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radiopharmaceutical

E
Wiki Billing Radiopharmaceuticals under Medicare

We routinely bill nuclear stress tests (78542) along with TC-99m (A9502). Several months ago, Medicare began denying code A9502 saying they need the paper invoice for the drug on file, which seemed egregious. We called Medicare, who said to include the name of the drug, the dosage, and the...
- elvothein@gmail.com
- Thread
- Mar 20, 2023
- medicare billing medicare denials radiopharmaceutical stress test
- Replies: 1
- Forum: Billing/Reimbursement
K
Wiki Radiopharmaceutical localization of tumor. Help!

Medicare denies pass through drug code Q9969 requesting a pass through procedure code. The main procedure billed on a claim is 77803 - localization of tumor. Claim is also billed with A9538 for technetium injection (Which is also denied). Is there a specific list of procedure codes that needs to...
- kapland2015@gmail.com
- Thread
- Jan 31, 2020
- radiopharmaceutical stress test
- Replies: 3
- Forum: Cardiology
J
Wiki Diagnostic Injection for PET scans

Hello - I am wondering if anyone has guidance on how to code for the administration of a diagnostic agent that is used for PET scans? I know if a radiology procedure code includes the words "with contrast" then the administration of the contrast is included. However, the PET codes (78608, for...
- JReinhart
- Thread
- Aug 16, 2016
- administration diagnostic pet radiology radiopharmaceutical
- Replies: 2
- Forum: Interventional Radiology

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