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Wiki MUGA Scans

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Rebecca Pate

Rebecca Pate

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Columbus, GA
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Can someone please explain to me the difference between A9512 and A9560? Are both of these billed with the scan, or can it be just one of them?

Here is the Procedure note:
The patient was injected with 2-3 MG PYROPHOSPHAGE (PYP) intravenously. Approximately 15 minutes later, the patient was injected with 21.3 mCi Tc 99m. A MUGA study was performed utilizing the gamma camera interfaced with the digital computer and a gating device. Planar images of the ventricle were obtained in the LAO, left lateral, and anterior projections.
 
I found this that may help
Note: Pertechnetate is a commonly used radiopharmaceutical given during a nuclear scan to allow imaging with specialized equipment. The cost for the pertechnetate, in this instance, is considered part of the payment for A9560 and thus not separately payable. The individual components of preparing tagged red blood cells will not be paid for separately. A9512 will not be paid when billed with A9560. Invoices will not be necessary for reimbursement of A9560.

Website address
https://downloads.cms.gov/medicare-...achments/31361_1/L31361_RAD026_CBG_060111.pdf
 
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