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  • 18,887 complaints received
  • 5,361 Field Investigations
  • $17,340,900 saved
  • March 1, 2013 - February 28, 2014

    Place of Service Crosswalk

    Below is a table that shows how Place of Service codes have been crosswalked for PROMISe™ billing purposes. For provider specific place of service codes, please refer to the appropriate PROMISe Provider Handbooks and Billing Guides.

    Previous (pre-PROMISe™) Medical Assistance (MA) Place of Service CodesCMS-1500 PROMISe™ Place of Service Codes837 P (Professional) PROMISe™ Place of Service Codes837 D (Dental) PROMISe™ Place of Service CodesADA-2000 PROMISe™ Place of Service Codes
    01 = Office11 = Office11 = Office11 = OfficeX "Office", block 49
    01 = Office (with Comprehensive Outpatient Rehabilitation Facility)62 = Comprehensive Outpatient Rehabilitation Facility62 = Comprehensive Outpatient Rehabilitation FacilityN/AN/A
    02 = Patient's Home12 = Patient's Home12 = Patient's Home12 = Patient's HomeX "Other", block 49, show remarks
    02 = Patient's Home (with Non-JCAHO Residential Treatment Facility)56 = Psychiatric Residential Treatment Facility56 = Psychiatric Residential Treatment FacilityN/AN/A
    03 = Inpatient Hospital21 = Inpatient Hospital21 = Inpatient Hospital21 = Inpatient Hospital21 = Inpatient Hospital
    04 = Renal Dialysis Center65 = End Stage Renal Disease Treatment Facility65 = End Stage Renal Disease Treatment FacilityN/AN/A
    05 = Outpatient Hospital22 = Outpatient Hospital22 = Outpatient Hospital11 = OfficeX "Office", block 49
    06 = Independent Laboratory81 = Independent Laboratory81 = Independent LaboratoryN/AN/A
    07 = Hospital Special Treatment Room99 = Other Unlisted Facility (Hospital Special Treatment Room)99 = Other Unlisted Facility (Hospital Special Treatment Room)N/AN/A
    08 - Nursing Facility32 = Nursing Facility32 = Nursing Facility31 = Nursing FacilityX "ECF", block 49
    09 = Independent Clinic (with Birthing Center)25 = Birthing Center25 = Birthing CenterN/AN/A
    09 = Independent Clinic (with Independent Medical/Surgical Clinic or Outpatient Psych Clinic)49 = Independent Clinic49 = Independent ClinicN/AN/A
    09 = Independent Clinic (with Federally Qualified Health Center)50 = Federally Qualified Health Center50 = Federally Qualified Health Center11 = OfficeX "Office", block 49
    09 = Independent Clinic (with Outpatient Drug & Alcohol Clinic)57 = Non-residential Substance Abuse Treatment Facility57 = Non-residential Substance Abuse Treatment FacilityN/AN/A
    09 = Independent Clinic (with Rural Health Clinic)72 = Rural Health Clinic72 = Rural Health Clinic11 = OfficeX "Office", block 49, show Remarks
    10 = Free-standing Mental Health Establishment52 = Psychiatric Facility Partial Hospitalization52 = Psychiatric Facility Partial HospitalizationN/AN/A
    11 = Community 99 = Other Unlisted Facility (Community)99 = Other Unlisted Facility (Community)99 = Other Unlisted Facility (Community)12 = HomeX "Office", block 49, show Remarks
    12 = Ambulatory Surgical Center (ASC) /Hospital Short Procedure Unit (SPU)24 = Ambulatory Surgical Center24 = Ambulatory Surgical Center21 = Inpatient HospitalX "Hosp", block 49
    14 = Emergency Room23 = Emergency Room23 = Emergency Room22 = Outpatient HospitalX "Office", block 49, show Remarks
    15 = State Mental Retardation Center (with State Mental Retardation Center)54 = Intermediate Care Facility/Mentally Retarded54 = Intermediate Care Facility/Mentally Retarded31 = Nursing FacilityX "ECF", block 49
    16 = Free-Standing Inpatient Hospice34 = Hospice34 = HospiceN/AN/A