CODING SHEET HYDROCEPHALUS REIMBURSEMENT. All Medicare information is current as of the time of printing.

Size: px
Start display at page:

Download "CODING SHEET HYDROCEPHALUS REIMBURSEMENT. All Medicare information is current as of the time of printing."

Transcription

1 CODING SHEET HYDROCEPHALUS REIMBURSEMENT All Medicare information is current as of the January 2014

2 Hydrocephalus ing Coding Options Commonly Billed Codes for Physicians, Hospitals, and Ambulatory Surgery Centers Please Note: The information contained in this document is provided for informational purposes only and represents no statement, promise, or guarantee by Codman Neuro concerning levels of reimbursement, payment, or charge. Similarly, all CPT AMA and HCPCS codes are supplied for informational purposes only and represent no statement, promise, or guarantee by Codman Neuro that these codes will be appropriate or that reimbursement will be made. It is not intended to increase or maximize reimbursement by any payor. We strongly recommend that you consult your payor organization with regard to its reimbursement policies. Current Procedural Terminology 2013 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. All Medicare payment rates are current as of the All products should be used according to their labeling. ICD-9-CM 1 and ICD-10-CM 2 Diagnosis Codes Diagnosis codes are used by both physicians and hospitals to document the indication for the procedure. There are two codes for normal pressure hydrocephalus, depending on its cause. ICD-9-CM Diagnosis Codes Indication Hydrocephalus and normal pressure hydrocephalus (as secondary to another disease process) Issues related to shunt function (other codes are used as the principal diagnosis, NPH is coded as a secondary diagnosis) ICD-9-CM Diagnosis Code Communicating hydrocephalus Idiopathic normal pressure hydrocephalus [INPH] (more commonly used and default code for NPH) Mechanical complication of nervous system device, implant, and graft Infection and inflammatory reaction due to nervous system device, implant, and graft Other complications due to nervous system device, implant, and graft V53.09 Fitting and adjustment of other devices related to nervous system and special senses ICD-10-CM Diagnosis Codes Indication Hydrocephalus and normal pressure hydrocephalus (as secondary to another disease process) Issues related to shunt function (other codes are used as the principal diagnosis, NPH is coded as a secondary diagnosis) ICD-10-CM Diagnosis Code G91.0 Communicating hydrocephalus G91.2 (Idiopathic) normal pressure hydrocephalus [INPH] (more commonly used and default code for NPH) T85.01XA Breakdown (mechanical) of ventricular intracranial (communicating) shunt, initial encounter T85.02XA Displacement of ventricular intracranial (communicating) shunt, initial encounter T85.89XA Other specified complication of internal prosthetic devices, implants and grafts, not elsewhere classified, initial encounter Z46.2 Encounter for fitting and adjustment of other devices related to nervous system and special senses ICD-9-CM Expert for Hospitals Volumes 1, 2, and 3; published by OptumInsight, Inc. (aka Ingenix, Inc.) ICD-10-CM Code Set; January

3 Physician Coding and Reimbursement 3 Current Procedural Terminology (CPT) is copyright 2013 American Medical Association. All Rights Reserved. No fee schedules, basic units, relative values, or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use. CPT is a trademark of the American Medical Association. Diagnostic Services Procedure CPT Code Description CY 2014 Physician RVU (Facility Setting) * CT, head or brain, without contrast 1.20 CT * CT, head or brain, with contrast * CT, head or brain, without and with contrast 1.81 MRI * MRI, brain, without contrast * MRI, brain, with contrast * MRI, brain, without and with contrast 3.26 Spinal Puncture Spinal puncture, lumbar, diagnostic Spinal puncture, therapeutic, for drainage of CSF 2.45 *Modifier 26 is appended to some codes to indicate that hospital-owned equipment was used so the physician is being reimbursed only for the professional service of interpreting the results. Note: Code is for a routine spinal tap. Code is performed for external or controlled lumbar drainage over the course of several days as an inpatient. Because has a global period of 0 days, the physician can report this code for each day the procedure is performed. Treatment Procedure CPT Code Description CY 2014 Physician RVU (Facility Setting) and Twist drill hole(s) for ventricular puncture for implanting Catheter ventricular catheter 9.04 Implantation Burr hole(s) for implanting ventricular catheter and Creation of shunt; ventriculo-atrial, -jugular, -auricular Replacement Creation of shunt; ventriculo-peritoneal, -pleural, other terminus Replacement or irrigation, ventricular catheter Replacement or revision of CSF shunt, obstructed valve or distal catheter in shunt system Removal of complete CSF shunt system with replacement Adjunctive Services for Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) 5.45 Removal Removal of complete CSF shunt system without replacement Physician RVUs are based on the Medicare Physician Fee Schedule as published in the Medicare Program: Revisions to Payment Policies under the Physician Fee Schedule for CY 2014 published in the 12/10/2013 Federal Register, and the Pathway to SGR Reform Act of 2013 January

4 Physician Coding and Reimbursement 3 (cont.) Procedure CPT Code Description CY 2014 Physician RVU (Facility Setting) Patency Evaluation Puncture of shunt tubing or reservoir for aspiration or injection procedure ogram for investigation of previously placed shunt 0.68 eg. ventriculoperitoneal Note: Codes and are often used in tandem for evaluating shunt function. Dye is injected (61070) and imaging (75809) is performed to identify any areas of obstruction. Procedure CPT Code Description CY 2014 Physician RVU (Non-Facility Setting) Reprogramming Reprogramming of programmable cerebrospinal shunt 2.41 (Global) CY 2014 Physician RVU (Facility Setting) 1.32 (-26, Professional) Note: Code for reprogramming is typically performed in the physician office. However, it may be performed in the hospital clinic setting. Modifier 26 is appended to show that hospital-owned equipment was used so the physician is being reimbursed only for the professional service. January

