp; Medicaid Services"/>
  <description
               value="Place of Service Codes are two-digit codes placed on health care professional claims to indicate the setting in which a service was provided. The Centers for Medicare &amp; Medicaid Services (CMS) maintain POS codes used throughout the health care industry.

This code set is required for use in the implementation guide adopted as the national standard for electronic transmission of professional health care claims under the provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). HIPAA directed the Secretary of HHS to adopt national standards for electronic transactions. These standard transactions require all health plans and providers to use standard code sets to populate data elements in each transaction. The Transaction and Code Set Rule adopted the ASC X12N-837 Health Care Claim: Professional, volumes 1 and 2, version 4010, as the standard for electronic submission of professional claims. This standard names the POS code set currently maintained by CMS as the code set to be used for describing sites of service in such claims. POS information is often needed to determine the acceptability of direct billing of Medicare, Medicaid and private insurance services provided by a given provider."/>
  <uniqueId>
    <type value="oid"/>
    <value value="2.16.840.1.113883.15.5"/>
    <preferred value="true"/>
  </uniqueId>
  <uniqueId>
    <type value="uri"/>
    <value
           value="https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set"/>
    <preferred value="true"/>
  </uniqueId>
</NamingSystem>