POS 26: Military Treatment Facility
DoD or USTF facility billing — TRICARE primary payer.
CMS description
“A medical facility operated by one or more of the Uniformed Services. Military Treatment Facility (MTF) also refers to certain former U.S. Public Health Service (USPHS) facilities now designated as Uniformed Service Treatment Facilities (USTF).”
When to use POS 26
DoD or USTF facility billing — TRICARE primary payer.
Reimbursement
TRICARE-specific fee schedules.
Common billing issues
- TRICARE prior auth requirements differ from commercial
Frequently asked questions
What is POS 26?
Military Treatment Facility. A medical facility operated by one or more of the Uniformed Services. Military Treatment Facility (MTF) also refers to certain former U.S. Public Health Service (USPHS) facilities now designated as Uniformed Service Treatment Facilities (USTF).
When do I use POS 26?
DoD or USTF facility billing — TRICARE primary payer.
How does POS 26 affect reimbursement?
TRICARE-specific fee schedules.
What are common POS 26 billing issues?
TRICARE prior auth requirements differ from 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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