Please note this question was answered in 2022. The coding advice may or may not be outdated.
Radiopharmaceutical Agent A9500 - Date of service
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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