Question:
What are the coding and billing requirements for reporting code G0278 for physician and hospital services performed in a hospital setting?
Answer:
For physician services, code G0278 may be reported when the procedure is performed in a hospital setting. For hospital billing code G0278 has no associated reimbursement or APC and carries a status indicator of “N” (Items and Services Packaged into APC Rates). Physicians report the applicable corresponding service when performed in a hospital setting. This code is required when billing Medicare claims. Verify non-Medicare third-party payer requirements regarding assignment of this code
