• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Mri & Ct Scans

Create Wiki
abishard

abishard

Expert
Messages
258
Location
Springfield, MO
Best answers
0
I code for a diagnostic imaging center. We are trying to find information in regards to billing for contrast for MRI & CT. We are trying to find out if we can actually bill for this if it is not payable? Does anyone have any information on this?
 
Contrast Material

Check out this link for some guidance:
http://www.cms.hhs.gov/EOG/downloads/EO 0050.pdf


"Effective January 1, 2007 With the implementation for calendar year 2007 of a bottom-up methodology, which utilizes the direct inputs to determine the practice expense (PE) relative value units (RVUs), the cost of the contrast media is not included in the PE RVUs. Therefore, a separate payment for the contrast media used in various imaging procedures is paid. In addition to the CPT code representing the imaging procedure, separately bill the appropriate HCPCS “Q” code (Q9945 – Q9954; Q9958-Q9964) for the contrast medium utilized in performing the service."

Hope this helps.
 
You can bill for contrast, however, reimbursement sometimes is not worth the trouble. We used to bill contrast for CT and MRI and Medicare was only paying .01-.05 cents. There were many commerical insurances that would not pay, they bundled with imaging procedure.
 
You must log in or register to reply here.
Top