CMS May Refine Place of Service Code For Urgent Care

CMS May Refine Place of Service Code For Urgent Care

The Urgent Care Association (UCA) continues to seek differentiation for urgent care in the place of service (POS) definitions used by the Centers for Medicare and Medicaid Services (CMS) to construct payment schedules, which are updated yearly. In the 2026 Medicare Physician Fee Schedule, UCA’s advocacy efforts were noted in the Federal Register document with a statement indicating comments offered about the POS for urgent care will be taken into consideration by CMS for possible …

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Maximizing Reimbursement for Services on Campus, off Campus, or on the Phone

Q: We are coding for an urgent care group that is owned by a hospital and bills on a CMS-1500 for professional services and the UB-04 for facility services. We bill using Place of Service (POS) code 22. Is this correct? A: Prior to January 1, 2016, the Centers for Medicare and Medicaid Services (CMS) POS code set did not differentiate between an urgent care operating on campus or off campus. As of January 1, …

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