Wiki PO Modifier

[rogers]

Has anyone been reporting the PO modifier that has been voluntary for the 2015 year but will be required for 2016 for procedures and/or surgeries at off-campus provider based outpatient hospital departments? I'm trying to get more information on this modifier before Jan 1,2016 and was hoping someone could share some examples with me. Thanks in advance!

 

[thomas7331]

We are also preparing to start reporting this modifier in January. My understanding is that it is only for use on facility UB claims (professional service 1500 claims will use POS code 19 in this situation and not require a modifier). It's use is to allow Medicare to distinguish hospital services done in off-campus provider-based practices from those on the actual hospital campus. These are typically physician practices that have merged with or been acquired by hospitals and not operated independently. If your physician's office practice location is not owned by a hospital, then you most likely don't have to worry about this modifier.