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US · guidance

CMS Pub. 100-04, ch. 13, § 50.2.1

A/B MAC (A) Payment for IV Persantine

activein force · 2026-08-25 – presentas-observed

The A/B MACs (A) pay drug IV Persantine based on the drug pricing methodology when used in

conjunction with nuclear medicine and cardiovascular stress testing procedures furnished to SNF

outpatients. Separate drug pricing methodology payments for IV Persantine is made in addition to

payments made for the procedure. SNFs bill HCPCS code J1245 (injection, dipyridamole, per 10 mg.)

with revenue code 0636.

History

(Rev. 1, 10-01-03)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
15ada6e4bb9d1baa917c1fd93d08e9764d7b940b0211b8ffc0f1673f0be69605
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