Billing Beat

New and Revised Place of Service Codes (POS) for Outpatient Hospitals

September 1, 2015

In order to differentiate between on-campus and off-campus provider-based hospital departments, CMS is creating a new POS code (POS 19- Off Campus Outpatient Hospital) and revising the current POS code description for outpatient hospital (POS 22- On Campus Outpatient Hospital). The 3-day payment rule will also apply to services billed with POS code 19. Claims for covered services rendered in an POS 19 Off Campus Outpatient Hospital setting will be paid at the facility rate. You should use POS code 19 or POS code 22 when you furnish services to a hospital outpatient regardless of where the face-to-face encounter occurs.

 

Source: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R3315CP.pdf

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