Ambulance providers should use the appropriate POS code designating the destination of the transport. The following table lists the allowable POS codes that providers are required to use when submitting claims and prior authorization requests for ambulance services.
| POS Code | Description |
|---|---|
| 03 | School |
| 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 |
| 11 | Office |
| 12 | Home |
| 15 | Mobile Unit |
| 19 | Off Campus — Outpatient Hospital |
| 20 | Urgent Care Facility |
| 21 | Inpatient Hospital |
| 22 | On Campus — Outpatient Hospital |
| 23 | Emergency Room — Hospital |
| 24 | Ambulatory Surgical Center |
| 25 | Birthing Center |
| 31 | Skilled Nursing Facility |
| 32 | Nursing Facility |
| 33 | Custodial Care Facility |
| 34 | Hospice |
| 41 | Ambulance — Land |
| 42 | Ambulance — Air or Water |
| 50 | Federally Qualified Health Center |
| 51 | Inpatient Psychiatric Facility |
| 54 | Intermediate Care Facility/Individuals with Intellectual Disabilities |
| 61 | Comprehensive Inpatient Rehabilitation Facility |
| 71 | State or Local Public Health Clinic |
| 72 | Rural Health Clinic |
| 99 | Other Place of Service |