Place of Service Crosswalk
Type of Bill
Type of Bill
Position 1 (Type of Facility)
Type of Bill
Position 2
(Bill Classification)
Place of
Service*
Place of Service Description
74X Clinic or Hospital Based
Renal Dialysis Facility
Outpatient Rehabilitation
Facility (ORF)
49 Independent Clinic
75X Clinic or Hospital Based
Renal Dialysis Facility
Comprehensive Outpatient
Rehabilitation Facility
(CORF)
62 Comprehensive Outpatient
Rehabilitation Facility
76X Clinic or Hospital Based
Renal Dialysis Facility
Community Mental Health
Center (CMHC)
53 Community Mental Health
Center
79X Clinic or Hospital Based
Renal Dialysis Facility
OTHER 49 Independent Clinic
81X Special facility or hospital
ASC surgery
Hospice (Nonhospital
Based)
34 Hospice
82X Special facility or hospital
ASC surgery
Hospice (Hospital Based) 34 Hospice
83X Special facility or hospital
ASC surgery
Ambulatory Surgical Center Services to Hospital Outpatients 24 Ambulatory Surgical Center
84X Special facility or hospital
ASC surgery
Free Standing Birthing
Center
25 Birthing Center
85X Special facility or hospital
ASC surgery
Critical Access Hospital 22 Outpatient Hospital