Reference·SV1 Segment·SV105
X12 837P Reference

X12 837P SV105 Field Guide: Place of Service Values and Common Mistakes

Jul 27, 2026 · 4 min read
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Most 837P claims never populate SV105 at all, because the claim-level place of service already applies — but the moment a claim mixes settings, like a lab draw billed from an office visit encounter, leaving SV105 blank silently applies the wrong facility type to that one line.

Quick answer

SV105 is an optional line-level Place of Service Code in an X12 837P service line — it overrides the claim-level place of service (carried elsewhere in the claim) for this specific procedure only, when a claim includes services delivered in different settings.

Valid code values

11
Office — the most common professional-claim setting
21
Inpatient Hospital — used when a line was performed during an inpatient stay
22
On Campus-Outpatient Hospital — hospital-based outpatient setting
02
Telehealth (Patient Not in Home) — increasingly common override for virtual visit lines

Example

Synthetic example Generated by Synthibase
SV1*HC:99213:25*125.00*UN*1***1*

SV105 is left blank here, so this line inherits the claim-level place of service rather than overriding it. Synthetic claim data.

Where this trips people up

Place of service directly affects fee schedule pricing — the same CPT code often reimburses differently in a facility setting than a non-facility one — so a test claim that mixes settings but leaves every SV105 blank never exercises the payer's facility-versus-non-facility pricing logic, and that gap only surfaces once a real mixed-setting claim underpays in production.

How to Test X12 837P SV1: A Field-by-Field Breakdown
What is X12 837P? Complete Format and Field Guide
How to Reduce Claim Denials Through Better Pre-Submission Testing
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Synthibase generates synthetic 837P claims that vary place of service at both the claim and line level, so facility-dependent pricing logic gets properly tested.
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