|
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) |