To apply for a new or modified place of service code, you should submit a request that responds to the questions listed below. Each request should be limited to one code or modification and should include any additional descriptive material that you think would be helpful in furthering our understanding of the benefit of the code or modification being requested.

After we receive your request, it is placed on the agenda for an upcoming meeting of the CMS Place of Service Workgroup. The workgroup, comprised of representatives of several components of the Centers for Medicare & Medicaid Services (formerly known as the Health Care Financing Administration), meets to analyze the appropriateness of, and business need for, the requested code; its effect on existing POS codes and descriptions; and the impact of the proposed coding change on health care payers.

If you have questions regarding the process for reviewing place of service code recommendations and associated issues, please feel free to direct them to Frances Crystal, POS Coordinator, via e-mail at posrequest@cms.hhs.gov or telephone (410) 786-1195.  If you would like to contact CMS regarding an existing code(s) or description(s), please send your question or comment to posinfo@cms.hhs.gov.

Completing a Place of Service New Code/Modification Request

Instructions: 

1. Please sign and date each request.  Be certain to provide the name, mailing address, telephone number, fax number, and e-mail address of the person to be contacted regarding this request.

2. Please provide all information necessary to support your request.

3. Please note: All necessary information must be supplied before your request for a new code or modification to the POS coding set can be considered. Incomplete submittals will be returned for clarification or additional information.

4. Submit this information to:
Frances Crystal, POS Coordinator
Centers for Medicare & Medicaid Services
Mail Stop S2-01-16
7500 Security Blvd
Baltimore, Maryland 21244-1850

5.  Your request for new a POS code or modification must include the following supporting information.   

    a.      Identify your organization including complete name, mailing address, phone number, and type of organization.

    b.      Provide the name of a contact person to whom all CMS inquiries should be directed, and include mailing address, phone and fax numbers, and an e-mail address.

    c.      Specify the Place of Service (POS) for which you are requesting a code.  Indicate whether the POS for which you are requesting a new code or modification must have a unique state license or certification.  Include the name of the authority that issues the license/certification.

    d.      Describe the need for the requested code or modification.  Please address all reasons, such as payment differential, new type of clinical service, statutory or regulatory requirement, and coverage issues.

    e.      What POS codes, if any, are currently being used to report services performed in this place?

    f.       Why are existing POS codes inadequate to accommodate this code request or modification?

    g.      Indicate which other states, payers, or organizations also have a need for the requested code or modification.

    h.      What is your proposed description of the POS code or modification being requested?  Please discuss the reasons why you selected this description.

    i.        Does your request affect existing POS codes or descriptions?  For example, if your request were to be approved, would an existing code description need to be revised as a result?  Which code(s) and how?

    j.        Describe the expected effect of your request on health plans and providers.

    k.      In the space below, please furnish any other information CMS may need to consider your request.

    l.        Submitted By: 

        Name:
        Name of Organization:
        Complete Mailing Address:
        Telephone Number:
        FAX Number:
        E-Mail Address:
        Date:

        ____________________________
        Signature

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