Reason Code: 34985
Error Description:
The PO modifier is missing from one or more claim lines. Claim level reason code appliable to a 13X or 14X TOB. A practice location is present on the claim and matches to an entry on the Provider Practice Address Query Screen (MAP1AB2) in FISS DDE or PECOS. However, the PO modifier is not present on the claim.
Avoiding/Correcting This Error
The PO modifier is used on all claim lines for all services, procedures and/or surgeries provided at an excepted off-campus provider-based outpatient department (PBD). The PO modifier applies to a grandfather/excepted PBD. Grandfathered means that the facility became PD before 11/2/2015.
Please verify billing and, if appropriate correct by updating the PO modifier to the applicable claim line(s).
Online Providers: Press PF9 to store the claim.
Other Providers: Return to the MAC.
Related Content
- CMS Special Edition SE19007: Activation of Validation Edits for Providers with Multiple Service Locations
- URGENT: Billing Reminders for OPPS Providers with Multiple Service Locations
- Attention All OPPS Providers: Provider-Based Department
- Learn more about the Provider Practice Address Query screen (1D) in the FISS DDE
- Instructions are included in our FISS DDE Provider Online Guide in Chapter IV: Inquiries Submenu (01) > Provider Practice Address Query (1D)