Do you have any tips for reporting radiopharmaceuticals with code 78015?


If using 123I for this study, note that HCPCS Level II code A9509 was added to report the radiopharmaceutical in increments of each millicurie administered. If a provider administers a therapeutic radiopharmaceutical under the hospital OPPS and plans to later perform a diagnostic scan, the provider should hold the hospital OPPS therapy claim until the diagnostic nuclear medicine scan is complete and ready to be billed.

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