5 Hospital Inpatient Coding and Reimbursement The diagnosis and treatment of NPH may result in two separate hospital admissions. The first is for the diagnostic procedure known as external or controlled lumbar drainage. The second admission is for treatment with shunt implantation. Other admissions may later be needed for revisions and other shunt procedures. ICD-9-CM 4 and ICD-10-PCS 5 Procedure Codes Although ICD-9-CM diagnosis codes are used by both physicians and hospitals to document the indication for the procedure, ICD-9-CM procedure codes are for hospital. ICD-9-CM Procedure Codes Service Provided Diagnostic Services Spinal Puncture Treatment Creation of Extracranial Revision, Removal, Irrigation of Ventricular ICD-9-CM Procedure Code Spinal Tap Other diagnostic procedures on spinal cord and spinal canal structures Ventricular shunt to structure in head or neck Ventricular shunt to circulatory system Ventricular shunt to thoracic cavity Ventricular shunt to abdominal cavity and organs Ventricular shunt to urinary system Ventricular shunt to extracranial site NEC Irrigation and exploration of ventricular shunt Replacement of ventricular shunt Removal of ventricular shunt Incision of peritoneum Service Provided Diagnostic Services Spinal Puncture Treatment Creation of Extracranial Revision, Removal, Irrigation of Ventricular ICD-10- PCS Procedure Code 009U[0,3,4]ZX Drainage of Spinal Canal [Open, Percutaneous, or Percutaneous Endoscopic] Diagnostic 0016[0,3]J3 Bypass Cerebral Ventricle to Blood Vessel with Synthetic Substitute[Open, Percutaneous] 0016[0,3]J4 Bypass Cerebral Ventricle to Pleural Cavity with Synthetic Substitute [Open, Percutaneous] 0016[0,3]J6 Bypass Cerebral Ventricle to Peritoneal Cavity with Synthetic Substitute, [Open, Percutaneous] 0016[0,3]J7 Bypass Cerebral Ventricle to Urinary Tract with Synthetic Substitute[Open, Percutaneous] 3C1ZX8Z Irrigation of Indwelling Device using Irrigating Substance, External Approach 00W6[0,3,4]JZ Revision of Synthetic Substitute in Cerebral Ventricle[Open, Percutaneous, Percutaneous Endoscopic] 0DWW[0,3,4]JZ Revision of Synthetic Substitute in Peritoneum [Open, Percutaneous, Percutaneous Endoscopic] 00P6[0,3,4]JZ Removal of Synthetic Substitute from Cerebral Ventricle [Open, Percutaneous, Percutaneous Endoscopic] 0DPW[0,3,4]JZ Removal of Synthetic Substitute from Peritoneum [Open, Percutaneous, Percutaneous Endoscopic] ICD-9-CM Expert for Hospitals Volumes 1, 2, and 3; published by OptumInsight, Inc. (aka Ingenix, Inc.) ICD-10-PCS Code Set January

6 MS-DRG Assignment and Payment 6 Hospital Inpatient Coding and Reimbursement 6 (cont) Under Medicare s hospital inpatient payment system, a single MS-DRG is assigned for the entire hospital stay. The associated payment is all-inclusive and is designed to encompass all services rendered during the stay. Diagnostic Admission: NPH as Principal Diagnosis ICD-9-CM Procedure Code(s) MS- DRG MS-DRG Description MCC= Major Complication/Comorbidity CC= Complication/Comorbidity FY 2014 Medicare 10/1/13 9/30/14 MS-DRG Relative Weight Degenerative nervous system disorders with MCC Degenerative nervous system disorders without MCC Spinal procedures with MCC Spinal procedures with CC or Spinal Neurostimulator Spinal procedures without CC/MCC Treatment Admission: Creation of ICD-9-CM Procedure Code(s) MS- DRG MS-DRG Description MCC= Major Complication/Comorbidity CC= Complication/Comorbidity FY 2014 Medicare 10/1/13 9/30/14 MS-DRG Relative Weight Ventricular shunt procedures with MCC Ventricular shunt procedures with CC Ventricular shunt procedures without CC/MCC Treatment Admission: Other Procedures ICD-9-CM Procedure Codes and are also assigned to MS-DRGs 031 to 033 when NPH, shunt malfunction or attention to the shunt are used as the principal diagnosis. ICD-9-CM Procedure Code has a medical MS-DRG assigned based on the principal diagnosis of NPH, shunt malfunction, or attention to the shunt. ICD-9-CM Procedure Code MS- DRG MS-DRG Description MCC= Major Complication/Comorbidity CC= Complication/Comorbidity Peripheral/cranial nerve and other nervous system procedure with MCC 041 Peripheral/cranial nerve and other nervous system procedure with CC or Peripheral Neurostimulator FY 2014 Medicare 10/1/13 9/30/14 MS-DRG Relative Weight Inpatient national relative weight information is based on the Medicare Inpatient Prospective Payment System as published in the 8/19/13 Federal Register (Medicare Program: Hospital Inpatient Prospective Payment Systems Fiscal Year 2014 Rates; Final Rule) and Rule-CMS-1599-F-Tables.html?DLPage=1&DLSort=0&DLSortDir=ascending. January

7 ICD-9-CM Procedure Code MS- DRG 042 MS-DRG Description MCC= Major Complication/Comorbidity CC= Complication/Comorbidity Peripheral/cranial nerve and other nervous system procedure without CC/MCC FY 2014 Medicare 10/1/13 9/30/14 MS-DRG Relative Weight January

8 Hospital Outpatient Coding and Reimbursement 7 The diagnostic imaging, spinal puncture, a few of the treatment procedures and follow-up services may be performed as outpatient procedures. Service CPT Code APC and Description CY 2014 Medicare Hospital Outpatient Reimbursement APC Weight Status Indicator * Diagnostic CT , CT Without Contrast Q , CT With Contrast Q , CT Without Contrast Followed by Contrast Q3 MRI , MRI/MRA Without Contrast Q , MRI/MRA With Contrast Q , MRI/MRA Without Contrast Followed by Contrast Q3 Spinal Puncture , Level II Nerve Injections T Treatment and follow up & Catheter Implantation Follow-Up Patency Evaluation , Level II Nerve Injections T 0427, Level II Tube or Catheter Changes or Repositioning T , Level II Nerve Procedure T , Level I Tube or Catheter Changes or Repositioning 0261 Level II Plain Film Except Teeth Including Bone Density Measurement T Q2 Reprogramming , Level II Electronic Analysis of Devices S * OPPS Status Indicators Status Indicator Q2 is separately payable in certain circumstances, but designated as packaged when submitted with another code with Status Indicator T. Status Indicator Q3 the service may be part of a composite (combined) APC if billed with certain other services. Status Indicator S the services are paid separately under the APCs and payment rates shown and that payment is always made at 100% of the rate, not reduced even when other separately payable services are also billed. Status Indicator T the service is paid at 50% of rate when billed with another higher-weighted T procedure. Otherwise, it is paid at 100% of the rate. 7 Outpatient Hospital and Ambulatory Surgery Center national reimbursement levels are based on the Medicare Outpatient Prospective Payment System and Ambulatory Surgery Center Payment System as published in Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems Final Rule published in the 12/10/2013 Federal Register January

