Place of Service Crosswalk

Below is a table that shows how Place of Service codes have been crosswalked for PROMISe™ billing purposes. For provider specific place of service codes, please refer to the appropriate PROMISe Provider Handbooks and Billing Guides.

CMS-1500 PROMISe™
Place of Service Codes
837 P (Professional) PROMISe™
Place of Service Codes
837 D (Dental) PROMISe™
Place of Service Codes
ADA-2012 PROMISe™
Place of Service Codes
11 = Office11 = Office11 = Office11 = Office, Block 38
62 = Comprehensive Outpatient Rehabilitation Facility62 = Comprehensive Outpatient Rehabilitation FacilityN/AN/A
12 = Patient's Home12 = Patient's Home12 = Patient's Home12 = Home, Block 38
56 = Psychiatric Residential Treatment Facility56 = Psychiatric Residential Treatment FacilityN/AN/A
21 = Inpatient Hospital21 = Inpatient Hospital21 = Inpatient Hospital21 = Inpatient Hospital, Block 38
65 = End Stage Renal Disease Treatment Facility65 = End Stage Renal Disease Treatment FacilityN/AN/A
22 = Outpatient Hospital22 = Outpatient Hospital22 = Outpatient Hospital22 = Outpatient Hospital , Block 38
81 = Independent Laboratory81 = Independent LaboratoryN/AN/A
99 = Other Unlisted Facility (Hospital Special Treatment Room)99 = Other Unlisted Facility (Hospital Special Treatment Room)N/AN/A
32 = Nursing Facility32 = Nursing Facility32 = Nursing Facility32 = Nursing Facility, Block 38, Show Remarks
25 = Birthing Center25 = Birthing CenterN/AN/A
49 = Independent Clinic49 = Independent ClinicN/AN/A
50 = Federally Qualified Health Center50 = Federally Qualified Health CenterN/AN/A
57 = Non-residential Substance Abuse Treatment Facility57 = Non-residential Substance Abuse Treatment FacilityN/AN/A
72 = Rural Health Clinic72 = Rural Health ClinicN/AN/A
52 = Psychiatric Facility Partial Hospitalization52 = Psychiatric Facility Partial HospitalizationN/AN/A
99 = Other Unlisted Facility (Community)99 = Other Unlisted Facility (Community)99 = Community99 = Community, Block 38
24 = Ambulatory Surgical Center24 = Ambulatory Surgical Center24 = Ambulatory Surgical Center24 = Ambulatory Surgical Center, Block 38, Show Remarks
23 = Emergency Room23 = Emergency Room23 = Emergency Room23 = Emergency Room, Block 38, Show Remarks
54 = Intermediate Care Facility/Mentally Retarded54 = Intermediate Care Facility/Mentally Retarded31 = Nursing Facility31 = Nursing Facility, Block 38, Show Remarks
34 = Hospice34 = HospiceN/AN/A