Place of Service 22 is also called as POS 22 in Medical Billing. Place of Service 22 is a two digit numeric code and used to identify the procedure performed in “On Campus – Outpatient Hospital”.
Effective from January 1, 2016, place of service 22 was introduced by CMS-Center for Medicare and Medicaid services for medical services rendered in outpatient settings outside of the main hospital campus. As this place of service 22 was executed, providers will need to distinguish whether their hospital place is considered “on campus” or “off campus” when billing their professional health care claims, because if the medical services performed on “Off campus” place of service 19 must be used.
CMS indicated the purpose of implementing the place of service 22 for professional healthcare claims is to accumulate data (Statistics) of “Off-Campus (POS 19)” v/s “On-campus (POS 22)” Outpatient Hospital.
First let us understand the description of “On Campus – Outpatient Hospital” to understand the usage Place of Service 22 on the HCFA Claim form.
Hospital outpatient unit is considered “on-campus”, if it is less than 250 yards from the main hospital campus.
On Campus – Outpatient hospital is a portion from the hospital’s main campus that delivers medical services such as therapeutic (both surgical and non-surgical), diagnostic, and rehabilitation facilities to sick or injured individuals who do not necessitate hospitalization or institutionalization.
When selecting the place of service between the POS 22 vs 11 for professional claims, we must see the following two scenarios in order to choose correctly:
Conclusion: For better solution for the above scenarios (POS 22 vs 11), please check with health care providers to whom you are submitting the health care claims.
Answer: We use outpatient place of service code, because observation codes is considered as outpatient hospital as patient has not admitted to hospital as Inpatient. Hence claim should be reported with either place of service 22(If it’s Hospital In-Campus) or place of service 19 (If it’s Hospital Off-Campus).
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