Place of Service - JA DME

The place of service for DMEPOS claims is considered the location where a beneficiary will primarily use the DMEPOS item. Coverage for DMEPOS items is considered when the place of service is:

• 01 - Pharmacy
• 04 - Homeless Shelter
• 09 - Prison/Correctional Facility
• 12 - Home
• 13 - Assisted Living Facility
• 14 - Group Home
• 27 - Non-permanent location on the street or found environment, not described by any other POS code, where health professionals provide preventive, screening, diagnostic, and/or treatment services to unsheltered homeless individuals
• 33 - Custodial Care Facility
• 54 - Intermediate Care Facility/Mentally Retarded
• 55 - Residential Substance Abuse Treatment Facility
• 56 - Psychiatric Residential Treatment Center
• 65 - End Stage Renal Disease (ESRD) Treatment Facility (valid POS for Parenteral Nutritional Therapy)

For a list of place of service codes, see the CMS Place of Service Codes.

Coverage consideration for DMEPOS items in a Skilled Nursing Facility (POS 31) or a Nursing Facility (POS 32) for beneficiaries not in a Part A covered stay is limited to the following:

• Prosthetics, orthotics and related supplies
• Urinary incontinence supplies
• Ostomy supplies
• Surgical dressings
• Oral anticancer drugs
• Oral antiemetic drugs
• Therapeutic shoes for diabetics
• Parenteral/enteral nutrition (including E0776BA, the IV pole used to administer parenteral/enteral nutrition)
• ESRD - dialysis supplies only
• Immunosuppressive drugs
• Lymphedema Compression Treatment Items

This list does not apply to situations where a beneficiary is in a Part A covered Skilled Nursing Facility (SNF) stay. See the Consolidated Billing webpage for information on this.