Do hospitals bill a different CPT to receive compensation? Usually, the doctor’s office will bill 27096 on 1500 and we bill G0260 for facility claim (UB-04). Will PA need to have both CPTs? 27096 on Medicare fee schedule receives no compensation?
Outpatient hospitals should use the same codes and following the same billing convention as professional provider billing on a CMS-1500. They should use 27096 or 64451. ASCs (facility claim only) may not use 27096 so they should use G0260 along with an imaging code (77002 or 77012).