9 Ambulatory Surgery Center Coding and Reimbursement 7 * ASCs use CPT codes to report outpatient services. Multiple Procedure Discounting indicates that the procedure is subject to a 50% reduction in payment when billed with other procedures. Services CPT Code Description Diagnostic Spinal Puncture Spinal puncture, lumbar, diagnostic Treatment and follow up & Catheter Implantation Follow-Up Patency Evaluation Reprogramming Spinal puncture, therapeutic, for drainage of CSF Replacement or irrigation, ventricular catheter Replacement or revision of CSF shunt, obstructed valve or distal catheter in shunt system Puncture of shunt tubing or reservoir for aspiration or injection ogram for investigation of previously placed shunt eg. ventriculoperitoneal Reprogramming of programmable cerebrospinal shunt CY 2014 Medicare Ambulatory Surgery Center Reimbursement Payment Multiple Procedure Weight Indicator A A A A A2 NA NA N1 reduction does not apply No weight listed P3 ASC Payment Indicators A2 = ASC payment based on an adjusted version of the hospital outpatient weight and payment. N1 = Code is a covered service but is designated as packaged and no separate payment is made. P3 = Procedure is commonly performed in the physician office, ASC payment is based on an adjusted version of the physician fee schedule. * Commercial Insurance Reimbursement for ASCs ASCs should check their commercial payer contracts to be sure that the codes and reimbursement for these procedures have been included. January

Shunt Reimbursement Guide

Shunt Reimbursement Guide Shunt Guide - 2018 Effective October 1, 2015, the Centers for & Medicaid Services (CMS) is implementing International Classification of Diseases, 10 th Revision (ICD-10) Procedure Coding System (PCS) in

More information

CODING SHEETS CHRONIC INTRACTABLE PAIN MANAGEMENT. Effective January 1, 2009 CODMAN 3000 NEUROMODULATION AND ONCOLOGY REIMBURSEMENT HOTLINE

CODING SHEETS CHRONIC INTRACTABLE PAIN MANAGEMENT. Effective January 1, 2009 CODMAN 3000 NEUROMODULATION AND ONCOLOGY REIMBURSEMENT HOTLINE CODING SHEETS CHRONIC INTRACTABLE PAIN MANAGEMENT Effective January 1, 2009 CODMAN 3000 NEUROMODULATION AND ONCOLOGY REIMBURSEMENT HOTLINE Phone: 800-609-1108 Email: codmanpump@aol.com Fax: 303-703-1572

More information

2018 Cerebrovascular Reimbursement Coding Fact Sheet

2018 Cerebrovascular Reimbursement Coding Fact Sheet The information contained in this document is provided for informational purposes only and represents no statement, promise, or guarantee by Cordis Corporation concerning levels of reimbursement, payment,

More information

CSF MANAGEMENT REIMBURSEMENT GUIDE

CSF MANAGEMENT REIMBURSEMENT GUIDE CSF MANAGEMENT REIMBURSEMENT GUIDE TABLE OF CONTENTS Cerebrospinal Fluid Shunts ICD-10-CM diagnosis Codes...2 ICD-10-PCS Codes...4 Physician and Hospital Outpatient Coding...6 Hospital Inpatient DRG Assignments...7

More information

REIMBURSEMENT GUIDE. Sovereign. Spinal System

REIMBURSEMENT GUIDE. Sovereign. Spinal System REIMBURSEMENT GUIDE Sovereign Spinal System REIMBURSEMENT GUIDE The Sovereign Spinal System is indicated for use with autogenous bone graft in patients with degenerative disc disease The Sovereign Spinal

More information

2018 HEMODIALYSIS CATHETERS CODING AND REIMBURSEMENT GUIDE

2018 HEMODIALYSIS CATHETERS CODING AND REIMBURSEMENT GUIDE 2018 HEMODIALYSIS CATHETERS CODING AND REIMBURSEMENT GUIDE Contents Overview of Central Venous Access s for Hemodialysis 2 Procedures Using Hemodialysis s 2 Physician Reimbursement for Hemodialysis s 3

More information

CD Horizon Spire. CD Horizon Spire Z PHYSICIAN REIMBURSEMENT REIMBURSEMENT GUIDE. Spinal System and. Spinal System

CD Horizon Spire. CD Horizon Spire Z PHYSICIAN REIMBURSEMENT REIMBURSEMENT GUIDE. Spinal System and. Spinal System REIMBURSEMENT GUIDE CD Horizon Spire Spinal System and CD Horizon Spire Z Spinal System The CD Horizon Spire Plate is a posterior, single level, non-pedicle supplemental fixation device intended for use

More information

Product Name or Headline

Product Name or Headline Product Name or Headline Subhead goes here Payer policies will vary and should be verified prior to treatment for limitations on diagnosis, coding, or site of service requirements. The coding options listed

More information

Diagnostic and interventional venous procedures (lower extremity)

Diagnostic and interventional venous procedures (lower extremity) 2017 Coding and Medicare payment guide Diagnostic and interventional venous procedures (lower extremity) All coding, coverage, billing and payment information provided herein by Philips Volcano is gathered

More information

COMMONLY BILLED CODES

COMMONLY BILLED CODES COMMONLY BILLED CODES SACRAL NEUROMODULATION FOR BLADDER CONTROL OR BOWEL CONTROL EFFECTIVE JANUARY 2018 UC201002977oEN Medtronic provides this information for your convenience only. It does not constitute

More information

Coronary intravascular ultrasound (IVUS)

Coronary intravascular ultrasound (IVUS) 2017 Coding and Medicare payment guide Coronary intravascular ultrasound (IVUS) All coding, coverage, billing and payment information provided herein by Philips Volcano is gathered from third-party sources

More information

Men s Health Coding & Payment Quick Reference

Men s Health Coding & Payment Quick Reference Payer policies will vary and should be verified prior to treatment for limitations on diagnosis, coding or site of service requirements. The coding options listed within this guide are commonly used codes

More information

CD Horizon Solera 5.5/6.0mm Fenestrated Screw Set

CD Horizon Solera 5.5/6.0mm Fenestrated Screw Set REIMBURSEMENT GUIDE CD Horizon Solera 5.5/6.0mm Fenestrated Screw Set DEVICE DESCRIPTION The CD Horizon Solera 5.5/6.0mm Fenestrated Screw Set consists of a variety of cannulated multi-axial screws (MAS)

More information

2017 FACILITY AND PHYSICIAN REIMBURSEMENT GUIDE

2017 FACILITY AND PHYSICIAN REIMBURSEMENT GUIDE 2017 AND PHYSICIAN REIMBURSEMENT GUIDE NASAL/SINUS ENDOSCOPIC SURGERY Some of the Current Procedure Terminology (CPT ) Codes for endoscopic nasal/sinus surgery are listed below. CPT codes 31295, 31296

More information

2017 Hospital Coding and Payment Guide

2017 Hospital Coding and Payment Guide Reimbursement Men s Health 2017 Hospital Coding and Payment Guide This coding reference guide is intended to illustrate the common coding and payment groups for male prosthetic urology procedures and related

