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Hospital outpatient behavioral health clinic entrance
POS 22

Place of Service Code 22: On Campus-Outpatient Hospital

POS Code
22
Telehealth
No

What is Place of Service Code 22?

POS 22 designates outpatient services rendered in a facility that is on the physical campus of a hospital but operates as an outpatient department. These clinics are owned and operated by the hospital entity, and claims are typically subject to facility billing rules, which affect provider reimbursement rates.

When to Use POS 22

Use POS 22 when providing therapy at a hospital-owned outpatient behavioral health clinic or medical building that is located on the hospital's main campus. Do not use POS 11 — using the wrong POS will cause a rate mismatch.

CPT Codes Commonly Paired with POS 22

These CPT codes are frequently billed with Place of Service 22 in therapy practice:

CPT 90837 - Psychotherapy, 60 minutesCPT 90834 - Psychotherapy, 45 minutesCPT 90791 - Psychiatric diagnostic evaluationCPT 90847 - Family psychotherapy with patient presentCPT 99213 - Office or outpatient visit, moderate complexity

Billing Notes for POS 22

Important: Providers billing POS 22 receive the facility rate (lower than non-facility rates) because the hospital submits a separate facility fee. If you are an independent contractor renting space in a hospital-owned clinic, confirm with compliance whether to use POS 22 or POS 11. Medicare requires the hospital to enroll the provider location as an outpatient department.

Common Mistakes with POS 22

  • ✗Using POS 11 for hospital-based outpatient clinic services — this underpays the facility and may trigger a refund
  • ✗Confusing POS 22 (on-campus) with POS 19 (off-campus outpatient hospital) for off-site hospital satellite clinics
  • ✗Not confirming whether the clinic is hospital-owned vs. independently-owned before selecting POS
  • ✗Failing to notify credentialing that the provider is billing from a hospital outpatient location

Adding POS 22 to a Superbill

Superbilled lets you specify the Place of Service code on every superbill you generate. When creating a superbill with POS 22, ensure your NPI, the patient's diagnosis code, date of service, fee charged, and amount paid are all included. The correct POS code helps insurers process your claim accurately and avoid unnecessary denials.

Generate a superbill with POS 22 free