Wiki Radiopharmaceutical localization of tumor. Help!

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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 be billed for MCR? Any help is greatly appreciated!
 
The Q code has an "N" APC Status Indicator (the brown letter to the right of the code description) so look on page 549 for N and it shows why it was denied. The A code might be correct but I think the problem is your CPT code. I haven't found the description for 77803 but if they're asking for a pass through code, don't those all come from HCPCS? Also was the area of the tumor injected or was this per IV route followed by some kind of radiology testing to localize the tumor? Just more to think about because I don't know.
 
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