Place of Service Codes (POS) Payable for Evaluation and Management CPT Codes 99315-99350

CMS has defined the payable place of service codes for Evaluation and Management (E/M) for patients residing in facilities or at home (CPT Codes 99315 to 99350), Effective for dates of service on or after August 1, 2004 services billed without a payable POS will be rejected.

A table of these payable Place of Service codes follows.

CPT Payable Place of Service (POS) Codes
99315 32, 31, 54, 56
99316 32, 31, 54, 56
99341 12, 14
99342 12, 14
99343 12, 14
99344 12, 14
99345 12, 14
99347 12, 14
99348 12, 14
99349 12, 14
99350 12, 14

Key to Place of Service (POS) Codes

12 – Patient’s Home
13 – Assisted Living Facility
14 – Group Home
31 – Skilled Nursing Facility
32 – Nursing Home/Nursing Facility
33 – Custodial Care Facility
34 – Hospice Facility
54 – Intermediate Care Facility – Mentally Retarded
55 – Residential Substance Abuse Facility
56 – Psychiatric Residential Treatment Center
57 – Non-Residential Substance Abuse Treatment Facility