Pharmacy Question for the Week of November 15, 2021


How do we charge for radiopharmaceuticals when introducing them in the lumbar canal as part of reporting 78630? Do you have any other tips for reporting this situation?


Charge separately for the introduction of the radiopharmaceutical into the lumbar canal. The exact code will vary based upon access and method used, but the most common option is code 62323. This is a bundled code that includes imaging guidance as well, so do not charge separately for CT or fluoroscopic imaging to aid in the access for the delivery of the radioactive material. Hospitals should report this code with revenue code 36X, 49X or 76X.

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