What is place of service code 19?
Off Campus-Outpatient Hospital
Database (updated September 2021)
| Place of Service Code(s) | Place of Service Name |
|---|---|
| 19 | Off Campus-Outpatient Hospital |
| 20 | Urgent Care Facility |
| 21 | Inpatient Hospital |
| 22 | On Campus-Outpatient Hospital |
Is place of service 22 a facility?
POS 22: On Campus-Outpatient Hospital Claims for covered services rendered in an Off Campus-Outpatient Hospital setting, or in an On CampusOutpatient Hospital setting, if payable by Medicare, shall be paid at the facility rate.
What is place of service in medical billing?
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.
What place of service is used for DME?
The place of service for claims is considered the location where a beneficiary will primarily use the DMEPOS item.
When should I use place of service 99?
Place of Service 99 indicates “Other Place of services” or “other unlisted services”. It means the acclaimed insurance company provides the payment for all those services which rule out from the services bearing the codes (01-98).
What is place of service 12 in medical billing?
Place of Service codes – POS lists with description for professional claims in medical billing.
| Place of Service Codes List | Place of Service Codes – POS Name |
|---|---|
| 12 | Home |
| 13 | Assisted Living Facility |
| 14 | Group Home * |
| 15 | Mobile Unit |
When should place of service 02 be used?
CMS always requires a place-of-service 02 code for interactive video services as it indicates that the patient was at an eligible originating site, generally limited to a healthcare facility in a rural area.
What is place of service in healthcare?
When to use place of service 22 or 19?
Answer: We use outpatient place of service code, because observation codes is considered as outpatient hospital as patient has not admitted to hospital as Inpatient. Hence claim should be reported with either place of service 22 (If it’s Hospital In-Campus) or place of service 19 (If it’s Hospital Off-Campus).
What’s the difference between POS code 22 and 19?
Beginning January 1, 2016, POS code 22 was redefined as “On-Campus Outpatient Hospital” and a new POS code 19 was developed and defined as “Off-Campus Outpatient Hospital.”
What does place of service 19 mean in medical billing?
Place of Service 19 Description: Place of Service 19 is stated on a claim “when a portion of an off-campus hospital doctor based unit which delivers diagnostic, therapeutic (both surgical and nonsurgical), and rehabilitation facilities to sick or injured persons who do not necessitate hospitalization or institutionalization”.
What is the place of service code for an outpatient hospital?
Observation codes or billed with either Place of Service 19 (Outpatient Hospital Off-Campus) or Place of Service 22 (Outpatient Hospital In-Campus) as it is consider as Hospital Outpatient. What place of service code is used when Independent Laboratory bills the claim for sample collected in an Outpatient hospital off-campus?