POS 18: Place of Employment-Worksite
Employee health clinic visits, occupational medicine services.
CMS description
“A location, not described by any other POS code, owned or operated by a public or private entity where the patient is employed, and where a health professional provides on-going or episodic occupational medical, therapeutic or rehabilitative services to the individual.”
When to use POS 18
Employee health clinic visits, occupational medicine services.
Reimbursement
Often paid through workers' compensation rather than commercial insurance.
Common billing issues
- Wrong payer billed — should be WC, not commercial
Frequently asked questions
What is POS 18?
Place of Employment-Worksite. A location, not described by any other POS code, owned or operated by a public or private entity where the patient is employed, and where a health professional provides on-going or episodic occupational medical, therapeutic or rehabilitative services to the individual.
When do I use POS 18?
Employee health clinic visits, occupational medicine services.
How does POS 18 affect reimbursement?
Often paid through workers' compensation rather than commercial insurance.
What are common POS 18 billing issues?
Wrong payer billed — should be WC, not commercial.
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 05 — Indian Health Service Free-standing FacilityIHS billing only. Special encounter rates apply.
- POS 06 — Indian Health Service Provider-based FacilityIHS billing only, provider-based hospital outpatient setting.
Sources
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