Cardiology Question for the Week of April 22, 2019

Cardiology Compliance Question of the Week

Question:

Does Medicare pay for adenosine (J0153)?

Answer:

Medicare does pay for adenosine when billed by physician offices and non-hospital imaging centers. The current payment is $0.73 per mg. However, for hospitals billing under the outpatient prospective payment system (OPPS), stress agents such as adenosine are packaged and not paid separately.

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.