General Question for the Week of July 4, 2016

General Compliance Question of the Week

Question:

Can the same hospital outpatient claim have both a HCPCS with the PO modifier and a HCPCS without the PO modifier?

Answer:

Yes, a single hospital outpatient claim (type of bill 13X) could have HCPCS with the PO modifier and HCPCS without the PO modifier (e.g., a patient is treated at an off-campus provider-based department and the on-campus hospital on the same day).

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.