More information

Fractional Flow Reserve (FFR) and instant wave-free Ratio (The ifr modality)

Fractional Flow Reserve (FFR) and instant wave-free Ratio (The ifr modality) 2017 Coding and Medicare payment guide Fractional Flow Reserve (FFR) and instant wave-free Ratio (The ifr modality) All coding, coverage, billing and payment information provided herein by Philips Volcano

More information

2015 Facility and Physician Billing Guide Heart Valve Technologies

2015 Facility and Physician Billing Guide Heart Valve Technologies 2015 Facility and Physician Billing Guide Heart Valve Technologies PHYSICIAN BILLING CODES Clinicians use Current Procedural Terminology (CPT 1 ) codes to bill for procedures and services. Each CPT code

More information

Coding and Reimbursement Guide for Integra Reinforcement Matrix 2018

Coding and Reimbursement Guide for Integra Reinforcement Matrix 2018 Coding and Reimbursement Guide for Integra Reinforcement Matrix 2018 Effective October 1, 2015, the Centers for & Medicaid Services (CMS) is implementing International Classification of Diseases, 10 th

More information

Diagnostic and interventional venous procedures (lower extremity)

Diagnostic and interventional venous procedures (lower extremity) Coding and Medicare national payment guide 2018 Diagnostic and interventional venous procedures (lower extremity) All coding, coverage, billing and payment information provided herein by Philips is gathered

More information

ABBOTT CODING GUIDE CHRONIC PAIN. Effective January 1, 2019 INTRO SPINAL CORD STIMULATION (SCS) RADIOFREQUENCY ABLATION (RFA)

ABBOTT CODING GUIDE CHRONIC PAIN. Effective January 1, 2019 INTRO SPINAL CORD STIMULATION (SCS) RADIOFREQUENCY ABLATION (RFA) ABBOTT CODING GUIDE CHRONIC PAIN Effective January 1, 2019 CHRONIC PAIN Effective January 1, 2019 Introduction The Chronic Pain Coding Guide is intended to provide reference material related to general

More information

COMMONLY BILLED CODES AND ASSOCIATED 2018 MEDICARE RATES

COMMONLY BILLED CODES AND ASSOCIATED 2018 MEDICARE RATES CRHF REIMBURSEMENT & HEALTH POLICY Pacemaker Therapy COMMONLY BILLED CODES AND ASSOCIATED 2018 MEDICARE RATES This document reflects commonly billed codes for Pacemaker Therapy and their associated National

More information

Suture of Tendon Sheath of Hand , , Delayed suture of other tendon of hand , Other Suture of Flexor Tendon of Hand

Suture of Tendon Sheath of Hand , , Delayed suture of other tendon of hand , Other Suture of Flexor Tendon of Hand Coding and Reimbursement Guide for Integra BioFix Amniotic Membrane Allograft, Integra BioFix Plus Amniotic Membrane Allograft & Integra BioFix Flow Placental Tissue Matrix Allograft For Use In Repair

More information

Coding and Reimbursement Guide for TenoGlide Tendon Protector Sheet 2018

Coding and Reimbursement Guide for TenoGlide Tendon Protector Sheet 2018 Coding and Reimbursement Guide for TenoGlide Protector Sheet 2018 Effective October 1, 2015, the Centers for & Medicaid Services (CMS) is implementing International Classification of Diseases, 10 th Revision

More information

DBS THERAPY FOR ESSENTIAL TREMOR, PARKINSON S DISEASE, DYSTONIA AND OBSESSIVE- COMPULSIVE DISORDER COMMONLY BILLED CODES EFFECTIVE JANUARY 2017

DBS THERAPY FOR ESSENTIAL TREMOR, PARKINSON S DISEASE, DYSTONIA AND OBSESSIVE- COMPULSIVE DISORDER COMMONLY BILLED CODES EFFECTIVE JANUARY 2017 FOR ESSENTIAL TREMOR, PARKINSON S DISEASE, DYSTONIA AND OBSESSIVE- COMPULSIVE DISORDER EFFECTIVE JANUARY 2017 Medtronic provides this information for your convenience only. It does not constitute legal

More information

COMMONLY BILLED CODES SPINAL CORD STIMULATION FOR CHRONIC PAIN-TRUNK AND/OR LIMBS

COMMONLY BILLED CODES SPINAL CORD STIMULATION FOR CHRONIC PAIN-TRUNK AND/OR LIMBS COMMONLY BILLED CODES SPINAL CORD STIMULATION FOR CHRONIC PAIN-TRUNK AND/OR LIMBS EFFECTIVE JANUARY 2018 1 Medtronic provides this information for your convenience only. It does not constitute legal advice

More information

SPINAL CORD STIMULATION FOR CHRONIC PAIN-TRUNK AND/OR LIMBS COMMONLY BILLED CODES EFFECTIVE JANUARY 2016

SPINAL CORD STIMULATION FOR CHRONIC PAIN-TRUNK AND/OR LIMBS COMMONLY BILLED CODES EFFECTIVE JANUARY 2016 FOR CHRONIC PAIN-TRUNK AND/OR LIMBS EFFECTIVE JANUARY 2016 Medtronic provides this information for your convenience only. It does not constitute legal advice or a recommendation regarding clinical practice.

More information

COMMONLY BILLED CODES

COMMONLY BILLED CODES COMMONLY BILLED CODES TARGETED DRUG DELIVERY FOR SEVERE SPASTICITY EFFECTIVE JANUARY 2018 Abrupt discontinuation of intrathecal baclofen, regardless of the cause, has resulted in sequelae that include

More information

2017 FlexHD Abdominal Wall Reconstruction Reimbursement Coding Reference

2017 FlexHD Abdominal Wall Reconstruction Reimbursement Coding Reference 2017 FlexHD Abdominal Wall Reconstruction Reimbursement Coding Reference Most Commonly Reported ICD-10-CM Procedure Codes and Descriptors ICD-10-CM Description 0WUF0KZ Supplement Abdominal Wall with Nonautologous

More information

Pelvic Floor. Reimbursement & Coding Guide

Pelvic Floor. Reimbursement & Coding Guide Pelvic Floor Reimbursement & Coding Guide Pelvic Floor Reimbursement and Coding Guide ACell Pelvic Floor Matrix products are biologically-derived devices comprised of porcine Urinary Bladder Matrix (UBM),

More information

Reimbursement Information for Diagnostic Ultrasound and Ultrasound-guided Vascular Procedures 1

Reimbursement Information for Diagnostic Ultrasound and Ultrasound-guided Vascular Procedures 1 GE Healthcare Reimbursement Information for Diagnostic Ultrasound and Ultrasound-guided Vascular Procedures 1 January, 2013 www.gehealthcare.com/reimbursement This overview addresses coding, coverage,

