Radiology Question for the Week of February 1, 2016

Question:

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

Answer:

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.

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.