Centers for Medicare and Medicaid Services Place of Service Codes Set

$179 / year

In this dataset the place of service codes and their descriptions have been cited. These codes should be used on professional claims to specify the entity where service(s) were rendered. These Place of Service Codes database have been updated from November 17, 2016.

Complexity

Place of Service Codes is a 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 (place of service) codes used throughout the healthcare industry.
This code set is required for use in the implementation guide adopted as the national standard for electronic transmission of professional health care claims under the provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). HIPAA directed the Secretary of HHS (Health & Human Services) to adopt national standards for electronic transactions. These standard transactions require all health plans and providers to use standard code sets to populate data elements in each transaction. The Transaction and Code Set Rule adopted the ASC X12N-837 Health Care Claim: Professional, volumes 1 and 2, version 4010, as the standard for electronic submission of professional claims. This standard names the POS code set currently maintained by CMS as the code set to be used for describing sites of service in such claims. POS information is often needed to determine the acceptability of direct billing of Medicare, Medicaid and private insurance services provided by a given provider.

Date Created

2014-04-01

Last Modified

2016-11-17

Version

2016-11-17

Update Frequency

Annual

Temporal Coverage

2014-04-01 to 2016-11-17

Spatial Coverage

United States

Source

John Snow Labs; Centers for Medicare & Medicaid Services;

Source License URL

Source License Requirements

N/A

Source Citation

CMS Centers for Medicare & Medicaid Services for Standard Reference, Release 1, October 1, 2015.

Keywords

POS Codes, POS in Medical Billing, Medicare Place of Service Code, CPT, CPT Codes, Coding Services, Place Of Service Codes

Other Titles

Inpatient CPT Place of Service Codes Set, Type Of Bill Place of Service Codes Set, CPT Codes Place of Service Codes Set, Coding Services Place of Service Codes Set

NameDescriptionTypeConstraints
Place_of_Service_Code1- or 2-digit POS code to indicate the setting in which service was provided.stringmaxLength : 5 unique : 1 required : 1
Place_of_Service_NameLocation where services have been performed.stringrequired : 1
Place_of_Service_DescriptionLong (full line / sentence) description of the codestring-
Place_of_Service_CodePlace_of_Service_NamePlace_of_Service_Description
2Unassigned
10Unassigned
27-30Unassigned
35-40Unassigned
43-48Unassigned
58-59Unassigned
63-64Unassigned
66-70Unassigned
73-80Unassigned
82-98Unassigned