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Code Denial on A9502

Marie Posted Thu 06th of February, 2014 18:20:28 PM

we are no longer getting paid for code A9502 in 2014 can you advise of any changes?

SuperCoder Answered Fri 07th of February, 2014 10:21:50 AM

If you are performing both the technical component and the professional component you should only bill 78452, that would be the global which includes both. You may be getting denials because you are separating them out on a single claim submission.

When billing for the purchase of radiopharmaceutical(s), a copy of the bill indicating the dosage administered, unit price per dose, name and total charge of the radioactive drug must be made available to Medicare upon request. Private payers have their own policies on A9502 and A9505. When requesting a written redetermination (formerly appeal), providers must include all relevant documentation with the request. 93015: Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with physician supervision, with interpretation and report (You are not in an outpatient setting, if billing this code.). Code 99070 will be bundled (why is this being billed?). See if this article helps because it is difficult to answer based on this information.

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