POS 25: Birthing Center
Free-standing birth centers staffed by midwives or OBs.
CMS description
“A facility, other than a hospital's maternity facilities or a physician's office, which provides a setting for labor, delivery, and immediate post-partum care as well as immediate care of new born infants.”
When to use POS 25
Free-standing birth centers staffed by midwives or OBs.
Reimbursement
Coverage varies — Medicaid commonly covers, commercial plans variable.
Common billing issues
- In-network status often unclear; cost-sharing varies
Frequently asked questions
What is POS 25?
Birthing Center. A facility, other than a hospital's maternity facilities or a physician's office, which provides a setting for labor, delivery, and immediate post-partum care as well as immediate care of new born infants.
When do I use POS 25?
Free-standing birth centers staffed by midwives or OBs.
How does POS 25 affect reimbursement?
Coverage varies — Medicaid commonly covers, commercial plans variable.
What are common POS 25 billing issues?
In-network status often unclear; cost-sharing varies.
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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