tci ED Coding & Reimbursement Alert - 2015 Issue 10

Place of Service Codes: Apply New Place of Service Code 19 For Off Campus Hospital Services

Provider-based settings away from hospitals to get their own POS code in 2016. Although the emergency department place of service (POS) code 23 has not changed, there will be a new POS code for services rendered at outpatient settings that are not part of the main hospital campus starting Jan. 1, 2016. CMS announced Aug. 6 (Change Request 9231 to the Medicare Claims Processing Manual) that it was creating new POS code 19 to identify those off-campus services. CMS defines a campus as, “the physical area immediately adjacent to the provider’s main buildings, other areas and structures...

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