POS 05: Indian Health Service Free-standing Facility
IHS billing only. Special encounter rates apply.
CMS description
“A facility or location, owned and operated by the Indian Health Service, which provides diagnostic, therapeutic (surgical and non-surgical), and rehabilitation services to American Indians and Alaska Natives who do not require hospitalization.”
When to use POS 05
IHS billing only. Special encounter rates apply.
Reimbursement
Specific IHS reimbursement methodology — not standard CMS facility/non-facility split.
Common billing issues
- Non-IHS providers cannot use POS 05
Frequently asked questions
What is POS 05?
Indian Health Service Free-standing Facility. A facility or location, owned and operated by the Indian Health Service, which provides diagnostic, therapeutic (surgical and non-surgical), and rehabilitation services to American Indians and Alaska Natives who do not require hospitalization.
When do I use POS 05?
IHS billing only. Special encounter rates apply.
How does POS 05 affect reimbursement?
Specific IHS reimbursement methodology — not standard CMS facility/non-facility split.
What are common POS 05 billing issues?
Non-IHS providers cannot use POS 05.
Other POS codes
- POS 01 — PharmacyUsed primarily for vaccines administered at a pharmacy and pharmacist-rendered s
- POS 02 — Telehealth Provided Other than in Patient's HomeSince 2022, POS 02 must be used for telehealth when the patient is anywhere OTHE
- POS 03 — SchoolUsed for services provided in a school setting — typically school-based health c
- POS 04 — Homeless ShelterHealth services provided at a homeless shelter, typically by mobile clinics, str
- POS 06 — Indian Health Service Provider-based FacilityIHS billing only, provider-based hospital outpatient setting.
- POS 07 — Tribal 638 Free-standing FacilityTribal 638 contract facility billing.
Sources
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