More information

2018 Endovascular Reimbursement Coding Fact Sheet

2018 Endovascular Reimbursement Coding Fact Sheet The information contained in this document is provided for informational purposes only and represents no statement, promise, or guarantee by Cordis Corporation concerning levels of reimbursement, payment,

More information

2 016 HF10 THERAPY HOSPITAL OUTPATIENT DEPARTMENT AND AMBULATORY SURGERY CENTER REIMBURSEMENT REFERENCE GUIDE

2 016 HF10 THERAPY HOSPITAL OUTPATIENT DEPARTMENT AND AMBULATORY SURGERY CENTER REIMBURSEMENT REFERENCE GUIDE HF10 therapy, delivered by the Nevro Senza System, is a new high-frequency spinal cord stimulation technology designed to aid in the management of chronic intractable pain of the trunk/limbs, including

More information

Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day

Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day Potential CPT Codes 1 CPT CPT Description Physician Work RVU Total RVU (In-Facility) 2018 National Avg. Medicare Physician Payment (In-Facility) Mechanical Thrombectomy 37187 37188 Percutaneous transluminal

More information

ABBOTT CODING GUIDE STRUCTURAL HEART AND VALVES CONGENITAL DEFECTS SURGICAL HEART VALVES AMPLATZER PFO OCCLUDER. Effective January 1, 2019

ABBOTT CODING GUIDE STRUCTURAL HEART AND VALVES CONGENITAL DEFECTS SURGICAL HEART VALVES AMPLATZER PFO OCCLUDER. Effective January 1, 2019 ABBOTT CODING GUIDE STRUCTURAL HEART AND VALVES Effective January 1, 2019 STRUCTURAL HEART AND VALVES Effective Janaury 1, 2019 Introduction The Structural Heart and Valves Coding Guide is intended to

More information

2015 Procedural Payment Guide

2015 Procedural Payment Guide Contents Introduction Disclaimer (print page 2) Description of Payment Methods (print page 3) Procedural Payment Guide: Cardiac Rhythm Management and Electrophysiology Procedures (print page range: 4-17)

More information

Inspire Medical Systems. Hospital Billing Guide

Inspire Medical Systems. Hospital Billing Guide Inspire Medical Systems Hospital Billing Guide Inspire Medical Systems Hospital Billing Guide This Hospital Billing Guide was developed to help centers correctly bill for Inspire Upper Airway Stimulation

More information

Ultrasound Reimbursement Information for Anesthesiology 1

Ultrasound Reimbursement Information for Anesthesiology 1 GE Healthcare Ultrasound Reimbursement Information for Anesthesiology 1 January, 2009 www.gehealthcare.com/reimbursement This overview addresses coding, coverage, and for ultrasound guidance with continuous

More information

HF10 THERAPY 2018 Ambulatory Surgery Center Reimbursement and Coding Reference Guide

HF10 THERAPY 2018 Ambulatory Surgery Center Reimbursement and Coding Reference Guide HF10 therapy, delivered by the Nevro Senza System, is the high-frequency spinal cord stimulation technology operated at 10,000 Hz designed to aid in the management of chronic intractable pain of the trunk

More information

PHYSICIAN CODING AND PAYMENT GUIDE

PHYSICIAN CODING AND PAYMENT GUIDE Targeted Drug Delivery PHYSICIAN CODING AND PAYMENT GUIDE 2018 Flowonix Medical has compiled this coding information for your convenience. This information is gathered from third party sources and is subject

More information

ICD-9-CM Diagnosis Code options

ICD-9-CM Diagnosis Code options ICD-9-CM Diagnosis Code options Diagnosis codes are used by both physicians and facilities to document the indication for the procedure. Intrathecal drug delivery is directed at managing chronic, intractable

More information

Reimbursement Information for Diagnostic Ultrasound and Ultrasound-guided Procedures Commonly Performed by Otolaryngologists

Reimbursement Information for Diagnostic Ultrasound and Ultrasound-guided Procedures Commonly Performed by Otolaryngologists GE Healthcare Reimbursement Information for Diagnostic Ultrasound and Ultrasound-guided Procedures Commonly Performed by Otolaryngologists 1 January, 2013 www.gehealthcare.com/reimbursement imagination

More information

Dialysis circuit procedures: arteriovenous (AV) fistula repair

Dialysis circuit procedures: arteriovenous (AV) fistula repair Coding and Medicare national payment guide 2018 Dialysis circuit procedures: arteriovenous (AV) fistula repair All coding, coverage, billing and payment information provided herein by Philips is gathered

More information

code it EVOLVE EPS HCPCS Device Codes CPT Codes Physician Coding Elbow Plating System HCPCS Code Description C1713 CPT CODE Description RVUs

code it EVOLVE EPS HCPCS Device Codes CPT Codes Physician Coding Elbow Plating System HCPCS Code Description C1713 CPT CODE Description RVUs HCPCS Device Codes HCPCS codes are developed and maintained by CMS and are used to report items such as medical devices, implants, drugs and supplies. C-codes are a special type of HCPCS code designed

More information

2019 MITRACLIP CODING AND PAYMENT GUIDE

2019 MITRACLIP CODING AND PAYMENT GUIDE CLAIM 2019 MITRACLIP AND PAYMENT GUIDE MitraClip Transcatheter Mitral Valve Repair Hospital Rates: Effective October 1, 2018 Physician Rates: Effective January 1, 2019 References and Brief Summary 1 CLAIM

More information

Foot and Ankle Systems Coding Reference Guide

Foot and Ankle Systems Coding Reference Guide Foot and Ankle Systems Coding Reference Guide Physician Arthrodesis 27870 Arthrodesis, ankle, open 27871 Arthrodesis, tibiofibular joint, proximal or distal 28705 Arthrodesis; pantalar 28715 Arthrodesis;

More information

Wound & Burn. Reimbursement & Coding Guide

Wound & Burn. Reimbursement & Coding Guide Wound & Burn Reimbursement & Coding Guide Wound & Burn Reimbursement and Coding Guide MicroMatrix and Cytal devices facilitate the remodeling of functional, site-appropriate tissue. Comprised of ACell

More information

Diagnostic and interventional arterial procedures (lower extremity)

Diagnostic and interventional arterial procedures (lower extremity) 2017 Coding and Medicare payment guide Diagnostic and interventional arterial procedures (lower extremity) Page 2 All coding, coverage, billing and payment information provided herein by Philips Volcano

More information

Reimbursement Information for Ultrasound-guided Procedures Performed by Anesthesiologists 1

