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February 2022

Use place of service code 10 for telehealth services provided in a patient’s home

What you need to know
Claims for telehealth services provided in a patient’s home for dates of service on or after Jan. 1, 2022, will use a new POS code: POS 10.

The Centers for Medicare & Medicaid Services implemented a new place of service code, POS 10, to reflect telehealth services provided in a patient’s home. Providers have been using POS 02 to reflect telehealth services provided anywhere, including a patient’s home.**

Blue Cross Blue Shield of Michigan and Blue Care Network updated their systems to accept the new POS 10 code beginning Feb. 1, 2022. This applies to claims for telehealth services provided in a patient’s home for dates of service on or after Jan. 1, 2022.

The POS codes below apply to claims for telehealth services for Blue Cross commercial, Medicare Plus Blue℠, BCN commercial and BCN Advantage℠ members.

  • POS 02: Telehealth provided other than in patient’s home
    Use POS 02 when patients aren’t located in their homes when receiving health services or health related services through telecommunication technology.
  • POS 10: Telehealth provided in patient’s home
    Use the new POS 10 code when patients are located in their home when receiving health services or health-related services through telecommunication technology.

We updated the telehealth guides for medical and behavioral health providers to reflect the POS code changes.

For more information, review CMS’ New/Modifications to the Place of Service (POS) Codes for Telehealth.***

**A patient’s home is a location other than a hospital or other facility, where the patient receives care in a private residence.

***Blue Cross Blue Shield of Michigan and Blue Care Network don’t own or control this website.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2021 American Medical Association. All rights reserved.