Nuclear Medicine Question for the Week of November 2, 2015

Question:

Question 

Several days after thyroid ablation therapy we did a follow-up thyroid scan but did not give any additional radiopharmaceutical. Can this follow-up scan be billed since we are not giving another radiopharmaceutical?

Answer

Yes, you may assign a code for the follow-up scan. Medicare will no longer deny an outpatient hospital nuclear medicine scan when a code for a radiopharmaceutical is not on the same claim. The Centers for Medicare & Medicaid Services (CMS) recommend that you continue to add the radiopharmaceutical when appropriate, but the claim should not be denied.  

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