Article Detail - JF Part A
G0260 Claims Processing
This article has been published under contract numbers: 02101 (AK), 02201 (ID), 02301(OR), 02401 (WA), 03101 (AZ), 03201 (MT), 03301 (ND), 03401 (SD), 03501 (UT), and 03601 (WY).
The Systems Department has implemented a correction for Reason Code 5088L, effective for dates of service on or after January 25, 2024:
- Remove requirement for G0260 to be billed with either imaging codes 77002 OR 77012 to allow payment.
- The remaining criteria for G0260 to stay the same (Type of Bill 13X and billed with DX listed on the article: M43.28, M46.1, M47.818, or M53.3).