Question:
Can we submit a separate charge for each radiopharmaceutical when procuring the radioactive material?
Answer:
Yes. When procuring the radioactive material, be certain to submit a separate charge for each radiopharmaceutical utilized. Some payers may ask you to submit an invoice when billing for these items. All parties (i.e., physicians, hospitals, etc.) will now need to identify the diagnostic radiopharmaceutical with appropriate HCPCS Level II A or C codes. (C-series HCPCS codes are only for Medicare outpatient hospital coding and billing.)
This question was answered in our Nuclear Medicine & PET Coder. For more hot topics relating to radiology services, please visit our store or call us at 1.800.252.1578, ext. 2.
CPT® copyright 2024 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.
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