Saturday, October 2, 2010

Tracer Codes Required for PET Scans for Procedure 78491, 78492

The following tracer codes are applicable only to Procedure 78491 and 78492. They can not be reported with any other code.

Institutional providers billing the fiscal intermediary

HCPCS Description

*A9555
Rubidium Rb-82, Diagnostic, Per study dose, Up To 60 Millicuries
* Q3000 (Deleted effective 12/31/05)
Supply of Radiopharmaceutical Diagnostic Imaging Agent, Rubidium Rb-82, per dose
A9526
Nitrogen N-13 Ammonia, Diagnostic, Per study dose, Up To 40 Millicuries

NOTE: For claims with dates of service prior to 1/01/06, providers report Q3000 for supply of radiopharmaceutical diagnostic imaging agent, Rubidium Rb-82. For claims with dates of service 1/01/06 and later, providers report A9555 for radiopharmaceutical diagnostic imaging agent, Rubidium Rb-82 in place of Q3000.

Physicians / practitioners billing the carrier:
*A4641
Supply of Radiopharmaceutical Diagnostic Imaging Agent, Not Otherwise Classified
A9526
Nitrogen N-13 Ammonia, Diagnostic, Per study dose, Up To 40 Millicuries
A9555
Rubidium Rb-82, Diagnostic, Per study dose, Up To 60 Millicuries

NOTE: Effective January 1, 2008, tracer code A4641 is not applicable for PET Scans.

The following tracer codes are applicable only to Procedure 78459, 78608, 78811-78816. They can not be reported with any other code:
Institutional providers billing the fiscal intermediary:

* A9552
Fluorodeoxyglucose F18, FDG, Diagnostic, Per study dose, Up to 45 Millicuries
* C1775 (Deleted effective 12/31/05)
Supply of Radiopharmaceutical Diagnostic Imaging Agent, Fluorodeoxyglucose F18, (2-Deoxy-2-18F Fluoro-D-Glucose), Per dose (4-40 Mci/Ml)
**A4641
Supply of Radiopharmaceutical Diagnostic Imaging Agent, Not Otherwise Classified


NOTE: For claims with dates of service prior to 1/01/06, OPPS hospitals report C1775 for supply of radiopharmaceutical diagnostic imaging agent, Fluorodeoxyglucose F18. For claims with dates of service 1/01/06 and later, providers report A9552 for radiopharmaceutical diagnostic imaging agent, Fluorodeoxyglucose F18 in place of C1775.

** NOTE: Effective January 1, 2008, tracer code A4641 is not applicable for PET Scans.
Physicians / practitioners billing the carrier:
A9552
Fluorodeoxyglucose F18, FDG, Diagnostic, Per study dose, Up to 45 Millicuries
*A4641
Supply of Radiopharmaceutical Diagnostic Imaging Agent, Not Otherwise Classified

No comments:

Post a Comment

Most Read Radiology Billing Articles