Which codes can a hospital outpatient facility use to bill home PT INR services?
When physician-directed diagnostic services are delivered from a hospital-owned outpatient clinic, payment falls under the guidelines of Medicare’s Hospital Outpatient Prospective Payment System (HOPPS). This affects which codes may be billed and how they are paid. The technical components-G0248 and G0249-are billable by the hospital. The professional component-G0250-is not billable under HOPPS. However, the patient’s physician may bill for the G0250 service under the Medicare Physician Fee Schedule.
