Question:
What are some guidelines for reporting radiopharmaceutical agents A9555, A9526, and A9552?
Answer:
Positron emission tomography (PET) imaging requires the use of a radiopharmaceutical diagnostic imaging agent. HCPCS codes A9555 (Rubidium Rb-82…) and A9526 (Nitrogen N-13 Ammonia…) may only be reported with PET scan CPT codes 78491 and 78492. HCPCS code A9552 (Fluorodeoxyglucose F-18, FDG,…) may only be reported with PET scan codes 78459, 78608, and 78811–78816.
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Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
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