Loop 2300 HI/FL 67A-Q | Medicare Billing: Form CMS-1450 and the 837 Institutional

Required when other conditions coexist or develop subsequently during the patient’s treatment. The use of the POA indicator is only required by IPPS hospitals.

Table 47: Loop 2300 HI/FL 67A-Q fields
Other Diagnosis and POA Indicator	Source
Use this field to report all of a patient’s medical conditions that: Coexist at the time of the admission or visit Develop subsequently Affect the treatment received The length of stay Medicare accepts a POA indicator as the eighth digit of the other diagnosis.	ICD-10-CM diagnosis code POA Indicator

Enter the full-length ICD-10-CM codes, including fourth or fifth digits, for up to 8 more conditions for the patient. Medicare will ignore data submitted in 67I – 67Q. Providers may not duplicate the principal diagnosis listed in FL 67 as an additional or secondary diagnosis.

Medicare requires hospitals to report the secondary diagnoses that are POA. We accept the POA indicator as the eighth digit of the other diagnosis codes located in the shaded section of FL 67 A-Q.