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Question:
Does Medicare pay for adenosine (J0153)?
Answer:
Medicare does pay for adenosine when billed by physician offices and non-hospital imaging centers. The current payment is $0.73 per mg. However, for hospitals billing under the outpatient prospective payment system (OPPS), stress agents such as adenosine are packaged and not paid separately.
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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.
CPT is a registered trademark of the American Medical Association.
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