Medicare AdvantageReimbursementMedium impact
MA09.009x, Reimbursement for Radiopharmaceutical Agents for Professional Providers
Independence Blue Cross·Nuclear Medicine, Radiology, Cardiology +1 more·Claims & Billing
Effective date
Apr 1, 2025
We identified it
Jun 19, 2026
Summary
Medicare Advantage has updated their reimbursement policy for radiopharmaceutical agents used by professional providers. This policy change affects how providers will be reimbursed for radiopharmaceuticals used in diagnostic and therapeutic procedures.
Action Required
By April 1, 2025: Billing team must review the full policy details at the provided URL to understand specific reimbursement changes for radiopharmaceutical agents. Update billing procedures and fee schedules accordingly for Medicare Advantage claims involving radiopharmaceuticals.