Radiology Coding Alert

Question: May I bill for the microspheres placed into the uterine artery for embolization in the office setting? New Jersey Subscriber Answer: There is not a separate HCPCS code to report for the microspheres, which the radiologist injects to prevent blood from flowing to the fibroids, causing the fibroids to shrink. But some non-Medicare payers will allow separate payment for supplies and implantables in the office setting. Because there is not a specific HCPCS devices code, you would report 99070 (Supplies and materials [except spectacles], provided by the physician over and above those usually included with the office visit or other services rendered [list drugs, trays, supplies, or materials provided]). The payer will usually ask for a copy of the invoice before determining the payment level so it can see how much the physician paid for the supply item. Remember: You should include the full procedure in the all-inclusive code [...]