US · guidance
CMS Pub. 100-04, ch. 18, § 170.5
Specialty Codes and Place of Service (POS)
Medicare provides coverage for screening for chlamydia, gonorrhea, syphilis, and/or hepatitis B
and HIBC to prevent STIs only when ordered by a primary care practitioner (physician or non-physician) with any of the following specialty codes:
• 01 - General Practice
• 08 - Family Practice
• 11 - Internal Medicine
• 16 - Obstetrics/Gynecology
• 37 - Pediatric Medicine
• 38 - Geriatric Medicine
• 42 - Certified Nurse Midwife
• 50 - Nurse Practitioner
• 89 - Certified Clinical Nurse Specialist
• 97 - Physician Assistant
Medicare provides coverage for HIBC to prevent STIs only when provided by a primary care
practitioner (physician or non-physician) with any of the specialty codes identified above.
Medicare provides coverage for HIBC to prevent STIs only when the POS billed is 11, 22, 49, or
71.
History
(Rev. 2476, Issued: 05-23-12, Effective: 11-08-11, Implementation: 02-27-12)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
49be24b8380b0d7e46432c599bf34df7758d6a4fd2579d9b96d491c33cba7be0
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