Place of Service Codes for Mental Health Billing [2024 Cheat Sheet]

If you are billing in office, use place of service code 11. If you bill in a patient’s home, use place of service 12.  If you’re billing in their home for telehealth, use POS 10.  For any other, less common places of service, use these codes below:

Place of Service Code(s)Place of Service NamePlace of Service Description
01Pharmacy **A facility or location where drugs and other medically related items and services are sold, dispensed, or otherwise provided directly to patients.

(Effective October 1, 2003)

02TelehealthThe location where health services and health related services are provided or received, through a telecommunication system. (Effective January 1, 2017)
03SchoolA facility whose primary purpose is education.

(Effective January 1, 2003)

04Homeless ShelterA facility or location whose primary purpose is to provide temporary housing to homeless individuals (e.g., emergency shelters, individual or family shelters).

(Effective January 1, 2003)

05Indian Health Service

Free-standing Facility

A facility or location, owned and operated by the Indian Health Service, which provides diagnostic, therapeutic (surgical and non-surgical), and rehabilitation services to American Indians and Alaska Natives who do not require hospitalization.  (Effective January 1, 2003)
06Indian Health Service

Provider-based Facility

A facility or location, owned and operated by the Indian Health Service, which provides diagnostic, therapeutic (surgical and non-surgical), and rehabilitation services rendered by, or under the supervision of, physicians to American Indians and Alaska Natives admitted as inpatients or outpatients.

(Effective January 1, 2003)

07Tribal 638

Free-standing

Facility

A facility or location owned and operated by a federally recognized American Indian or Alaska Native tribe or tribal organization under a 638 agreement, which provides diagnostic, therapeutic (surgical and non-surgical), and rehabilitation services to tribal members who do not require hospitalization.  (Effective January 1, 2003)
08Tribal 638

Provider-based

Facility

A facility or location owned and operated by a federally recognized American Indian or Alaska Native tribe or tribal organization under a 638 agreement, which provides diagnostic, therapeutic (surgical and non-surgical), and rehabilitation services to tribal members admitted as inpatients or outpatients.

(Effective January 1, 2003)

09Prison/

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.

(Effective July 1, 2006)

10  In Home TelehealthTelehealth services performed while the client is in their own home
11OfficeLocation, 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.
12HomeLocation, other than a hospital or other facility, where the patient receives care in a private residence.
13Assisted Living FacilityCongregate residential facility with self-contained living units providing assessment of each resident’s needs and on-site support 24 hours a day, 7 days a week, with the capacity to deliver or arrange for services including some health care and other services.

(Effective October 1, 2003)

14Group Home *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).

(Effective October 1, 2003)

15Mobile UnitA facility/unit that moves from place-to-place equipped to provide preventive, screening, diagnostic, and/or treatment services.

(Effective January 1, 2003)

16Temporary LodgingA 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.

(Effective January 1, 2008)

17Walk-in Retail Health ClinicA walk-in health clinic, other than an office, urgent care facility, pharmacy or independent clinic and not described by any other Place of Service code, that is located within a retail operation and provides, on an ambulatory basis, preventive and primary care services. (This code is available for use immediately with a final effective date of May 1, 2010)
18Place of Employment-
Worksite
A location, not described by any other POS code, owned or operated by a public or private entity where the patient is employed, and where a health professional provides on-going or episodic occupational medical, therapeutic or rehabilitative services to the individual. (This code is available for use effective January 1, 2013 but no later than May 1, 2013)
19Off Campus-Outpatient HospitalA portion of an off-campus hospital provider based department which provides diagnostic, therapeutic (both surgical and nonsurgical), and rehabilitation services to sick or injured persons who do not require hospitalization or institutionalization.  (Effective January 1, 2016)
20Urgent 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.

(Effective January 1, 2003)

21Inpatient HospitalA facility, other than psychiatric, 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.
22On Campus-Outpatient HospitalA portion of a hospital’s main campus which provides diagnostic, therapeutic (both surgical and nonsurgical), and rehabilitation services to sick or injured persons who do not require hospitalization or institutionalization.  (Description change effective January 1, 2016)
23Emergency Room – HospitalA portion of a hospital where emergency diagnosis and treatment of illness or injury is provided.
24Ambulatory Surgical CenterA freestanding facility, other than a physician’s office, where surgical and diagnostic services are provided on an ambulatory basis.
25Birthing CenterA facility, other than a hospital’s maternity facilities or a physician’s office, which provides a setting for labor, delivery, and immediate post-partum care as well as immediate care of new born infants.
26Military Treatment FacilityA 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).
27-30UnassignedN/A
31Skilled Nursing FacilityA 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.
32Nursing FacilityA 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 individuals with intellectual disabilities.
33Custodial Care FacilityA facility which provides room, board and other personal assistance services, generally on a long-term basis, and which does not include a medical component.
34HospiceA facility, other than a patient’s home, in which palliative and supportive care for terminally ill patients and their families are provided.
35-40UnassignedN/A
41Ambulance – LandA land vehicle specifically designed, equipped and staffed for lifesaving and transporting the sick or injured.
42Ambulance – Air or WaterAn air or water vehicle specifically designed, equipped and staffed for lifesaving and transporting the sick or injured.
43-48UnassignedN/A
49Independent ClinicA 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.

(Effective October 1, 2003)

50Federally Qualified Health CenterA facility located in a medically underserved area that provides Medicare beneficiaries preventive primary medical care under the general direction of a physician.
51Inpatient Psychiatric FacilityA 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.
52Psychiatric Facility-Partial HospitalizationA 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.
53Community Mental Health CenterA 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 health 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; and consultation and education services.
54Intermediate Care Facility/ Individuals with Intellectual DisabilitiesA facility which primarily provides health-related care and services above the level of custodial care to individuals but does not provide the level of care or treatment available in a hospital or SNF.
55Residential Substance Abuse Treatment FacilityA 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 and counseling, family counseling, laboratory tests, drugs and supplies, psychological testing, and room and board.
56Psychiatric Residential Treatment CenterA 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.
57Non-residential Substance Abuse Treatment FacilityA 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.

(Effective October 1, 2003)

58-59UnassignedN/A
60Mass Immunization CenterA location where providers administer pneumococcal pneumonia and influenza virus vaccinations and submit these services as electronic media claims, paper claims, or 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.
61Comprehensive Inpatient Rehabilitation FacilityA 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.
62Comprehensive Outpatient Rehabilitation FacilityA 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.
63-64UnassignedN/A
65End-Stage Renal Disease Treatment FacilityA facility other than a hospital, which provides dialysis treatment, maintenance, and/or training to patients or caregivers on an ambulatory or home-care basis.
66-70UnassignedN/A
71Public Health ClinicA facility maintained by either State or local health departments that provides ambulatory primary medical care under the general direction of a physician.
72Rural Health ClinicA certified facility which is located in a rural medically underserved area that provides ambulatory primary medical care under the general direction of a physician.
73-80UnassignedN/A
81Independent LaboratoryA laboratory certified to perform diagnostic and/or clinical tests independent of an institution or a physician’s office.
82-98UnassignedN/A
99Other Place of ServiceOther place of service not identified above.

1 Comment

  1. Angela Fredrickson August 24, 2017 at 6:43 am #

    What if intervention begins in my office (place of service) but we leave to do systematic desensitization or other in vivo therapeutic assignment in the community? Would I still use place of service code 11?

    Reply

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