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Welcome  » May 20, 2024 2:32 PM
Program Name: BadgerCare Plus and Medicaid Handbook Area: Therapies: Physical, Occupational, and Speech and Language Pathology
05/20/2024  

Covered and Noncovered Services : Codes

Topic #2752

Place of Service Codes

Allowable POS codes for PT, OT, and SLP are listed in the following table.

POS Code Description
02 Telehealth Provided Other Than in Patient's Home
04* Homeless Shelter
05 Indian Health Service Free-Standing Facility
06 Indian Health Service Provider-Based Facility
07 Tribal 638 Free-Standing Facility
08 Tribal 638 Provider-Based Facility
10 Telehealth Provided in Patient's Home
11 Office
12* Home
15 Mobile Unit
19 Off Campus—Outpatient Hospital
20 Urgent Care Facility
21 Inpatient Hospital
22 On Campus—Outpatient Hospital
31 Skilled Nursing Facility
32 Nursing Facility
33 Custodial Care Facility
34 Hospice
50 Federally Qualified Health Center
54 Intermediate Care Facility/Individuals With Intellectual Disabilities
71 Public Health Clinic
72 Rural Health Clinic
99* Other Place of Service

* POS codes 04, 12, and 99 are eligible for the natural environment enhanced reimbursement when providing services to members who participate in the Birth to 3 Program when the natural environment modifier is indicated on the claim.

 
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