POS 33: Custodial Care Facility
Custodial care setting — assistance with ADLs.
CMS description
“A facility which provides room, board and other personal assistance services, generally on a long-term basis, and which does not include a medical component.”
When to use POS 33
Custodial care setting — assistance with ADLs.
Reimbursement
Medicare does NOT cover custodial care. Coverage typically Medicaid-only or private pay.
Common billing issues
- Medicare denies POS 33 routinely
Frequently asked questions
What is POS 33?
Custodial Care Facility. A facility which provides room, board and other personal assistance services, generally on a long-term basis, and which does not include a medical component.
When do I use POS 33?
Custodial care setting — assistance with ADLs.
How does POS 33 affect reimbursement?
Medicare does NOT cover custodial care. Coverage typically Medicaid-only or private pay.
What are common POS 33 billing issues?
Medicare denies POS 33 routinely.
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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