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HCPCS Code for Fluorodeoxyglucose F-18 FDG, diagnostic, per study dose, up to 45 millicuries A9552

HCPCS code A9552 for Fluorodeoxyglucose F-18 FDG, diagnostic, per study dose, up to 45 millicuries as maintained by CMS falls under Diagnostic and Therapeutic Radiopharmaceuticals .

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Official Long Descriptor

Fluorodeoxyglucose F-18 FDG, diagnostic, per study dose, up to 45 millicuries

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Insurances paying for contrast usage especially in an outpatient setting
Hi Jim Yes it pays as long as report states contrast used add HCPCS code A9552. Also add the modifier PI(initial ) or PS( subsequent) to radiology CPT related if patient had a first time MRI body pa... [ Read More ]
Claims processor raising edits for professional component claims missing HCPCS for radiopharmaceutical tracer
Hello, folks. The claims processor is stating that our professional component claims for PET and PET-CT scans that include the PI modifier must also include HCPCS code A9552. They are citing the Me... [ Read More ]
CPT codes for cardiac PET with Sarcoid protocol
What is the proper PET code and sequencing for the cardiac PET with Sarcoid protocol and can we code A9555 and A9552 together?... [ Read More ]
Coding for Cardiac Pet with Sarcoid Protocol
What is the proper PET code and sequencing for the cardiac PET with Sarcoid protocol and can we code A9555 and A9552 together?... [ Read More ]
Laurie
Radiopharmaceuticals A9503 A9552 A9541 A9516 are being denied as they are considered inclusive on PET scans. Does anyone have any information on this?... [ Read More ]
Assistance with IR coding scenarios
I'm new to interventional radiology and need some assistance with the following coding scenarios that I've been working with at home for practice. The following 5 cases have be stumped, any assistance... [ Read More ]
Do the codes 78812 and 78815 include administration of the drug?
for a Pet/Ct-78815 you should be billing the A9552 (FDG) and this will get paid by Novitas. Be sure to include the invoice price you pay for the drug.... [ Read More ]
78608 Pet Scan Brain Imaging
I need help!! I keep getting denials from Medicare Ohio I bill 78608 A9552 modifier PI-dx 780.93 Memory Loss Per Medicare Ohio this is a payable dx code. Why are these showing up in my denials. D... [ Read More ]
Question regarding PET
Hello, I have a question regarding a positron emission tomography. A patient is scheduled and comes in with the intent to have this done. They are injected with FDG but then eventually refuse to have... [ Read More ]
Pet scan nightmare!!!!!
Medicare only covers restaging of bladder cancer and prostate cancer (called coverage with evidence development or CED) if they go thru a clinical trial called the National Oncologic PET Registry or N... [ Read More ]
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