CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue ButtonĀ®)
1.2.0 - STU 2 Pre-Publish United States of America flag

CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue ButtonĀ®), published by HL7 Financial Management Working Group. This is not an authorized publication; it is the continuous build for version 1.2.0). This version is based on the current content of https://github.com/HL7/carin-bb/ and changes regularly. See the Directory of published versions

CodeSystem: CMS Place of Service Codes (POS)

Official URL: https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set Version: 1.2.0
Active as of 2022-07-27 Computable Name: CMSPlaceofServiceCodes

Copyright/Legal: The Centers for Medicare & Medicaid Services (CMS) maintain Place Of Service (POS) codes used throughout the US health care industry. The CMS POS codes are free to use without restriction.

Place of Service Codes are two-digit codes placed on health care professional claims to indicate the setting in which a service was provided. The Centers for Medicare & Medicaid Services (CMS) maintain POS codes used throughout the health care industry.

This code set is required for use in the implementation guide adopted as the national standard for electronic transmission of professional health care claims under the provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). HIPAA directed the Secretary of HHS to adopt national standards for electronic transactions. These standard transactions require all health plans and providers to use standard code sets to populate data elements in each transaction. The Transaction and Code Set Rule adopted the ASC X12N-837 Health Care Claim: Professional, volumes 1 and 2, as the standard for electronic submission of professional claims. This standard names the POS code set currently maintained by CMS as the code set to be used for describing sites of service in such claims. POS information is often needed to determine the acceptability of direct billing of Medicare, Medicaid and private insurance services provided by a given provider.

Current codes can be obtained here

This Code system is referenced in the content logical definition of the following value sets:

This code system https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set defines many codes, but they are not represented here