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April 22, 2015 - Updated 03.01.16

HCPCS Modifier PO

The following resources describe the policies related to billing HCPCS modifier PO (Services, procedures and/or surgeries performed at off-campus provider-based outpatient departments). Any additional instructions and/or clarifications received from CMS will be included in this document and on the CGS website as they are received.

References:

Update:

Effective January 1, 2015, the definition of modifier PO is "Services, procedures, and/or surgeries furnished at off-campus provider-based outpatient departments." This modifier is to be reported with every HCPCS code for outpatient hospital services furnished in an off-campus provider-based department of a hospital. See 42 CFR 413.65(a)(2) for a definition of "campus".

This modifier should not be reported for remote locations of a hospital (defined at 42 CFR 413.65(a)(2)External Website), satellite facilities of a hospital (defined at 42 CFR 412.22(h)External Website), or for services furnished in an emergency department.

Reporting of this modifier is voluntary for CY 2015; reporting of this modifier is required beginning January 1, 2016.

Reference:


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