For Dates of Service Before October 1, 2023

Place of Service Codes

POS codes are required on claims and other forms submitted to Wisconsin Medicaid. Reimbursable PNCC services must be performed in an allowable POS.

POS Code Description
02 Telehealth Provided Other Than in Patient's Home
03 School
04 Homeless Shelter
05 Indian Health Service Free-Standing
06 Indian Health Service Provider-Based
07 Tribal 638 Free-Standing Facility
08 Tribal 638 Provider-Based Facility
10 Telehealth Provided in Patient's Home
11 Office
12 Home
19 Off Campus—Outpatient Hospital
21 Inpatient Hospital
22 On Campus—Outpatient Hospital
23 Emergency Room—Hospital
31 Skilled Nursing Facility
32 Nursing Facility
50 Federally Qualified Health Center
51 Inpatient Psychiatric Facility
54 Intermediate Care Facility/Individuals With Intellectual Disabilities
71 Public Health Clinic
72 Rural Health Clinic
99 Other POS