News & Information

Physicians’ services are paid at nonfacility rates for procedures furnished in the following
settings:
 
  • Pharmacy (POS code 01);
  • School (POS code 03);
  • Homeless Shelter (POS code 04);
  • Prison/Correctional Facility (POS code 09);
  • Office (POS code 11);
  • Home or Private Residence of Patient (POS code 12);
  • Assisted Living Facility (POS code 13);
  • Group Home (POS code 14);
  • Mobile Unit (POS code 15);
  • Temporary Lodging (POS code 16);
  • Walk-in Retail Health Clinic (POS code 17);
  • Urgent Care Facility (POS code 20);
  • Birthing Center (POS code 25);
  • Nursing Facility and SNFs to Part B residents(POS code 32);
  • Custodial Care Facility (POS code 33);
  • Independent Clinic (POS code 49);
  • Federally Qualified Health Center (POS code 50);
  • Intermediate Health Care Facility/Mentally Retarded (POS code 54);
  • Residential Substance Abuse Treatment Facility(POS code 55);
  • Non-Residential Substance Abuse Treatment Facility (POS code 57);
  • Mass Immunization Center (POS code 60);
  • Comprehensive Outpatient Rehabilitation Facility (POS code 62);
  • End-Stage Renal Disease Treatment Facility (POS code 65);
  • State or Local Health Clinic (POS code 71);
  • Rural Health Clinic (POS code 72);
  • Independent Laboratory (POS code 81);and
  • Other Place of Service (POS code 99)

For settings where physician's services are paid at Facility Rates, Click Here.

References:

Medicare Claims Processing Manual Chapter 12 - (Rev. 4068, 05-31-18)

Author: 
Brittney