Medical Diagnostics Reimbursement Resources

This Web site offers the latest Medicare information on coding, coverage and payment for contrast agents and radiopharmaceuticals.

Commercial insurers and Medicaid programs may require different codes and their payment methodologies may vary.

 

 

WHAT'S NEW
  • 2013 Quarterly ASP Rates
  • 2012 Quarterly ASP Rates
  • 2012 DaTscan Reimb Flashcard
  • DaTscan is a newly FDA approved drug.  DaTscan is a radiopharmaceutical indicated for striatal dopamine transporter visualization using single photon emission computed tomography (SPECT) brain imaging to assist in the evaluation of adult patients with suspected Parkinsonian syndromes (PS). DaTscan may be used to help differentiate essential tremor from tremor due to PS (idiopathic Parkinson’s disease, multiple system atrophy, and progressive supranuclear palsy). DaTscan is an adjunct to other diagnostic evaluations. Click here for the Full Prescribing Information.  See Coding Guide below for more info.  To learn more about DaTscan, visit http://us.datscan.com
  • DaTscan FAQs
CODING GUIDES

2012 Coding Guide
2011 Coding Guide
2011 Datscan™ (Ioflupane I 123 Injection) Coding Guide-effective through 6/30/2011
2011 Reimbursement for DaTscan™ (Ioflupane I 123 Injection) - Datscan was granted Pass-Through Status effective 7/1/11-12/31/11.
 

 

 
MEDICARE AVERAGE SALES PRICE RATES (ASP)

2012 Medicare ASP Rates

2011 Medicare ASP Rates

 

 

 

GE Healthcare is pleased to offer customer support and documentation for coding and reimbursement related to the products offered by the company. The materials referenced and provided are based upon coding experience and research of current general coding practices. The final decision for coding of any procedure must be made by the provider of care after considering the medical necessity of the services and supplies provided as well as the regulations and local, state or federal laws that apply. We are providing you this information with the understanding that we are not engaged in the rendering of legal, accounting or other professional services. GE Healthcare agrees to abide by the provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and any other relevant state or federal privacy laws and regulations concerning the use and/or disclosure of protected health information ("PHI") during the course of providing this support. Please do not submit patient identifying information to GE Healthcare when requesting reimbursement information.

Reimbursement Detail

GE Healthcare Technologies

Click here for more reimbursement information on radiology and nuclear medicine devices.

Reimbursement Hotline

Phone: 800-767-6664
Monday - Friday
9:00 am to 4:00 pm
Email: contactus@ge.com

Brachytherapy Inquiries
1 800 228 0126