General Question for the Week of July 4, 2016

General Compliance Question of the Week


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


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).

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