Can incident to occur in place of service (POS) 19 or 22 (outpatient hospital)?

No. Incident to services are limited to the office setting (place of service (POS) 11). However, if a provider establishes an office in a larger outpatient setting, the "incident to" services and requirements are confined to this discrete part of the facility designated as his/her office. 


  • Hospital-Based Physician (employees of the hospital)
    • The hospital is billing and "incident to" does not apply
    • Submit POS 19 or 22
  • Group of physicians (not employees of the hospital) and the office is confined to the discrete part of the facility
    • The physicians are incurring the expense and "incident to" would apply
    • Submit POS 11 (not POS 19 or 22)


Contact Palmetto GBA JM Part B Medicare

Email Part B

Contact a specific JM Part B department

Provider Contact Center: 855-696-0705

TDD: 866-830-3188

Other Palmetto GBA Sites

Palmetto GBA Home

DMEPOS Competitive Bidding Program

Jurisdiction J Part A MAC

Jurisdiction J Part B MAC

Jurisdiction M Part A MAC

Jurisdiction M Part B MAC

Jurisdiction M Home Health and Hospice MAC


National Supplier Clearinghouse MAC


RRB Specialty MAC Providers

RRB Specialty MAC Beneficiaries



Click to Chat Now