CodeSystem Comparison between https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set vs https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set

Messages

Metadata

Name	Value		Comments
caseSensitive	true
compositional
content	complete
copyright
date	2025-04-26T00:00:00-00:00
description	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 & 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, 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.
experimental	false
hierarchyMeaning
jurisdiction
name	CMSPlaceofServiceCodes
publisher	Centers for Medicare & Medicaid Services
purpose
status	active
title	CMS Place of Service Codes (POS)
url	https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set
version	20240502
versionNeeded

Concepts

Code	Display		Comments
01	Pharmacy
02	Telehealth Provided Other than in Patient’s Home
03	School
04	Homeless Shelter
05	Indian Health Service Free-standing Facility
06	Indian Health ServiceProvider-based Facility
07	Tribal 638 Free-standing Facility
08	Tribal 638 Provider-based Facility
09	Prison/ Correctional Facility
10	Telehealth Provided in Patient’s Home
11	Office
12	Home
13	Assisted Living Facility
14	Group Home
15	Mobile Unit
16	Temporary Lodging
17	Walk-in Retail Health Clinic
18	Worksite
19	Off Campus-Outpatient Hospital
20	Urgent Care Facility
21	Inpatient Hospital
22	On Campus-Outpatient Hospital
23	Emergency Room – Hospital
24	Ambulatory Surgical Center
25	Birthing Center
26	Military Treatment Facility
27	Outreach Site/ Street
31	Skilled Nursing Facility
32	Nursing Facility
33	Custodial Care Facility
34	Hospice
41	Ambulance - Land
42	Ambulance – Air or Water
49	Independent Clinic
50	Federally Qualified Health Center
51	Inpatient Psychiatric Facility
52	Psychiatric Facility-Partial Hospitalization
53	Community Mental Health Center
54	Intermediate Care Facility/ Individuals with Intellectual Disabilities
55	Residential Substance Abuse Treatment Facility
56	Psychiatric Residential Treatment Center
57	Non-residential Substance Abuse Treatment Facility
58	Non-residential Opioid Treatment Facility
60	Mass Immunization Center
61	Comprehensive Inpatient Rehabilitation Facility
62	Comprehensive Outpatient Rehabilitation Facility
65	End-Stage Renal Disease Treatment Facility
66	Programs of All-Inclusive Care for the Elderly (PACE) Center*
71	Public Health Clinic
72	Rural Health Clinic
81	Independent Laboratory
99	Other Place of Service