AHA Coding Clinic® for HCPCS - 2011 Issue 2; FOR your INFORMATION

Clarification of the Appropriate Reporting of Outpatient Diagnostic Nuclear Medicine Procedures

The Centers for Medicare and Medicaid Services (CMS) reiterated in a recent transmittal (Transmittal 2174, CR 7342, dated March 18, 2011) that hospitals should only report HCPCS codes for radiolabeled products that they provide in the hospital outpatient department and that it would be inappropriate to report a HCPCS code for a radiolabeled product simply to bypass an edit present in the integrated outpatient code editor (I/OCE). For additional information regarding the reporting of diagnostic nuclear medicine procedures, go to http://www.cms.gov/Transmittal 2174. ...

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