CMS Announces New Place of Service Code

Effective January 1, 2022, a new place of service (POS) code became effective for use. The new POS Code, 10, indicates Telehealth services provided in the patient’s home. Prior to the creation of POS 10, the correct place of service code for all Telehealth visits was 2.
Now, the two POS codes will indicate that Telehealth services were provided, but in different environments.
Place of Service 2: Telehealth Provided Other than in Patient’s Home. Use this code when the patient is not located in their home when receiving health services. This can mean the patient is at work, in the car or even in a hospital bed.
Place of Service 10: Telehealth Provided in Patient’s Home. Use this code when the patient is located in a private residence, that is not a facility setting.

Other commonly used place of service codes

Place of Service Code(s) Place of Service Name Place of Service Description
03 School A facility whose primary purpose is education.
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.
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.
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
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.

 

The complete list of Place of Service codes can be found here: https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set

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