Apply E/M Time Rules - Certified Professional Coder CPC
- Which POS code is used for services performed in an emergency department?
- POS 23 (Emergency Room—Hospital). POS 23 designates emergency departments in hospitals for urgent, unscheduled care.
- Which POS code is used for services performed in a psychiatric facility (inpatient psychiatric hospital)?
- POS 51 (Inpatient Psychiatric Facility). POS 51 is used for inpatient psychiatric hospitals treating mental health conditions requiring admission.
- Which POS code is used for services performed in a retail clinic located in a store pharmacy setting?
- POS 17 (Walk-in Retail Health Clinic). POS 17 applies to clinics within retail stores offering convenient, non-appointment-based care.
- Which POS code is used for services performed in an ambulatory surgical center (ASC)?
- POS 24 (Ambulatory Surgical Center). POS 24 applies to freestanding facilities licensed for ambulatory surgery, separate from hospitals.
- Which POS code is used for services performed in a hospital outpatient department?
- POS 22 (Outpatient Hospital). POS 22 is used for outpatient departments of hospitals where patients receive services without admission.
- Which POS code is used for services performed in a nursing facility (NF) that is not an SNF?
- POS 32 (Nursing Facility). POS 32 covers nursing facilities offering custodial care but not meeting skilled nursing criteria.
- Which POS code is used for services performed in a skilled nursing facility (SNF)?
- POS 31 (Skilled Nursing Facility). POS 31 is for skilled nursing facilities providing rehabilitative and nursing care to patients requiring skilled services.
- Which POS code is used for services performed in an intermediate care facility for individuals with intellectual disabilities (ICF/IID)?
- POS 54 (Intermediate Care Facility/IDD). POS 54 applies to facilities offering residential care for individuals with intellectual disabilities needing intermediate support.
- Which POS code is used for services performed in an ambulance (land) transport setting?
- POS 41 (Ambulance—Land). POS 41 is used for ground ambulance services involving land-based emergency transport.
- Which POS code is used for services performed in a patient's assisted living facility (ALF) when it is the residence?
- POS 13 (Assisted Living Facility). POS 13 is for assisted living facilities serving as the patient's residence with supportive services.
- Which POS code is used for services performed in a mobile unit (for example, mobile clinic van)?
- POS 15 (Mobile Unit). POS 15 is assigned to portable facilities like vans that deliver healthcare services at various locations.
- Which POS code is used for services performed in a hospice setting (inpatient hospice facility)?
- POS 34 (Hospice). POS 34 is designated for inpatient hospice facilities providing end-of-life care.
- What is the time-based coding rule for selecting an E/M level when time is the controlling factor?
- Use total time on date of encounter for that E/M service. E/M codes are selected based on the total physician time spent on the encounter date when time dominates over MDM.
- Which POS code is used for services performed in an inpatient hospital setting?
- POS 21 (Inpatient Hospital). POS 21 indicates an inpatient hospital setting where patients are admitted for overnight stays and receive comprehensive care.
- Which POS code is used for services performed in a patient home (not a private residence used as a facility)?
- POS 12 (Home). POS 12 applies to services provided in the patient's private residence, excluding facilities like nursing homes.
- Which POS code is used for services performed in a partial hospitalization program (PHP)?
- POS 52 (Psychiatric Partial Hospitalization). POS 52 covers partial hospitalization programs offering intensive daytime psychiatric treatment without overnight stays.
- Which POS code is used for services performed in a community mental health center (CMHC)?
- POS 53 (Community Mental Health Center). POS 53 is for centers providing outpatient mental health services to community members.
- Which POS code is used for services performed in a group home or custodial residential facility?
- POS 14 (Group Home). POS 14 covers group homes or custodial facilities providing residential care for multiple individuals.
- Identify the correct POS for a telehealth visit provided to a patient at home (distant site clinician).
- POS 10 (Telehealth Provided in Patient's Home). POS 10 is specifically for telehealth services where the patient is located at home, reflecting the distant site's billing rules.
- Which POS code is used for services performed in an ambulance (air or water) transport setting?
- POS 42 (Ambulance—Air or Water). POS 42 applies to air or water ambulance services for emergency transport via helicopter or boat.
- Which POS code is used for services performed in a federally qualified health center (FQHC)?
- POS 50 (Federally Qualified Health Center). POS 50 designates centers funded federally to serve underserved populations with comprehensive primary care.
- Which place of service (POS) code is used for services performed in a physician office?
- POS 11 (Office). POS 11 is assigned to services rendered in a physician's office, which is a privately owned or leased facility for patient care.
- Which POS code is used for services performed in an independent clinic (not hospital outpatient department)?
- POS 49 (Independent Clinic). POS 49 is for standalone clinics not affiliated with hospitals, providing specialized outpatient services.
- Identify the correct POS for a telehealth visit when the patient is not at home (for example, SNF or office).
- POS 02 (Telehealth Other Than in Patient's Home). POS 02 is used for telehealth when the patient is in a facility other than their home, per CMS guidelines.
- Which POS code is used for services performed in an urgent care facility?
- POS 20 (Urgent Care Facility). POS 20 designates facilities providing walk-in care for non-emergency but urgent medical needs.