Content Section
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Alphabetical
List of Place of Service (POS) Codes for New Jersey and New
York
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AMBULANCE AIR OR WATER (42):
An air or water vehicle specifically designed, equipped or staffed
for lifesaving and transporting the sick or injured.
AMBULANCE LAND (41):
A land vehicle specifically designed, equipped or staffed for
lifesaving and transporting the sick or injured.
AMBULATORY SURGICAL CENTER (ASC) (24):
A free standing facility, other than a physician's office, where
surgical and diagnostic services are provided on an ambulatory
basis.
ASSISTED LIVING FACILITY (13**):
Congregate residential facility with self-contained living units
providing assessment of each resident's needs and on-site support
24 hours a day, seven days a week, with the capacity to deliver
or arrange for services including some health care and other services.
BIRTHING CENTER (25):
A facility, other than a hospital's maternity facilities or a
physician's office, which provides a setting for labor, delivery
and immediate postpartum care as well as immediate care of newborn
infants.
COMMUNITY MENTAL HEALTH CENTER (CMHC) (53):
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 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.
- Consultation and education services.
COMPREHENSIVE INPATIENT REHABILITATION FACILITY (61):
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.
COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF)
(62):
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.
CUSTODIAL CARE FACILITY (33):
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.
EMERGENCY ROOM-HOSPITAL (23):
A portion of a hospital where emergency diagnosis and treatment
of illness or injury is provided.
END STAGE RENAL DISEASE TREATMENT FACILITY (65):
A facility other than a hospital, which provides dialysis treatment,
maintenance and/or training to patients or care givers on an ambulatory
or home-care basis.
FEDERALLY QUALIFIED HEALTH CENTER (50):
A facility located in a medically under served area that provides
Medicare beneficiaries preventive primary medical care under the
general direction of a physician.
GROUP HOME (14**) (Description revised effective April
2004)
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).
HOME (PATIENT'S) (12):
Location, other than a hospital or other facility, where the patient
receives care in a private residence.
HOMELESS SHELTER (04*):
A facility or location whose primary purpose is to provide temporary
housing to homeless individuals (e.g., emergency shelters, individual
or family shelters)
HOSPICE (34):
A facility, other than a patient's home, in which palliative and
supportive care for terminally ill patients and their families
are provided.
INDEPENDENT CLINIC (49**):
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.
INDEPENDENT LABORATORY (81):
A laboratory certified to perform diagnostic and/or clinical tests
independent of an institution or a physician's office.
INPATIENT HOSPITAL (21):
A facility, other than a psychiatric facility, 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.
INPATIENT PSYCHIATRIC FACILITY (51):
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.
INTERMEDIATE CARE FACILITY/MENTALLY RETARDED (54):
A facility which primarily provides health-related 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 skilled nursing facility (SNF).
MASS IMMUNIZATION CENTER (60):
A location where providers administer pneumococcal pneumonia and
influenza virus vaccinations and submit these services 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.
MILITARY TREATMENT FACILITY (MTF) (26):
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).
MOBILE UNIT (15*):
A facility/unit that moves from place-to-place equipped to provide
preventive, screening, diagnostic, and/or treatment services.
NON-RESIDENTIAL SUBSTANCE ABUSE TREATMENT FACILITY (57**):
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.
NURSING FACILITY (NF) (32):
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.
OFFICE (11):
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 examination,
diagnosis and treatment of illness or injury on an ambulatory
basis.
OTHER UNLISTED FACILITY (99):
Other service facilities not identified in this listing.
OUTPATIENT HOSPITAL (22):
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.
PRISON/CORRECTIONAL FACILITY (09)
PSYCHIATRIC FACILITY PARTIAL HOSPITALIZATION (52):
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.
PSYCHIATRIC RESIDENTIAL TREATMENT CENTER (56):
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.
RESIDENTIAL SUBSTANCE ABUSE TREATMENT FACILITY (55):
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 counseling,
family counseling, laboratory tests, drugs and supplies, psychological
testing, and room and board.
RURAL HEALTH CLINIC (RHC) (72):
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.
SCHOOL (03*):
A facility whose primary purpose is education.
SKILLED NURSING FACILITY (SNF) (31):
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.
STATE OR LOCAL PUBLIC HEALTH CLINIC (71):
A facility maintained by either state or local health departments
that provides ambulatory primary medical care under the general
direction of a physician.
TEMPORARY LODGING (16):
A short-term accommodation such as a hotel, camp ground, hostel, cruise ship or resort where the patient receives care, and which is not identified by any other POS code.
URGENT CARE FACILITY (20*):
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.
* - An asterisk flags new place of service codes
that will be valid January 1, 2003 and after.
** - Indicates new place of service codes that will be valid October
1, 2003 and after.
Page Last Modified: 03/26/08
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