For the Week of July 21, 2014
What is the HCPCS code for Volumen for magnetic resonance enterography?
There is no specific HCPCS code for Volumen (or any other barium product), although the following generic codes may be used:
A9698 Non-radioactive contrast imaging material, not otherwise classified, per study
Q9954 Oral magnetic resonance contrast agent, per 100 ml
On the hospital side, Medicare considers barium a supply. In June 2012, CMS issued transmittal R157BP where barium was specifically listed as an example of drugs that should be billed to Medicare as a supply and not separately billed to the beneficiary.
On the physician or imaging center side, Medicare only pays separately for low osmolar contrast material (LOCM) and only when it is administered by intravenous, intrathecal or intra-articular injection. Other contrast materials such as barium would be considered bundled into the scan code and not separately paid or billable to the patient.
To view an archive of the Radiology Compliance Question of the Week, click here