Nuclear Medicine Billing Reminder

National Government Services has identified an issue with billing for nuclear medicine services under CPT codes 78429-78434.

We are receiving claims without the service facility location on the electronic claim. It is required to submit the service facility location in Segment 2310C on the electronic claim in order for the claim to process correctly. When the service facility location is not provided, NGS will send an additional documentation request for the information. If the necessary information is not received, your claim may be paid incorrectly, or denied.

If you submit these codes for nuclear medicine billing please make sure you are providing this information on the claim when submitting it for Medicare consideration.

Posted 2/16/2021