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Place of Service codes - 5.1 to D.0 for Medi-Cal

 

Under NCPDP 5.1, the "Place of Service" code was defined by the value assigned to the patient's relationship (REL) field.

 

Under NCPDP D.0, the "Place of Service" code is defined by the value assigned to the patient's "Place of Service" field.  To assist in selecting the proper code to use for Medi-Cal D.0 claims, use the table below.

 

 

                        Place of Service 5.1 to D.0 Mapping

NCPDP 5.1

Patient Rel field

NCPDP D.0

Place of Service Field

C - Nursing Facility Level A (ICF)

31

4 - Nursing Facility Level B (SNF)

31

F - Nursing Facility Level B (Adult Subacute)

31

F - Subacute Care Facility

31

G - ICF - Developmentally Disabled (ICFDD)

54

H - ICF - Dev. Disabled, Habilitative (ICFDD-H)

54

I - ICF - Dev. Disabled, Nursing (ICFDD-N)

54

M - Nursing Facility Level B (Pediatric Subacute)

31

N - Transitional Care

0