EM Coding Alert

Reader Question:

Learn 2 New POS Codes for 2016

Question: I heard a rumor that we’ll have new place of service codes for hospital outpatient encounters next year. Can you tell me anything about that?

Colorado Subscriber

Answer: You heard correctly. In 2015, you use place of service (POS) code 22 for outpatient hospital services. Effective Jan. 1, 2016, and implemented Jan. 4, 2016, you’ll have two updated POS codes to consider for outpatient services, as follows:

  • POS 19 (Off Campus - Outpatient Hospital) — Descriptor: A portion of an off-campus hospital provider based department which provides diagnostic, therapeutic (both surgical and nonsurgical), and rehabilitation services to sick or injured persons who do not require hospitalization or institutionalization.
  • POS 22 (On Campus - Outpatient Hospital) — Descriptor: A portion of a hospital’s main campus which provides diagnostic, therapeutic (both surgical and nonsurgical), and rehabilitation services to sick or injured persons who do not require hospitalization or institutionalization.

Resource: Check out the MLN Matters article from CMS about the new POS codes: www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM9231.pdf .