Radiology

Radiology Question for the Week of August 10, 2020

Radiology Compliance Question of the Week

Question:

Do you have any tips for reporting radiopharmaceuticals with code 78015?

Answer:

If using 123I for this study, note that HCPCS Level II code A9509 was added to report the radiopharmaceutical in increments of each millicurie administered. If a provider administers a therapeutic radiopharmaceutical under the hospital OPPS and plans to later perform a diagnostic scan, the provider should hold the hospital OPPS therapy claim until the diagnostic nuclear medicine scan is complete and ready to be billed.


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