Question:

Can you explain how CMS is addressing reimbursement for high-cost diagnostic radiopharmaceuticals used in nuclear cardiology?

Answer:

CMS is updating its reimbursement policies to separately reimburse high-cost diagnostic radiopharmaceuticals, particularly those with a per-day cost exceeding $630. This adjustment ensures accurate payments for nuclear medicine services, which are essential for advanced cardiology imaging. These changes will help support the accuracy of heart disease diagnostics, particularly as technologies like nuclear imaging continue to play a crucial role in assessing cardiac health.

This question was answered in our annual Cardiology Reimbursement & Compliance Update webcast. For more hot topics relating to cardiology services, please visit our store or call us at 1.800.252.1578, ext. 2.

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