Goto Medical Management Associates, Inc. Home page. Medical Management Associates - Ask A Consultant - Billing for Paramagnetic Contrast Material

Q:

When billing for an MRI of the brain with & without contrast material (70553), can you also bill with HCPCS code A4647 for the contrast material?

A:

A4647 specifies "paramagnetic contrast material". Section 15022 of the Medicare Carrier's Manual (MCM) specifically states that the payment for the technical component of 70553 includes payment for paramagnetic contrast material and instructs carriers not to make separate payment.

It is a good idea to have on hand the "HCPCS Level II Expert" book published by St. Anthony's/Medicode as it indicates relevant areas in the MCM that address specific HCPCS codes. Local Carrier Medical Review policies are also helpful in determining coverage issues and may also direct you to appropriate sections of the MCM.

 

Mary Beth Black, CPC (bio...)
Senior Associate

MMA does not provide legal, accounting, or tax advice.  If you need assistance in these areas, we recommend that you consult a qualified professional.  In addition, please note that a client relationship with MMA is not established by the submission of a question to this forum or by the publishing of MMA's response.



Go to Medical Management Associates home page
Medical Management Associates, Inc.
3330 Cumberland Boulevard Suite 200 Atlanta, GA 30339
Voice (770) 951-8427 Facsimile (770) 951-2157
Email clientservices@medicalmanagement.com
www.medicalmanagement.com