Place of Service · POS 72
POS 72: Rural Health Clinic
RHC encounter billing.
Code
72
Name
Rural Health Clinic
CMS description
“A certified facility which is located in a rural medically underserved area that provides ambulatory primary medical care under the general direction of a physician.”
When to use POS 72
RHC encounter billing.
Reimbursement
RHC PPS rate applies — not standard fee schedule.
Common billing issues
- RHC encounter vs fee-for-service
Frequently asked questions
What is POS 72?
Rural Health Clinic. A certified facility which is located in a rural medically underserved area that provides ambulatory primary medical care under the general direction of a physician.
When do I use POS 72?
RHC encounter billing.
How does POS 72 affect reimbursement?
RHC PPS rate applies — not standard fee schedule.
What are common POS 72 billing issues?
RHC encounter vs fee-for-service.
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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