Question:
How should I bill for a radiopharmaceutical that is charged per millicurie (mCi) if we gave an in-between amount? For instance, in the case of HCPCS code A9512 (technetium Tc-99m pertechnetate, diagnostic, per millicurie), what quantity should be charged for these cases: 4.3 = 4 or 5mCi? 5.7 = 5 or 6 mCi?
Answer:
You are allowed to round up to the next millicurie. So if you give 4.3 you would code for 5, and if you give 5.7 you would code for 6 mCi.