TMPPM 2010 > Volume 1, General Information > Section 6: Claims Filing > Coding > Diagnosis Coding > Place of Service (POS) Coding

   
 

6.3.1.1 Place of Service (POS) Coding

The POS identifies where services are performed. Indicate the POS by using the appropriate code for each service identified on the claim.

Important: Attention ambulance providers: POS 41 and 42 are accepted by Texas Medicaid for ambulance claims processing. The two-digit origin and destination codes are still required for claims processing.

Use the following codes for POS identification where services are performed:

POS
2-Digit Numeric Codes (Electronic Billers)
1-Digit Numeric Codes (Paper Billers)

Office

11, 15, 50, 60, 65, 71, 72

1

Home

12

2

Inpatient hospital

21, 51, 52, 55, 56, 61

3

Outpatient hospital

22, 23, 24, 62

5

Birthing center

25

7

Other location

03, 04, 05, 06, 07, 08, 26, 34, 41, 42, 53, 99

9

Skilled nursing facility, intermediate care facility, intermediate care facility for mentally retarded

31, 32, 54

4

Extended care facility (rest home, domiciliary or custodial care, nursing facility boarding home)

33

8

Independent lab

81

6

Destination of ambulance

Indicate destination using above codes

Indicate destination using above codes

Note: Family planning and THSteps medical services performed in an RHC are billed using national POS code 72.


Texas Medicaid & Healthcare Partnership
CPT only copyright 2009 American Medical Association. All rights reserved.
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