Radiology Question for the Week of February 1, 2016


Is billing for Gastrografin different in a non-hospital setting?


Many hospital chargemaster personnel ask for codes for Gastrografin, Cystografin, and other non-separately payable contrast materials. 
Non-hospital facilities billing under the Medicare Physician Fee Schedule should not bill for these at all, but under the hospital outpatient prospective payment system (OPPS), you can assign codes to them as they are used for future rate-setting and outlier payments, but not as separate individual payment.

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