General Question for the Week of February 15, 2016

General Compliance Question of the Week


What is the PO Modifier and when did it become effective? 


In the 2015 Outpatient Prospective Payment System Final Rule, the Centers for Medicare & Medicaid Services (CMS) created this HCPCS modifier for hospital claims that is to be reported with every code for outpatient hospital items and services furnished in an off-campus provider-based department (PBD) of a hospital. This two-digit modifier was be added to the HCPCS annual file as of January 1, 2015, with the label ‘‘PO.’’ Reporting of this new modifier was voluntary for 2015, with reporting required beginning on January 1, 2016.

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.