Health Information Management

Pay-per-view: CMS adds new radiopharmaceutical, modifier

APCs Insider, November 11, 2011

Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

CMS reclassified HCPCS code C9406 (iodine I-123 ioflupane, diagnostic, per study dose, up to 5 millicuries) as a radiopharmaceutical as part of the October updates to the I/OCE. The change is retroactively effective to July 1.

The change is significant for two reasons, says Dave Fee, MBA, product marketing manager of outpatient products at 3M Health Information Systems in Murray, UT. First, if a hospital receives the radiopharmaceutical at no charge, it must append modifier -FB (item provided without cost to provider, supplier or practitioner, or credit received for replacement device [Examples, but not limited to: covered under warranty, replaced due to defect, free samples]) to the procedure code.

Continue reading “CMS adds new radiopharmaceutical, modifier ” on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the November issue.

Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

    Briefings on APCs
  • Briefings on APCs

    Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...

  • HIM Briefings

    Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...

  • Briefings on Coding Compliance Strategies

    Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...

  • Briefings on HIPAA

    How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...

  • APCs Insider

    This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...

Most Popular