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TRICARE Systems Manual 7950.3-M, April 1, 2015
TRICARE Encounter Data (TED)
Chapter 2
Addendum F
Data Requirements - Place Of Service/Type Of Service Allowable Relationships
Revision:  C-61, April 26, 2022
Figure 2.F-1  Place Of Service Codes
Place Of Service Code
Type Of Service Code(s) Allowed (Second Position Values)
This table is used in edit 2-275-01R.
01
B, M
02
1, 2, 3, 4, 5, 6, 8, 9, B, C, D, E, F, G, H, J, K, L, M
03
1, 2, 3, 4, 5, 7, 9, A, B, F, H, J, K, L
04
1, H
05
1, 2, 3, 4, 5, 6, 7, 8, 9, A, B, C, D, E, F, G, H, J, K, L
06
1, 2, 3, 4, 5, 6, 7, 8, 9, A, B, C, D, E, F, G, H, J, K, L
07
1, 2, 3, 4, 5, 6, 7, 8, 9, A, B, C, D, E, F, G, H, J, K, L
08
1, 2, 3, 4, 5, 6, 7, 8, 9, A, B, C, D, E, F, G, H, J, K, L
09
1, 2, 3, 4, 5, 6, 7, 8, 9, A, B, C, D, E, F, G, H, I, J, K, L, M
10
1, 3, D, E, F, H, J, K, L
11
1, 2, 3, 4, 5, 6, 7, 9, A, C, E, F, G, H, J, K, L
12
1, 2, 3, 4, 5, 6, 7, 8, 9, A, D, E, F, H, J, K, L
13
1, 2, 4, 9, A, H, I, K
14
1, 2, 9, H, I, K
15
1, 2, 3, 4, 5, 6, 7, 9, A, C, E, F, G, H, J, K, L
16
1, 3, 9, A, B, D, H, J, K, L
17
1, 2, 4, 5, 9, B
18
1, 2, 3, 9, A, B, F, H, J, K, L, M
19
1, 2, 3, 4, 5, 6, 7, 8, 9, A, B, C, E, F, G, H, I, J, K, L, M
20
1, 2, 3, 4, 5, 6, 7, 9, A, C, E, F, G, H, J, K, L
21
1, 2, 3, 4, 5, 6, 7, 8, 9, E, F, G, H, K, L
22
1, 2, 3, 4, 5, 6, 7, 8, 9, A, C, E, F, G, H, I, J, K, L
23
1, 2, 3, 4, 5, 6, 7, 8, 9, A, C, E, F, G, H, I, J, K, L
24
1, 2, 3, 4, 5, 6, 7, 8, 9, A, C, F, G, H, K
25
1, 2, 3, 4, 5, 7, 9, F
26
1, 2, 3, 4, 5, 6, 7, 8, 9, A, C, E, F, G, H, I, J, K, L
31
1, 2, 3, 4, 5, 9, A, E, H, J, K, L
32
1, 2, 3, 4, 5, 6, 9, A, E, H, J, K, L
33
1, 2, 3, 4, 5, 9, A, E, H, J, K, L
34
1, 2, 3, 9, A, D
41
1, 9, A, F, I, J
42
1, 9, A, I
49
1, 2, 3, 4, 5, 6, 7, 9, A, C, D, E, F, G, H, J, K, L
50
1, 2, 3, 4, 5, 9, F, G, H, K
51
1, 2, 3, 4, 5, 7, 9, H, K, L
52
1, 3, 4, 5, 9, H, J, K, L
53
1, 3, 4, 5, 9, H, K, L
54
1, 2, 3, 4, 5, 9, A, H, J, K, L
55
1, 3, 4,5, 9, H, J, K, L
56
1, 3, 9, H, K, L
57
1, 3, 5, 9, H
60
1, 9, B
61
1, 2, 3, 4, 5, 9, A, B, H, J, K, L
62
1, 2, 3, 4, 5, 9, A, H, J, K, L
65
1, 2, 3, 4, 5, 6, 9, A, E, J
71
1, 2, 3, 4, 5, 6, 7, 8, 9, E, F, G, H, J, K, L
72
1, 2, 3, 4, 5, 6, 7, 8, 9, E, F, G, H, J, K, L
81
1, 2, 4, 5, 9, F
99
1, 2, 3, 4, 5, 6, 7, 8, 9, A, B, C, D, E, F, G, H, J, K, L
Figure 2.F-2  Place Of Service Values
Place Of Service Value
description
01
Pharmacy
02
Telehealth Provided Other Than in Patient’s Home
03
School
04
Homeless Schedule
05
Indian Health Service Free-Standing Facility
06
Indian Health Service Provider-based Facility
07
Tribal 638 Free-Standing Facility
08
Tribal 638 Provider-based Facility
09
Prison-Correctional Facility
10
Telehealth Provided in Patient’s Home
11
Office
12
Home
13
Assisted Living Facility
14
Group Home
15
Mobile Unit
16
Temporary Lodging
17
Walk-in Retail Health Clinic
18
Place of Employment Work-site
19
Pharmacy (Terminated 12/31/2015)
19
Off Campus-Outpatient Hospital
20
Urgent Care Facility
21
Inpatient Hospital
22
On Campus-Outpatient Hospital
23
Emergency Room - Hospital
24
Ambulatory Surgical Center
25
Birthing Center
26
Military Treatment Facility
31
Skilled Nursing Facility
32
Nursing Facility
33
Custodial Care Facility
34
Hospice
41
Ambulance - Land
42
Ambulance - Air or Water
49
Independent Clinic
50
Federally Qualified Health Center
51
Inpatient Psychiatric Facility
52
Psychiatric Facility Partial Hospitalization
53
Community Mental Health Center
54
Intermediate Care Facility/Mentally Retarded
55
Residential Substance Abuse Treatment Facility
56
Psychiatric Residential Treatment Center
57
Non-Residential Substance Abuse Treatment Facility
60
Mass Immunization Center
61
Comprehensive Inpatient Rehabilitation Facility
62
Comprehensive Outpatient Rehabilitation Facility
65
End Stage Renal Disease Treatment Facility
71
Public Health Clinic
72
Rural Health Clinic
81
Independent Laboratory
99
Other Unlisted Facility
Figure 2.F-3  Type Of Service Second Position Values
Type Of Service Second Position Value
description
1
Medical Care
2
Surgery
3
Consultation
4
Diagnostic/Therapeutic X-Ray
5
Diagnostic Laboratory
6
Radiation Therapy
7
Anesthesia
8
Assistance at Surgery
9
Other Medical Service & Supplies
A
DME Rental/Purchase
B
Retail Drugs, Supplies, Prescription Authorizations, and Reviews
C
Ambulatory Surgery
D
Hospice
E
Second Opinion on Elective Surgery
F
Maternity
G
Dental
H
Mental Health Care
I
Ambulance
J
Persons with Disabilities
K
Physical/Occupational Therapy
L
Speech Therapy
M
Mail Order Pharmacy (MOP) Drugs, Supplies, Prescription Authorizations, and Reviews
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