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Wiki MRI Contrast agents

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Adrienne Pavan

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A9579 is used for most gadolinium MR agents that are NOS. Packaged in hospital, paid separately in freestanding for Medicare. Most private insurers consider contrast part of CPT payment, but it still usually gets accounted for when billing.

How would you bill for a new contrast agent that is gadolinium based with very specific indications and does not have a code yet? A9579, A9698, or some other misc/NOC/NOS code?
 
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