What is the POS for telehealth?
Asked by: Kian Greenfelder | Last update: January 22, 2026Score: 5/5 (38 votes)
What is the POS code for telehealth?
Medicare. Use the POS that aligns with the patient's location. As of January 1, 2024, Medicare pays telehealth services provided in the patient's home (POS 10) at the non-facility rate. Telehealth services provided at an originating site (POS 02) are paid at the facility rate.
What is POS 22 and 21?
If an independent laboratory bill for a test on a sample drawn on an inpatient or outpatient of a hospital, it uses the code for the inpatient (POS code 21), off-campus-outpatient hospital (POS code 19), or on-campus outpatient hospital (POS code 22), respectively.
What is the difference between POS 31 and 32?
Use POS 31 when the patient is in a skilled nursing facility (SNF), which is a short-term care/rehabilitation facility. Use POS 32 when the patient is in a long-term nursing care facility. Keep in mind that one facility can provide BOTH types of care.
What is the POS code for telehealth in 2024?
The only two valid POS codes for Medicare telehealth billing in CY 2024 are POS 02 and POS 10. As appropriate, POS 02 or POS 10 may be used and must be paired with the appropriate telehealth modifier (modifier 93 for audio-only and modifier 95 for audio/video).
Place of Service Codes for Telehealth
What is POS 02 10 for telehealth?
Place of Service codes: When billing telehealth claims, it is important to understand the place of service (POS) codes as it affects reimbursement. POS 02 refers to telehealth provided other than in patient's home and POS 10 refers to telehealth provided in patient's home.
Do you use 95 or GT modifier for telehealth 2024?
For institutional billing, use modifier 95 for dates of service on and after January 1, 2024, through December 31, 2024, when: The clinician is in the hospital and the patient is in their home. Outpatient therapy provided via telehealth by PTs, OTs or SLPs employed by hospitals.
What is POS 53 in medical billing?
Place of service 53 is defined as a Community Mental Health Center, which per the Centers for Medicare & Medicaid Services (CMS) is “a facility that provides the following services: outpatient services, including specialized outpatient services for children, the elderly, individuals who are chronically ill, and ...
What is the CPT code for POS 31?
POS 31 (Skilled Nursing Facility) has been added to CPT-4 billing codes 11043, 11044, 11046, and 11047.
What is POS 9?
Guidance for an update that added a POS code "09" for a prison/correctional facility setting. Download the Guidance Document. Issued by: Centers for Medicare & Medicaid Services (CMS)
What is POS 33?
33. Custodial Care. Facility A facility which provides room, board and other personal assistance services, generally on a long-term basis, and which does not include a medical component.
What is a POS code 23?
POS 23 Emergency Room – Hospital A portion of a hospital where emergency diagnosis and treatment of illness or injury is provided.
What is POS 17?
17. Walk-in Retail Health Clinic. A walk-in health clinic, other than an office, urgent care facility, pharmacy or independent clinic and not described by any other Place of Service code, that is located within a retail operation and provides, on an ambulatory basis, preventive and primary care services.
How to code a telehealth visit?
- 99202-99205: Office/outpatient E/M visit, new patient.
- 99211-99215: Office/outpatient E/M visit, established patient.
- G0425-G0427: Consultations, emergency department or initial inpatient (Medicare only)
What is the charge code for telehealth?
Telehealth Visit A visit with a provider that uses telecommunication systems between a provider and a patient. 99202 - 99215 For new* or established patients.
Can you use 99214 for telehealth?
However, we can still use time as the main factor in choosing the proper code — 10 minutes for 99212, 15 minutes for 99213, 25 minutes for 99214 and 40 minutes for 99215. Remember, you must write down the time: For example, either 9:00 to 9:25, or 25 minutes (99214). On the other hand, do not forget that until Jan.
What is the place of service code for telehealth?
POS code 02 is now for telehealth services provided when the patient is not physically at home. POS code 10 is now for telehealth services provided when the patient is at home.
What is POS 22?
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.
What is POS 21?
Conclusion. POS 21, also known as “Inpatient Hospital,” is a specific code used in medical billing to denote the location where healthcare services are provided. In the context of reimbursement, it signifies that the services were delivered in an inpatient hospital setting.
What is a POS 52 in medical billing?
Code 51 – Inpatient Psychiatric Facility. Code 52 – Psychiatric Facility-Partial Hospitalization. Code 53 – Community Mental Health Center. Code 54 – Intermediate Care Facility/Individuals with Intellectual Disabilities.
What is pos 91?
90. Magnetic stripe read and exact content of Track 1 or Track 2 included - CVV checking possible. 91. Contactless device - read originaled using magnetic stripe data rules. CVV checking is possible.
What is POS response code 55?
Response Code: 55 - Incorrect PIN. The customer's card issuer has declined the transaction as the customer has entered an incorrect PIN. The customer should re-enter their PIN.
What is the POS for Medicare telehealth 2024?
February 2024
Medicare will reimburse 2024 claims for telehealth services using Place of Service (POS) code 10 (services provided in the patient's home) at the non-facility rate.
What modifier to use for telehealth?
The two most commonly used modifiers are the GT modifier for telehealth service rendered via interactive audio and video telecommunications systems, and the 95 modifier for synchronous telemedicine service rendered via a real-time interactive audio and video communications system.
What is the difference between telehealth and telemedicine?
While telemedicine refers specifically to remote clinical services, telehealth can refer to remote non-clinical services, such as provider training, administrative meetings, and continuing medical education, in addition to clinical services. There are several other ways to define telehealth.