Cardiology

Cardiology Question for the Week of July 22, 2019

Cardiology Compliance Question of the Week

Question:

We are beginning to perform echocardiograms with Lumason contrast. Does Lumason still have pass-through status? I thought pass-through status had ended, but someone told me otherwise.

Answer:

The Centers for Medicare & Medicaid Services (CMS) did end pass-through status for Lumason but reinstated the status as of October 2018. Lumason should be separately paid under the Hospital Outpatient Prospective Payment System (OPPS) through 2020.