ACloserLook Reimbursement Issues in Diagnostic Imaging

Addendum to GE Healthcare 2005 Coding and Reimbursement Guides

GE Healthcare Medical Diagnostics recently released the 2005 coding and reimbursement guides. These guide books provide coding and reimbursement information for medical imaging services. Since the publishing and distribution of the guides, however, the Centers for Medicare and Medicaid Services (CMS) announced a significant number of changes relevant to medical imaging. An addendum has been made to the original guides and is available on our web site at: www.gehealthcare.com/acloserlook

Coding for Adenosine Injections in the Hospital Outpatient Setting

The April 2005 Update of the Hospital Outpatient Prospective Payment System (HOPPS) advises facilities to begin using Healthcare Common Procedural Coding System (HCPCS) code C9223, injection adenosine 6 mg, to report the therapeutic or diagnostic use of adenosine. To report the use of adenosine phosphate compounds, facilities should report A9270, non covered item or service. Codes J0150 and J0152 are now assigned to status indicator “B” (codes not allowed or paid under HOPPS).

For more information, visit:
http://www.cms.hhs.gov/manuals/pm_trans/R514CP.pdf

Special Edition Spring 2005

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