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Question:
Do you have any tips for reporting radiopharmaceuticals with code 78015?
Answer:
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.
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.
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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.
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