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Frequently asked questions
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No, Medicare does not differentiate between SC and FSC. SC and FSC are reported with the same HCPCS code (A9541) and descriptor.
Yes, the $10 add-on payment continues in calendar year 2020. Q9969 can be reported as an ‘add on’ HCPCS code for a Tc-99m dose derived from any non-HEU source
CMS final rule for 2020 allows hospitals to report HCPCS code Q9969 (Tc-99m from non-highly enriched uranium source, full cost recovery add-on per study dose) once per dose along with any diagnostic scan or scan furnished using Tc-99m as long as the TC-99m doses used can be certified by the hospital to be at least 95% derived from non-HEU sources.
Private pay reimbursement information is non-public. Hospitals should consult with their internal billing department or directly with their contracted payers for more information.
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Nuclear billing or purchasing questions
For other questions contact your local nuclear pharmacy
Central Billing 866.219.4427
Nuclear-Invoicing-Inquiries@cardinalhealth.com
Location list for purchasing or non-reimbursement nuclear questions
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