AHA Coding Clinic® for HCPCS - 2004 Quarter 1; FOR your INFORMATION
CMS replaces HCPCS codes G0273 and G0274
As of Jan. 1, 2004, CMS replaced the following HCPCS codes: G0273, Radiopharmaceutical biodistribution, single or multiple scans on one or more days, pre-treatment planning for radiopharmaceutical therapy of non-Hodgkin’s lymphoma, includes administration of radiopharmaceutical (e.g., radiolabeled antibodies); G0274, Radiopharmaceutical therapy, non-Hodgkin’s lymphoma, includes administration of radiopharmaceutical (e.g., radiolabeled antibodies). Codes G0273 and G0274 have been replaced with the following CPT codes: 78804 , Radiopharmaceutical localization of tumor or distribution of radiopharmaceutical agent(s); whole body, requiring two or more days imaging, and 79403 , Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion. Hospitals should use CPT code...
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Article Overview
This article reviews a CMS update that replaces older HCPCS reporting codes with CPT-based alternatives and notes related APC assignment information. It is relevant to hospital coders, billing staff, and reimbursement professionals tracking federal coding changes for nuclear medicine and oncology-related services.
Why This Topic Matters
Code replacement notices can affect claim reporting, charge capture, and payment system mapping. Keeping track of these changes helps coding and reimbursement teams maintain accurate coding references and align internal systems with current CMS guidance.
What You Will Learn
- Which CMS reporting codes were replaced
- Which CPT codes superseded the prior HCPCS entries
- How the article relates the change to APC assignment tracking
- Which service context the update applies to at a high level
Who Should Read This
- Hospital outpatient coders
- Medical billing staff
- Revenue cycle professionals
- Coding auditors
- Nuclear medicine billing teams
Codes Discussed
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