Reimbursement Information for Ultrasound-guided Procedures Performed by Anesthesiologists 1 GE Healthcare Information for Ultrasound-guided Procedures Performed by Anesthesiologists 1 January, 2013 www.gehealthcare.com/reimbursement This overview addresses coding, coverage, and payment for ultrasound

More information

INPATIENT REIMBURSEMENT PROSPECTUS

INPATIENT REIMBURSEMENT PROSPECTUS 2018 CARDIOVASCULAR SERVICE LINE INPATIENT REIMBURSEMENT PROSPECTUS Increasing financial risk to U.S. health care providers, including physicians and hospitals, has been centered on outcomes-based modifiers

More information

Hernia & Surgical. Reimbursement & Coding Guide

Hernia & Surgical. Reimbursement & Coding Guide Hernia & Surgical Reimbursement & Coding Guide Hernia and General Surgery Reimbursement and Coding Guide Gentrix devices facilitate the remodeling of functional, site-appropriate tissue. Compromised of

More information

Stone Management Coding & Payment Quick Reference

Stone Management Coding & Payment Quick Reference Payer policies will vary and should be verified prior to treatment for limitations on diagnosis, coding or site of service requirements. The coding options listed within this guide are commonly used codes

More information

2017 Rhinoplasty Coding and Reimbursement Guide

2017 Rhinoplasty Coding and Reimbursement Guide 2017 Rhinoplasty Coding and Reimbursement Guide Profile Costal Cartilage Allograft A Pre-shaped costal cartilage allograft for rhinoplasty procedures HCPCS Description * Status Indicator APC HOPPS¹ ASC¹

More information

2012 Head and Neck Reconstruction/ENT Repair Coding Observations

2012 Head and Neck Reconstruction/ENT Repair Coding Observations Health Policy, Economics & Reimbursement Reimbursement Hotline Tel: 888.543.3656 Fax: 866.262.6977 reimbursement@lifecell.com www.lifecell.com 2012 Head and Neck Reconstruction/ENT Repair Coding Observations

More information

Uphold LITE Vaginal Support System 2015 Coding & Quick Reference Guide

Uphold LITE Vaginal Support System 2015 Coding & Quick Reference Guide Hospital Outpatient Coding Scenarios This guide contains specific information for two (2) common coding/reimbursement scenarios related to the use of the Uphold LITE Vaginal Support System when performed

More information

Reimbursement Information for Diagnostic Musculoskeletal Ultrasound and Ultrasound-guided Procedures 1

Reimbursement Information for Diagnostic Musculoskeletal Ultrasound and Ultrasound-guided Procedures 1 GE Healthcare Reimbursement Information for Diagnostic Musculoskeletal Ultrasound and Ultrasound-guided Procedures 1 January, 2013 www.gehealthcare.com/reimbursement This overview addresses coding, coverage,

More information

2018 Hysterectomy Reimbursement Fact Sheet

2018 Hysterectomy Reimbursement Fact Sheet 2018 Hysterectomy Reimbursement Fact Sheet The information contained in this document is provided for informational purposes only and represents no statement, promise, or guarantee by Ethicon concerning

More information

Reimbursement Information for Diagnostic Ultrasound and Ultrasound-guided Procedures 1 Performed by Emergency Medicine Physicians

Reimbursement Information for Diagnostic Ultrasound and Ultrasound-guided Procedures 1 Performed by Emergency Medicine Physicians GE Healthcare Reimbursement Information for Diagnostic Ultrasound and Ultrasound-guided Procedures 1 Performed by Emergency Medicine Physicians January, 2013 www.gehealthcare.com/reimbursement This overview

More information

Reimbursement Guidelines for Pain Management Procedures 1

Reimbursement Guidelines for Pain Management Procedures 1 GE Healthcare Reimbursement Guidelines for Pain Management Procedures 1 April 2015 www.gehealthcare.com/reimbursement This overview addresses coding, coverage, and payment for pain management procedures

More information

FOR QUESTIONS PLEASE CONTACT US AT

FOR QUESTIONS PLEASE CONTACT US AT MAGNETIC BONE- ANCHORED HEARING SYSTEM (BAHS) EFFECTIVE JANUARY 2018 Medtronic provides this information for your convenience only. It does not constitute legal advice or a recommendation regarding clinical

More information

Vascular Plug Procedures 2014 CODING AND PAYMENT REFERENCE GUIDE ST. JUDE MEDICAL - CARDIOVASCULAR DIVISION

Vascular Plug Procedures 2014 CODING AND PAYMENT REFERENCE GUIDE ST. JUDE MEDICAL - CARDIOVASCULAR DIVISION Vascular Plug Procedures 2014 CODING AND PAYMENT REFERENCE GUIDE ST. JUDE MEDICAL - CARDIOVASCULAR DIVISION IMPORTANT: St. Jude Medical provides this reference guide for general information purposes only

More information

2015 ST. JUDE MEDICAL THERAPY CODING GUIDE Cardiac Pacemakers

2015 ST. JUDE MEDICAL THERAPY CODING GUIDE Cardiac Pacemakers 2015 ST. JUDE MEDICAL THERAPY CODING GUIDE Cardiac Pacemakers This guide provides physician and hospital coding and reimbursement information for cardiac pacemaker procedures. In addition, St. Jude Medical

More information

Nevro Reimbursement Support

Nevro Reimbursement Support HF10 therapy, delivered by the Nevro Senza System, is the high-frequency spinal cord stimulation technology operated at 10,000 Hz designed to aid in the management of chronic intractable pain of the trunk

More information

2016 ST. JUDE MEDICAL THERAPY CODING GUIDE Cardiac Pacemakers

2016 ST. JUDE MEDICAL THERAPY CODING GUIDE Cardiac Pacemakers 2016 ST. JUDE MEDICAL THERAPY CODING GUIDE Cardiac Pacemakers This guide provides physician and hospital coding and reimbursement information for cardiac pacemaker procedures. In addition, St. Jude Medical

More information

Lumify. Lumify reimbursement guide {D DOCX / 1

Lumify. Lumify reimbursement guide {D DOCX / 1 Lumify Lumify reimbursement guide {D0672917.DOCX / 1 {D0672917.DOCX / 1 } Contents Overview 4 How claims are paid 4 Documentation requirements 5 Billing codes for ultrasound: Non-hospital setting 6 Billing

More information

Surgical Preparation Codes for Skin Replacement Surgery** Hospital Outpatient/Ambulatory Surgical Center Setting

Surgical Preparation Codes for Skin Replacement Surgery** Hospital Outpatient/Ambulatory Surgical Center Setting 2018 National Medicare Reimbursement Rate Summary* for Integra Dermal Regeneration Template, & Office Settings Integra LifeSciences Corporation compiles this summary of Medicare payment rates to provide

More information

MEDTRONIC COMMONLY BILLED CODES TARGETED DRUG DELIVERY FOR CHRONIC PAIN

MEDTRONIC COMMONLY BILLED CODES TARGETED DRUG DELIVERY FOR CHRONIC PAIN MEDTRONIC COMMONLY BILLED CODES TARGETED DRUG DELIVERY FOR CHRONIC PAIN EFFECTIVE JANUARY 2018 Medtronic provides this information for your convenience only. It does not constitute legal advice or a recommendation

More information

2017 Coding & Payment Quick Reference

2017 Coding & Payment Quick Reference 2017 Coding & Payment Quick Reference Select Pulmonary Procedures Payer policies will vary and should be verified prior to treatment for limitations on diagnosis, coding or site of service requirements.

