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INSUR {McGH}

Appendix A: Place of Service Codes

TermDefinition
01 : pharmacy Non Facility
02 : telehealth Non Facility
03 : school Non Facility
04 : homeless shelter Non Facility
05: Indian Health Service freestanding facility
06: Indian Health Service provider-based facility
07: Tribal 638 freestanding facility
08: Tribal 638 provider-based facility
09 : prison/correctional facility Non Facility
10 : telehealth provided in patient’s home Non Facility
11 : office Non Facility
12 : home Non Facility
13 : assisted living facility Non Facility
14 : group home Non Facility
15 : mobile unit Non Facility
16 : temporary lodging Non Facility
17 : walk-in retail health clinic Non Facility
18 : place of employment, worksite Non Facility
19 : off campus, outpatient hospital Non Facility
20 : urgent care facility Non Facility
21 : inpatient hospital Facility
22 : on campus, outpatient hospital Facility
23 : emergency room, hospital Facility
24 : ambulatory surgical center Facility
25 : birthing center Non Facility
26 : military treatment facility Facility
31 : skilled nursing facility Facility
32 : nursing facility Non Facility
33 : custodial care facility Non Facility
34 : hospice Facility
41 : ambulance, land Facility
42 : ambulance, air or water Facility
49 : independent clinic Non Facility
50 : federally qualified health center Non Facility
51 : inpatient psychiatric facility Facility
52 : psychiatric facility, partial hospitalization Facility
53 : community mental health center Facility
54 : intermediate care facility/individuals with intellectual disabilities Non Facility
55 : residential substance abuse treatment facility Non Facility
56 : psychiatric residential treatment center Facility
57 : non-residential substance abuse treatment facility Non Facility
58 : non-residential opioid treatment facility Non Facility
60 : mass immunization center Non Facility
61 : comprehensive inpatient rehabilitation facility Facility
62 : comprehensive outpatient rehabilitation facility Non Facility
65 : end-stage renal disease treatment facility Non Facility
71 : state or local public health clinic Non Facility
72 : rural health clinic Non Facility
81 : independent laboratory Non Facility
99 : other place of service Non Facility
24: ambulatory surgical center F, or NF for payable procedures not on ambulatory surgical center (ASC) list
Created by: VA_MedCod3r
 

 



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