Results 1 to 3 of 3

Isotopes given during Nuclear Procedures

  1. Question Isotopes given during Nuclear Procedures
    Medical Coding Books
    I am trying to ensure we are correctly charging for radio isotopes given during cardiac nuclear procedures. Our fiscal intemediary is TrailBlazer's in Texas. From what I understand this charge should be billed only at invoice.
    How are other cardiology practices charging for this drug. Example: A9500 Cardiolite.

    Question in Texas.

  2. #2
    The TrailBlazer web site has specific instructions for reporting radiopharmaceuticals used during nuclear studies. Go to the Home page, choose Fee Schedules, choose Radiopharmaceutical Fee Schedule. Check instructions for providing invoices at the bottom of the page. Blink your eyes, shake your head and think "say what?". [You can contact me per below]

    In general, for A9505 and A9502 you must report you invoice cost for the amount of the product used. Both codes are "per study dose up to 40 mCi".
    According to CMS, these codes are carrier/MAC priced].

    Also see LCD 4C-57AB: Cardiovascular Nuclear Medicine.

    I just spent the better part of a week sorting out TrailBlazer radiopharmaceutical coding and billing. Email me at or call 405-608-1207 if you want more information [hint: TrailBlazer does not edit claims per some of the "guidance" on their website].


  3. #3
    On last post, I meant A9500 and A9502; A9505 is another long story.


Similar Threads

  1. Nuclear Tests
    By KHYATT@2016 in forum Cardiology
    Replies: 0
    Last Post: 09-26-2013, 12:30 PM
  2. Adenosine nuclear
    By bhong in forum Cardiology
    Replies: 3
    Last Post: 03-08-2013, 12:04 AM
  3. Nuclear Medicine
    By in forum Interventional Radiology
    Replies: 4
    Last Post: 05-07-2012, 12:17 PM
  4. nuclear help!!
    By yvette31 in forum Cardiology
    Replies: 3
    Last Post: 01-07-2009, 08:27 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.