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Thread: HCPCS Codes for Nuclear Studies

  1. #1

    Default HCPCS Codes for Nuclear Studies

    AAPC: Back to School
    Can anyone tell me if you guys are having issues getting paid for the Medicine codes for nuclear procedures- ie Nuclear Stress, Hida Scans, etc. Any input would be helpful. Here are 2 examples of codes used in office:

    78452 (ins will pay)
    A9500x2 (ins will deny-included)
    J2785x4 (ins will deny-included)


    78223 (ins will pay)
    A9537 (ins will deny-included)
    J2805 (ins will deny-included)

  2. #2


    Which ins is it?

  3. #3


    Mostly BCBS and Medicare

  4. #4


    You might want to submit the claims with the NDC numbers. If you are doing that already, Try calling the ins & see why the are denying the claims. Maybe they need the invoice. We do alot of Nuclear tests & none of them have got denied for that reason.

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