CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®)
2.0.0 - STU 2 US

This page is part of the CARIN Blue Button Implementation Guide (v2.0.0: STU 2) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: CMS Place of Service Codes (POS) Value Set - XML Representation

Active as of 2022-11-28

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="CMSPlaceofServiceCodes"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Include all codes defined in <a href="http://terminology.hl7.org/4.0.0/CodeSystem-CMSPlaceofServiceCodes.html"><code>https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set</code></a></li></ul></div>
  </text>
  <url
       value="http://hl7.org/fhir/us/carin-bb/ValueSet/CMSPlaceofServiceCodes"/>
  <version value="2.0.0"/>
  <name value="CMSPlaceofServiceCodes"/>
  <title value="CMS Place of Service Codes (POS) Value Set"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2022-11-28T15:29:06+00:00"/>
  <publisher value="HL7 Financial Management Working Group"/>
  <contact>
    <name value="HL7 Financial Management Working Group"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/fm"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="fm@lists.HL7.org"/>
    </telecom>
  </contact>
  <description
               value="Place of Service Codes are two-digit codes placed on health care professional claims to indicate the setting in which a service was provided. The Centers for Medicare &amp; Medicaid Services (CMS) maintain POS codes used throughout the health care industry.

This code set is required for use in the implementation guide adopted as the national standard for electronic transmission of professional health care claims under the provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). HIPAA directed the Secretary of HHS to adopt national standards for electronic transactions. These standard transactions require all health plans and providers to use standard code sets to populate data elements in each transaction. The Transaction and Code Set Rule adopted the ASC X12N-837 Health Care Claim: Professional, volumes 1 and 2, as the standard for electronic submission of professional claims. This standard names the POS code set currently maintained by CMS as the code set to be used for describing sites of service in such claims. POS information is often needed to determine the acceptability of direct billing of Medicare, Medicaid and private insurance services provided by a given provider.

Current codes can be obtained [here](https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set)"/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <copyright
             value="The Centers for Medicare &amp; Medicaid Services (CMS) maintain Place Of Service (POS) codes used throughout the US health care industry. The CMS POS codes are free to use without restriction."/>
  <compose>
    <include>
      <system
              value="https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set"/>
    </include>
  </compose>
</ValueSet>