POS 51: Inpatient Psychiatric Facility
Inpatient psych admission to a free-standing psychiatric hospital.
CMS description
“A facility that provides inpatient psychiatric services for the diagnosis and treatment of mental illness on a 24-hour basis, by or under the supervision of a physician.”
When to use POS 51
Inpatient psych admission to a free-standing psychiatric hospital.
Reimbursement
Inpatient Psychiatric Facility Prospective Payment System (IPF-PPS) for Medicare.
Common billing issues
- MHPAEA parity compliance
- Coverage day limits
Frequently asked questions
What is POS 51?
Inpatient Psychiatric Facility. A facility that provides inpatient psychiatric services for the diagnosis and treatment of mental illness on a 24-hour basis, by or under the supervision of a physician.
When do I use POS 51?
Inpatient psych admission to a free-standing psychiatric hospital.
How does POS 51 affect reimbursement?
Inpatient Psychiatric Facility Prospective Payment System (IPF-PPS) for Medicare.
What are common POS 51 billing issues?
MHPAEA parity compliance; Coverage day limits.
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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