Pharmacy Question for the Week of November 15, 2021

Question:

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?

Answer:

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.

Print Friendly, PDF & Email
Facebook
Twitter
LinkedIn

CPT® copyright 2023 American Medical Association (AMA). All rights reserved.

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.

Happy World Health Day! Our exclusive webcast, ‘2024 SDoH Update: Navigating Coding and Screening Assessment,’  is just $99 for a limited time! Use code WorldHealth24 at checkout.

SPRING INTO SAVINGS! Get 21% OFF during our exclusive two-day sale starting 3/21/2024. Use SPRING24 at checkout to claim this offer. Click here to learn more →