POS 57: Non-residential Substance Abuse Treatment Facility
IOP or outpatient SUD treatment.
CMS description
“A location which provides treatment for substance (alcohol and drug) abuse on an ambulatory basis. Services include individual and group therapy and counseling, family counseling, laboratory tests, drugs and supplies, and psychological testing.”
When to use POS 57
IOP or outpatient SUD treatment.
Reimbursement
ASAM criteria apply.
Common billing issues
- IOP medical necessity denials
Frequently asked questions
What is POS 57?
Non-residential Substance Abuse Treatment Facility. A location which provides treatment for substance (alcohol and drug) abuse on an ambulatory basis. Services include individual and group therapy and counseling, family counseling, laboratory tests, drugs and supplies, and psychological testing.
When do I use POS 57?
IOP or outpatient SUD treatment.
How does POS 57 affect reimbursement?
ASAM criteria apply.
What are common POS 57 billing issues?
IOP medical necessity denials.
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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