Place of Service Crosswalk
Type of Bill
Type of Bill
Position 1 (Type of Facility)
Type of Bill
Position 2
(Bill Classification)
Place of
Service*
Place of Service Description
11X Hospital Inpatient 21 Inpatient Hospital
12X Hospital Inpatient 21 Inpatient Hospital
13X Hospital Outpatient 22 Outpatient Hospital
14X Hospital Other 22 Outpatient Hospital
18X Hospital Swing Bed 21 Inpatient Hospital
21X Skilled Nursing Inpatient 31 Skilled Nursing Facility
22X Skilled Nursing Inpatient 31 Skilled Nursing Facility
23X Skilled Nursing Outpatient 32 Nursing Facility
28X Skilled Nursing Swing Bed 32 Nursing Facility
32X Home Health Inpatient 12 Home
33X Home Health Outpatient 12 Home
34X Home Health Other 12 Home
41X Religious Nonmedical Inpatient 21 Inpatient Hospital
42X Religious Nonmedical Inpatient 21 Inpatient Hospital
43X Religious Nonmedical Outpatient 22 Outpatient Hospital
65X Intermediate Care Intermediate Care—Level I 54 Intermediate Care
Facility/Mentally Retarded
66X Intermediate Care Intermediate Care—Level II 54 Intermediate Care
Facility/Mentally Retarded
71X Clinic or Hospital Based
Renal Dialysis Facility
Rural Health Clinic (RHC) 72 Rural Health Clinic
72X Clinic or Hospital Based
Renal Dialysis Facility
Hospital Based or Independent Renal Dialysis Facility 65 End-Stage Renal Disease
Treatment Facility
73X Clinic or Hospital Based
Renal Dialysis Facility
Free Standing Provider- Based Federally Qualified Health Center (FQHC) 49 Independent Clinic