Reimbursement RatesDid you know, as a HeartLight Pharmacy Services customer, you will have access to our reimbursement specialist at no charge to your facility?

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Have a HeartLight Specialist contact you to learn more.

 

 

Barbara Ossias of Reimbursement Revenue Solutions LLC is our go-to expert in the medical reimbursement world. Her team of experts will assist you in getting the right code, right amount, and letting you know of any potential changes in the future. Give her a call today but be sure to mention you are a HeartLight customer!

Barbara J. Ossias
Reimbursement Revenue Solutions, LLC
1 Tara Boulevard
Suite 200
Nashua, NH 03062
Office – 603 324 7173
Mobile – 301 639 0446
Fax – 877 256 2430
www.reimbursementrevenuesolutions.com


2015 HCPCS Coding Changes Added for 2015

  • A9606 Radium ra223 dichloride therapeutic (Xofigo)
  • J0153 Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)

Deleted for 2015

  • J0150 Injection, adenosine for therapeutic use, 6 mg (not to be used to report any adenosine phosphate compounds, instead use A9270)
  • J0151 Injection, adenosine for diagnostic use, 1 mg (not to be used to report any adenosine phosphate compounds, instead use A9270)The first quarter 2015 ASP reimbursement for J0153 has been released and at $0.847/per mg

2015 CPT Coding Changes

There are no new nuclear medicine codes in 2015, but there are new codes in the related area of Radiation Oncology/Radiation Therapy. For dose Calculation and Planning five new CPT codes will be issued for 2015: 77306, 77307, 77316, 77317 and 77318. These five new bundled codes were created to reflect the current process of care for teletherapy and brachytherapy isodose planning and the current CPT codes, 77305-77315 and 77327-77328, will be deleted for 2015.

Three new codes (77385, 77386, and 77387) will be effective as of January 1st 2015 and the fourteen current codes that describe ultrasound guidance (76950), radiation treatment delivery codes (77403, 77404, 77406, 77408, 77409, 77411, 77413, 77414, 77416, 77418 and 77421) along with Category III codes (0073T and 0197T) will be deleted as of that date. Revision of the guidelines and editorial revision of the radiation treatment delivery codes 77401, 77402, 77407, 77412 will also be made.


 

“Reimbursement, or the lack thereof, is one of the most important issues in healthcare today. A drug, biological, device or procedure can be a vast improvement over any predecessor, but if there is no reimbursement, patients will not have access,” said Barbara J. Ossias, Principal,Reimbursement Revenue Solutions LLC, excerpted from an article in Imaging Economics


For current rates, contact HeartLight today at 419-879-4327