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Radiopharmaceutical Agent A9500 - Date of service

Date: Dec 19, 2022

Question:

Physician Billing -

When a patient is having a Nuclear Heart Scan - 78452 (Myocardial perfusion imaging, tomographic (SPECT) and the Resting Portion and Stress Portion are performed on (2) different dates of service.

How do we bill for the A9500 - Technetium Tc-99m sestamibi, diagnostic, per study dose.

Do we bill - A9500 X 1 for the date the rest portion was performed and bill A9500 X 1 on the date the stress portion was performed - Thus billing each dose on 2 different dates of service

or

Do we bill A9500 X 2 with the date of service in which the 2nd day of the study was performed?

Example: 11/01 - A9500 X 1

11/02 - 78452-26, A9500 X1

or

11/02 - 78452-26, A9500 X2

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