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HCPCS Codes for Nuclear Studies

  1. Default HCPCS Codes for Nuclear Studies
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    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. Default
    Which ins is it?

  3. Default
    Mostly BCBS and Medicare

  4. Default
    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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