More information

CY2015 Hospital Outpatient: Endovascular Procedure APCs and Complexity Adjustments

CY2015 Hospital Outpatient: Endovascular Procedure APCs and Complexity Adjustments CY2015 Hospital Outpatient: Endovascular Procedure APCs Complexity Adjustments Comprehensive Ambulatory Payment Classifications (c-apcs) CMS finalized the implementation of 25 Comprehensive APC to further

More information

H F 1 0 T H E R A P Y R E I M B U R S E M E N T R E F E R E N C E G U I D E

H F 1 0 T H E R A P Y R E I M B U R S E M E N T R E F E R E N C E G U I D E HF10 therapy, delivered by the Nevro Senza System, is the high-frequency spinal cord stimulation technology designed to aid in the management of chronic intractable pain of the trunk/limbs without paresthesia.

More information

2018 EAR, NOSE & THROAT (ENT) SURGERY MEDICARE REIMBURSEMENT CODING GUIDE

2018 EAR, NOSE & THROAT (ENT) SURGERY MEDICARE REIMBURSEMENT CODING GUIDE 2018 EAR, NOSE & THROAT (ENT) SURGERY REIMBURSEMENT CODING GUIDE Effective January 1, 2018 Medicare National Average Rates and Allowables (Not Adjusted for Geography) PHYSICIAN 3 HOSPITAL OUTPATIENT 4

More information

Reimbursement Information for Automated Breast Ultrasound Screening

Reimbursement Information for Automated Breast Ultrasound Screening GE Healthcare Reimbursement Information for Automated Breast Ultrasound Screening January 2015 www.gehealthcare.com/reimbursement The Invenia ABUS is indicated as an adjunct to mammography for breast cancer

More information

2016 HF10 THERAPY REIMBURSEMENT REFERENCE GUIDE

2016 HF10 THERAPY REIMBURSEMENT REFERENCE GUIDE 206 HF0 THERAPY REIMBURSEMENT REFERENCE GUIDE HF0 therapy, delivered by the Nevro Senza System, is a new high-frequency spinal cord stimulation technology designed to aid in the management of chronic intractable

More information

CERVICAL PROCEDURES PHYSICIAN CODING

CERVICAL PROCEDURES PHYSICIAN CODING CERVICAL PROCEDURES PHYSICIAN CODING Anterior Cervical Discectomy with Interbody Fusion (ACDF) Anterior interbody fusion, with discectomy and decompression; cervical below C2 22551 first interspace 22552

More information

Pelvic Health Coding & Payment Quick Reference

Pelvic Health Coding & Payment Quick Reference Payer policies will vary and should be verified prior to treatment for limitations on diagnosis, coding or site of service requirements. The coding options listed within this guide are commonly used codes

More information

AXIUM DETACHABLE COILS (FAMILY) CODING AND REIMBURSEMENT GUIDE

AXIUM DETACHABLE COILS (FAMILY) CODING AND REIMBURSEMENT GUIDE AXIUM DETACHABLE COILS (FAMILY) CODING AND REIMBURSEMENT GUIDE Axium Detachable Coils (Family) Axium detachable coils consist of a platinum embolization coil attached to a delivery pusher. When activated,

More information

2018 Diagnosis Coding Fact Sheet

2018 Diagnosis Coding Fact Sheet The information contained in this document is provided for informational purposes only and represents no statement, promise, or guarantee by Cordis Corporation concerning levels of reimbursement, payment,

More information

2017 Procedural Payment Guide Hospital Inpatient, Hospital Outpatient, ASC and Physician Reimbursement Information

2017 Procedural Payment Guide Hospital Inpatient, Hospital Outpatient, ASC and Physician Reimbursement Information Hospital Inpatient, Hospital Outpatient, ASC and Physician Reimbursement Information Contents Introduction Important Please Note (print page 2) Description of Payment Methods (print page 3) Rhythm Management

More information

DermACELL AWM Comprehensive Reimbursement Resource Guide. Prepared by Musculoskeletal Clinical Regulatory Advisers, LLC. Version 01/2018.

DermACELL AWM Comprehensive Reimbursement Resource Guide. Prepared by Musculoskeletal Clinical Regulatory Advisers, LLC. Version 01/2018. 2018 Comprehensive Reimbursement Resource Guide Prepared by Musculoskeletal Clinical Regulatory Advisers, LLC. Version 01/2018. DermACELL AWM Disclaimer: This information is for educational/informational

More information

Procedural Payment Guide

Procedural Payment Guide Procedural Payment Guide 2019 Hospital Inpatient and 2019 Hospital Outpatient, ASC and Physician Reimbursement Information Contents Introduction Important Please Note (print page 2) Description of Payment

More information

Inpatient ICD-9-CM Mapping to ICD-10 PCS Procedures Involving the Application of PriMatrix AG Antimicrobial Dermal Repair Scaffold

Inpatient ICD-9-CM Mapping to ICD-10 PCS Procedures Involving the Application of PriMatrix AG Antimicrobial Dermal Repair Scaffold Inpatient ICD-9-CM Mapping to ICD-10 PCS Procedures Involving the Application of PriMatrix AG Antimicrobial Dermal Repair Scaffold Effective October 1, 2015, the Centers for & Medicaid Services (CMS) is

More information

2009 Pain Coding Update and Pain Industry Business Trends

2009 Pain Coding Update and Pain Industry Business Trends 2009 Pain Coding Update and Pain Industry Business Trends Linda Van Horn, MBA June 13, 2009 2009 Pain Coding Update and Pain Industry Trends Agenda 2009 CPT Coding Updates Pay For Incentives ICD-10 American

More information

2017 OSTEOID OSTEOMA RADIOFREQUENCY ABLATION MEDICARE REIMBURSEMENT GUIDE

2017 OSTEOID OSTEOMA RADIOFREQUENCY ABLATION MEDICARE REIMBURSEMENT GUIDE 2017 OSTEOID OSTEOMA RADIOFREQUENCY ABLATION MEDICARE REIMBURSEMENT GUIDE Coding Information The final decision of billing for any procedure must be made by the provider of care considering the medical

