Forum - Questions & Answers

Nov 26th, 2013 - daystarjj 4 

Pos 51 & 52

Is there a site of service payment reduction for place of service codes 51 & 52?

Thank you!

Jennifer

Nov 26th, 2013 - nmaguire   2,606 

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

Nov 26th, 2013 - daystarjj 4 

re: POS 51 & 52

Thank you! I assumed this was the answer, but needed to confirm for the doc :)



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