Radiology Coding Alert

Quick Tip:

A9552 Has Specific Item 19 Requirements for Noridian

If you're submitting a PET claim to Noridian Medicare Part B, be sure to follow these tactics for A9552 (Fluorodeoxyglucose F-18 FDG, diagnostic, per study dose, up to 45 millicuries):

  • Do: Include invoice price plus shipping cost in Item 19 of the CMS-1500 or its electronic equivalent. Failure to include the information will trigger a denial.
  • Don't: The price you list in Item 19 should not include handling or other fees.
  • Do: Keep an invoice copy in the patient's file. Noridian may request to see it.

Resource: See "A9552: Avoiding Claim Denials" posted May 16, 2012, at www.noridianmedicare.com/partb/news/updates/partb.php.