PLACE OF SERVICE (POS) CODES
The POS code must be one of the following:
21 – Inpatient hospital
23 – Emergency room – hospital
26 – Military treatment facility
51 – Inpatient psychiatric facility
55 – Residential substance abuse treatment facility
56 – Psychiatric residential treatment center
61 – Comprehensive inpatient rehabilitation hospital
Please keep the following in mind when submitting claims:
• HCY services are not limited to the above places of service
• POS codes 55, 56, and 61 are not valid for air transport
• POS codes 41 (land) and 42 (air/water) are Medicare codes and not valid MO HealthNet POS codes
VALID AMBULANCE MODIFIERS
EP – HCY services for participants under 21 years of age
GM – Ground transport for multiple participants
HH – Hospital to hospital transfer
HD – Specialized testing and treatment
SC – Medically necessary service or supply
Medicare Ambulance billing. Ambulance billing codes, Air ambulance billing guide and reimbursement. How and what code to use for correct payment.
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