Health Information Management

Q&A: Rebill rejected claims containing HCPCS code A4641 in order to receive proper payment

APCs Insider, May 2, 2008

We have had claims rejected for nuclear medicine procedures when we report both a procedure and a radiopharmaceutical. The procedure is diagnostic and we report the radiopharmaceutical using with HCPCS code A4641 (radiopharmaceutical, diagnostic, not otherwise classified). Code A4641 appears in the published list of acceptable HCPCS codes for the procedure-to-radiopharmaceutical edits. Why do these claims reject?

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