Nuclear Medicine Question for the Week of April 4, 2016

Question:

When billing for two doses of MYOVIEW™ during rest and stress myocardial perfusion scans, do I add modifier -59 to the second A9502?

Answer

Unless you have instructions from your payer to the contrary, modifier -59 would be most appropriate. However, modifier use is not consistent among payers, and, in this case, it could be either -59 or -76, or level II code A9502 (technetium tc-99m tetrofosmin, diagnostic, per study dose) could be billed on one line with 2 units.

Answer: