POS 65: End-Stage Renal Disease Treatment Facility
Outpatient dialysis clinic.
CMS description
“A facility other than a hospital, which provides dialysis treatment, maintenance, and/or training to patients or caregivers on an ambulatory or home-care basis.”
When to use POS 65
Outpatient dialysis clinic.
Reimbursement
ESRD Prospective Payment System (PPS) bundled rate.
Common billing issues
- ESRD bundled payment vs separately billable services
Frequently asked questions
What is POS 65?
End-Stage Renal Disease Treatment Facility. A facility other than a hospital, which provides dialysis treatment, maintenance, and/or training to patients or caregivers on an ambulatory or home-care basis.
When do I use POS 65?
Outpatient dialysis clinic.
How does POS 65 affect reimbursement?
ESRD Prospective Payment System (PPS) bundled rate.
What are common POS 65 billing issues?
ESRD bundled payment vs separately billable services.
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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