Forum - Questions & Answers
Pos 51 & 52
Is there a site of service payment reduction for place of service codes 51 & 52?
Thank you!
Jennifer
re: POS 51 & 52
Facility Based Reduction – Allowed amounts for services performed in
facility based settings are reduced and are represented on the MPFS by the #
sign. Below is a table indicating the place of service (POS) codes that may
cause a facility based reduction.
Place of Service (POS)
21 Inpatient Hospital
22 Outpatient Hospital
23 Emergency Room – Hospital
24 Ambulatory Surgical Center -- ASC is treated as a facility setting only when an ASC list procedure is performed in an ASC.
26 Military Treatment Facility
31 Skilled Nursing Facility
34 Hospice
41 Ambulance – Land
42 Ambulance – Air or Water
51 Inpatient Psychiatric Facility
52 Psychiatric Facility Partial Hospitalization
53 Community Mental Health Center
56 Psychiatric Residential Treatment Facility
61 Comprehensive Inpatient Rehabilitation Facility
re: POS 51 & 52
Thank you! I assumed this was the answer, but needed to confirm for the doc :)