Place of Service Code 65: End Stage Renal Disease Treatment Facility
What is Place of Service Code 65?
POS 65 designates a facility specializing in end-stage renal disease (ESRD) treatment, such as a dialysis center. This POS is rarely encountered in standard mental health billing but may apply when a behavioral health provider delivers therapy to dialysis patients within the treatment facility itself.
When to Use POS 65
Use POS 65 only when providing mental health services — such as an individual therapy session — physically delivered inside a dialysis or ESRD treatment center. Most outpatient therapists will never bill this code.
CPT Codes Commonly Paired with POS 65
These CPT codes are frequently billed with Place of Service 65 in therapy practice:
Billing Notes for POS 65
Common Mistakes with POS 65
- ✗Billing POS 11 for therapy actually delivered inside a dialysis center
- ✗Assuming all mental health CPT codes are separately billable in an ESRD facility — some payers bundle these into the dialysis rate
- ✗Neglecting to verify payer authorization for mental health services in an ESRD setting
- ✗Using POS 65 for telehealth sessions with ESRD patients who are at home — use POS 10 instead
Adding POS 65 to a Superbill
Superbilled lets you specify the Place of Service code on every superbill you generate. When creating a superbill with POS 65, 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.