More information

Melody Transcatheter Pulmonary Valve and Ensemble Transcatheter Valve Delivery System GO TO INDEX COMMONLY BILLED CODES

Melody Transcatheter Pulmonary Valve and Ensemble Transcatheter Valve Delivery System GO TO INDEX COMMONLY BILLED CODES 2015 Melody Transcatheter Pulmonary Valve and Ensemble Transcatheter Valve Delivery System COMMONLY BILLED CODES 2015 INDEX For Right Ventricular Outflow Tract Conduit Dysfunction.... 1 ICD-9-CM Diagnosis

More information

Inpatient ICD-9-CM Mapping to ICD-10 PCS Procedures Involving the Application of Integra Bilayer Wound Matrix

Inpatient ICD-9-CM Mapping to ICD-10 PCS Procedures Involving the Application of Integra Bilayer Wound Matrix Inpatient ICD-9-CM Mapping to ICD-10 PCS Procedures Involving the Application of Integra Bilayer Wound Matrix Effective October 1, 2015, the Centers for & Medicaid Services (CMS) is implementing International

More information

code it PRO-TOE C2 HCPCS Device Codes CPT Codes Physician Coding Hammertoe Implant HCPCS Code Description C1713 CPT CODE Description RVUs

code it PRO-TOE C2 HCPCS Device Codes CPT Codes Physician Coding Hammertoe Implant HCPCS Code Description C1713 CPT CODE Description RVUs code it HCPCS Device Codes 2015 Reimbursement Codes The following codes contained within this document are representative of possible services or diagnoses that may be associated with use of Wright products.

More information

2015 Reimbursement Information for Mammography, CAD and Digital Breast Tomosynthesis 1

2015 Reimbursement Information for Mammography, CAD and Digital Breast Tomosynthesis 1 GE Healthcare 2015 Reimbursement Information for Mammography, CAD and Digital Breast Tomosynthesis 1 April, 2015 www.gehealthcare.com/reimbursement This advisory addresses Medicare coding, coverage and

More information

Cervical Disc Arthroplasty Reimbursement Guide

Cervical Disc Arthroplasty Reimbursement Guide Cervical Disc Arthroplasty 2015 Reimbursement Guide 63075 63064 63057 63045 2285163055 22553 22556 63048 20930 22612 22851 20937 3047 22614 20936 63057 63090 22612 63005 20840 61783 22551 22595 63055 63042

More information

2018 COMMONLY BILLED CODES

2018 COMMONLY BILLED CODES Melody Transcatheter Pulmonary Valve Ensemble II Transcatheter Valve Delivery System 2018 COMMONLY BILLED CODES INDEX For Right Ventricular Outflow Tract Conduit Dysfunction... 1 Hospital Inpatient Coding

More information

Prestige LP REIMBURSEMENT GUIDE. Cervical Disc System

Prestige LP REIMBURSEMENT GUIDE. Cervical Disc System REIMBURSEMENT GUIDE Prestige LP Cervical Disc System The Prestige LP Cervical Disc is indicated in skeletally mature patients for reconstruction of the disc from C3-C7 following discectomy at one or two

More information

Routine Venipuncture and/or Collection of Specimens

Routine Venipuncture and/or Collection of Specimens Manual: Policy Title: Reimbursement Policy Routine Venipuncture and/or Collection of Specimens Section: Laboratory & Pathology Subsection: None Date of Origin: 1/1/2000 Policy Number: RPM012 Last Updated:

More information

2017 COMMONLY BILLED CODES

2017 COMMONLY BILLED CODES Melody Transcatheter Pulmonary Valve Ensemble II Transcatheter Valve Delivery System 2017 COMMONLY BILLED CODES INDEX For Right Ventricular Outflow Tract Conduit Dysfunction... 1 Hospital Inpatient Coding

More information

2018 Reimbursement Information for Mammography, CAD and Digital Breast Tomosynthesis 1

2018 Reimbursement Information for Mammography, CAD and Digital Breast Tomosynthesis 1 GE Healthcare 2018 Reimbursement Information for Mammography, CAD and Digital Breast Tomosynthesis 1 May 2018 www.gehealthcare.com/reimbursement This advisory addresses Medicare coding, coverage and payment

More information

CATHETER ABLATION CODING & REIMBURSEMENT GUIDE. Updated September 2018

CATHETER ABLATION CODING & REIMBURSEMENT GUIDE. Updated September 2018 CATHETER ABLATION CODING & REIMBURSEMENT GUIDE Updated September 2018 TABLE OF CONTENTS Diagnosis Codes...3 ICD-10-CM Diagnosis Codes Coverage for Catheter Ablation Procedures....4 Medicare Other Payers

More information

REIMBURSEMENT GUIDE. Sovereign. Spinal System

REIMBURSEMENT GUIDE. Sovereign. Spinal System REIMBURSEMENT GUIDE Sovereign Spinal System REIMBURSEMENT GUIDE The Sovereign Spinal System is indicated for use with autogenous bone graft in patients with degenerative disc disease The Sovereign Spinal

More information

EFFECTIVE JANUARY 2019

EFFECTIVE JANUARY 2019 Reimbursement Guide Endovascular Mechanical Thrombectomy and Neurovascular Coil Embolization EFFECTIVE JANUARY 2019 For USA only. The reimbursement information is for illustrative purposes only and does

More information

2018 CODING AND REIMBURSEMENT FOR. Cardiac Surgical Ablation and Left Atrial Appendage Management

2018 CODING AND REIMBURSEMENT FOR. Cardiac Surgical Ablation and Left Atrial Appendage Management 2018 CODING AND REIMBURSEMENT FOR Cardiac Surgical Ablation and Left Atrial Appendage Management Introduction This information is shared for educational purposes and current as of January 2018. Healthcare

More information

Sample page. Radiology. Cross Coder. Essential links from CPT codes to ICD-10-CM and HCPCS

Sample page. Radiology. Cross Coder. Essential links from CPT codes to ICD-10-CM and HCPCS Cross Coder 2018 Radiology Essential links from CPT codes to ICD-10-CM and HCPCS POWER UP YOUR CODING with Optum360, your trusted coding partner for 32 years. Visit optum360coding.com. Contents Introduction...

More information

Inspire Medical Systems. Hospital Billing Guide

Inspire Medical Systems. Hospital Billing Guide Inspire Medical Systems Hospital Billing Guide 2019 Inspire Medical Systems Hospital Billing Guide This Hospital Billing Guide was developed to help centers correctly bill for Inspire Upper Airway Stimulation

More information