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Wiki J0153 - Adenosine billing and reimbursement

Thread starter DSPAETH0124
Start date Mar 27, 2015

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DSPAETH0124

Guest

Mar 27, 2015

We perform Nuclear Stress test in our office and bill the following:
78452 - myocardial perfusion
93015 - treadmill
A9500x2 units - sestamibii
J0153 x ??mg - adenosine (upto 60mg depending on weight of patient)

We are being reimbursed $0.85 per mg. Our cost is higher than we are being reimbursed. Is anyone having this same issue???

Any input would be greatly appreciated.
D. Spaeth

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