11 -
Office |
12 -
Home |
21 -
Inpatient Hospital |
22 -
Outpatient Hospital |
23 -
Emergency Room (Hospital) |
24 -
Ambulatory Surgery Clinic |
25 -
Birthing Center |
31 -
Skilled Nursing Facility (SNF) |
32 -
Nursing Facility (NF) |
41 -
Ambulance (Land) |
42 -
Ambulance (Air or Water) |
53 -
Community Mental Health Center |
54 -
Intermediate Care Facility – Mentally Retarded |
55 -
Residential Substance Abuse Treatment Facility
|
62
-Comprehensive Outpatient Rehabilitation Facility
|
65 -
End Stage Renal Disease Treatment Facility
|
71 -
State or Local Public Health Clinic |
72 -
Rural Health Clinic |
81 -
Independent Laboratory |
99 -
Other (if subacute care, use modifier HB to indicate
adult or modifier HA to indicate child) |