POS 19: Off Campus-Outpatient Hospital
Hospital outpatient services delivered at a location more than 250 yards from the main hospital campus.
CMS description
“A portion of an off-campus hospital provider based department which provides diagnostic, therapeutic (both surgical and non-surgical), and rehabilitation services to sick or injured persons who do not require hospitalization or institutionalization.”
When to use POS 19
Hospital outpatient services delivered at a location more than 250 yards from the main hospital campus.
Reimbursement
Site-of-service differential applies. Lower payment than on-campus (POS 22) for many codes after 2017 BBA changes.
Common billing issues
- Confused with POS 22 (On-Campus Outpatient Hospital). Provider-Based Billing rules apply.
Frequently asked questions
What is POS 19?
Off Campus-Outpatient Hospital. A portion of an off-campus hospital provider based department which provides diagnostic, therapeutic (both surgical and non-surgical), and rehabilitation services to sick or injured persons who do not require hospitalization or institutionalization.
When do I use POS 19?
Hospital outpatient services delivered at a location more than 250 yards from the main hospital campus.
How does POS 19 affect reimbursement?
Site-of-service differential applies. Lower payment than on-campus (POS 22) for many codes after 2017 BBA changes.
What are common POS 19 billing issues?
Confused with POS 22 (On-Campus Outpatient Hospital). Provider-Based Billing rules apply..
Related codes
Sources
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