Highlights
Providing free resources and useful informations for Physicians,
Office Managers, Medical Billers and Medical Coders
Place
of
Service
Codes
01 Pharmacy A facility or location where drugs and other medically related items and services are sold,
dispensed, or otherwise provided directly to patients.

02 Unassigned N/A

03 School A facility whose primary purpose is education.

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

05 Indian Health Service freestanding facility - A facility or location, owned and operated by the Indian Health
Service, which provides diagnostic, therapeutic (surgical and non-surgical), and rehabilitation services to
American Indians and Alaska natives who do not require hospitalization.

06 Indian Health Service provider-based facility A facility or location, owned and operated by the Indian
Health Service, which provides diagnostic, therapeutic (surgical and nonsurgical), and rehabilitation
services rendered by, or under the supervision of, physicians to American Indians and Alaska natives
admitted as inpatients or outpatients.

07 Tribal 638 freestanding facility. A facility or location owned and operated by a federally recognized
American Indian or Alaska native tribe or tribal organization under a 638 agreement, which provides
diagnostic, therapeutic (surgical and nonsurgical), and rehabilitation services to tribal members who do not
require hospitalization.

08 Tribal 638 Providerbased Facility A facility or location owned and operated by a federally recognized
American Indian or Alaska native tribe or tribal organization under a 638 agreement, which provides
diagnostic, therapeutic (surgical and nonsurgical), and rehabilitation services to tribal members admitted
as inpatients or outpatients.

09 Prison/correctional facility. A prison, jail, reformatory, work farm, detention center, or any other similar
facility maintained by either federal, state or local authorities for the purpose of confinement or rehabilitation
of adult or juvenile criminal offenders.

10 Unassigned N/A

11 Office 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 examinations, diagnosis, and treatment of illness or injury on an
ambulatory basis.

12 Home Location, other than a hospital or other facility, where the patient receives care in a private
residence.

13 Assisted living facility Congregate residential facility with selfcontained living units providing
assessment of each resident’s needs and on-site support 24 hours a day, 7 days a week, with the capacity
to deliver or arrange for services including some health care and other services.

14 Group home 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).

15 Mobile unit A facility/unit that moves from place-toplace equipped to provide preventive, screening,
diagnostic, and/or treatment services.

16 Temporary lodging A short-term accommodation such as a hotel, campground, hostel, cruise ship or
resort where the patient receives care, and which is not identified by any other POS code.

17 Walk-in retail health clinic. A walk-in health clinic, other than an office, urgent care facility, pharmacy, or
independent clinic and not described by any other place of service code, that is located within a retail
operation and provides preventive and primary care services on an ambulatory basis.

18-19 Unassigned N/A

20 Urgent care facility 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.

21 Inpatient hospital A facility, other than psychiatric, 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.

22 Outpatient hospital 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.

23 Emergency room— hospital. A portion of a hospital where emergency diagnosis and treatment of
illness or injury is provided.

24 Ambulatory surgical center. A freestanding facility, other than a physician’s office, where surgical and
diagnostic services are provided on an ambulatory basis.

25 Birthing center A facility, other than a hospital’s maternity facilities or a physician’s office, which provides
a setting for labor, delivery, and immediate post-partum care as well as immediate care of new born infants.

26 Military treatment facility. 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).

27-30 Unassigned N/A

31 Skilled nursing facility. 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.

32 Nursing facility. 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.

** Place of service codes 31 and 32 is two different POS. Which POS are you?

33 Custodial care facility. 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.

34 Hospice. A facility, other than a patient’s home, in which palliative and supportive care for terminally ill
patients and their families are provided.

35-40 Unassigned N/A (unassigned place of service codes)

41 Ambulance—land. A land vehicle specifically designed, equipped and staffed for lifesaving and
transporting the sick or injured.

42 Ambulance—air or water. An air or water vehicle specifically designed, equipped and staffed for
lifesaving and transporting the sick or injured.

43-48 Unassigned N/A (unassigned place of service codes)

49 Independent clinic 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.

50 Federally qualified health center. A facility located in a medically underserved area that provides
Medicare beneficiaries preventive primary medical care under the general direction of a physician.

51 Inpatient psychiatric facility. 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.

52 Psychiatric facilitypartial hospitalization. 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.

53 Community mental health center. A facility that provides the following services: 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 health facility; 24 hour a day emergency care services; day treatment, other partial
hospitalization services, or psychosocial rehabilitation services; screening for patients being considered for
admission to state mental health facilities to determine the appropriateness of such admission; and
consultation and education services.

54 Intermediate care facility/mentally retarded. A facility which primarily provides healthrelated 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 SNF.

55 Residential substance abuse treatment facility. 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 and counseling, family counseling, laboratory tests, drugs and

55 Residential substance abuse treatment facilit. 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 and counseling, family counseling, laboratory tests, drugs and supplies, psychological
testing, and room and board.

56 Psychiatric residential treatment center. 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.

57 Non-residential substance abuse treatment facility. 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.

58-59 Unassigned N/A (unassigned place of service codes)

60 Mass immunization center. A location where providers administer pneumococcal pneumonia and
influenza virus vaccinations and submit these services as electronic media claims, paper claims, or 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.

61 Comprehensive inpatient rehabilitation facility. 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.

62 Comprehensive outpatient rehabilitation facility. 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.

63-64 Unassigned N/A (unassigned place of service codes)

65 End-stage renal disease treatment facility. A facility other than a hospital, which provides dialysis
treatment, maintenance, and/or training to patients or caregivers on an ambulatory or home-care basis.

66-70 Unassigned N/A (unassigned place of service codes)

71 State or local public health clinic. A facility maintained by either state or local health departments that
provides ambulatory primary medical care under the general direction of a physician.

72 Rural health clinic 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.

73-80 Unassigned N/A (unassigned place of service codes)

81 Independent laboratory A laboratory certified to perform diagnostic and/or clinical tests independent of
an institution or a physician’s office.

82-98 Unassigned N/A (unassigned place of service codes)

99 Other place of service Other place of service not identified above.

Knowing your right place of service based on this list of place of service codes is important for your claims
to be properly processed and reimbursed based on medical necessity.

Please read the most recent changes issued by Medicare's new instructions on some Place of Service
Codes CMS MLN Matters: MM7631 with an Effective Date of October 01, 2012


References:

CPT Code Book, 2013 CPT Code Book, CMS Website,
Have Your Read Some of My Useful Articles?
Read What's NEW  
from
MY BLOG

Can we separately bill for the Ultrasound?