Abbott Vascular Coding and Coverage Resources
Produkt ynformaasje
Spesifikaasjes
- produkt Namme: Health Economics & fergoeding 2024 fergoeding Guide
- Kategory: Soarchekonomy
- Makker: Abbott
- Jier: 2024
Produkt Usage Ynstruksjes
Oerview
De Health Economics & Reimbursement 2024 Fergoedingsgids troch Abbott jout ynformaasje oer fergoedingsperspektyf foar ferskate technologyen en prosedueres foar sûnenssoarch ûnder it CMS Hospital Ambulant Prospective Payment System (OPPS) en Ambulatory Surgical Center (ASC) Finale Regel foar it jier 2024.
Proseduere Rjochtlinen
De hantlieding omfettet tabellen mei mienskiplike fakturearringsenario's foar technologyen en prosedueres lykas Cardiac Rhythm Management (CRM), Electrophysiology (EP), en oare relatearre prosedueres. It is essinsjeel om te ferwizen nei de spesifike Comprehensive Ambulatory Payment Classification (APC) levere troch CMS foar krekte fergoedingsynformaasje.
Fergoeding Analyse
Abbott hat analysearre de mooglike ynfloed fan betelling feroarings op yndividuele prosedueres binnen de sikehûs ambulante ôfdieling (HOPD) en ASC soarch ynstellings. De gids tsjinnet as referinsje foar it begripen fan fergoedingsnivo's en dekking basearre op 'e CY2024-regels.
Kontakt ynformaasje
Foar fierdere details of fragen, besykje Abbott.com of nim kontakt op mei it team fan Abbott Health Care Economics by 855-569-6430 of email AbbottEconomics@Abbott.com.
FAQ
- F: Hoe faak wurdt de fergoedingsgids bywurke?
- A: Abbott sil trochgean mei it analysearjen en aktualisearjen fan 'e fergoedingsgids as nedich basearre op feroaringen yn CMS-betelbelied.
- F: Kin de gids spesifike fergoedingsnivo's garandearje?
- A: De gids jout allinich yllustrative doelen en garandearret gjin fergoedingsnivo's of dekking fanwege fariaasjes yn prosedueres en APC-klassifikaasjes.
Produkt ynformaasje
CMS Sikehûs Ambulant (OPPS) en Ambulatory Surgical Center (ASC) fergoedingsprospektus
De Centers for Medicare & Medicaid Services (CMS) makken wichtige feroarings oan it kalinderjier 2024 (CY2024) belied en betellingsnivo's dy't ynfloed hawwe op ferskate prosedueres dy't gebrûk meitsje fan Abbott's technology- en terapy-oplossings yn 'e Hospital Ambulatory Department (HOPD) en Ambulatory Surgical Center (ASC) ynstellings fan soarch. Dizze wizigingen wurde gearstald troch de foarútgong fan sawol nije as oanhâldende inisjativen foar betellingsherfoarming dy't ynfloed hawwe op in mearderheid fan 'e Amerikaanske sûnensfoarsjenningen. Yn dit prospektusdokumint markeart Abbott bepaalde betellingsbelied en nije betellingsraten oan soarchoanbieders dy't tsjinsten útfiere dy't no oars wurde betelle as yn foargeande jierren. Op 2 novimber 2023 hat CMS de CY2024 Sikehûs Ambulante Prospective Payment System (OPPS) / Ambulatory Surgical Center (ASC) Final Rule frijlitten, effektyf foar tsjinsten op 1 jannewaris 2024.3,4 Foar 2024 projektearret CMS in:
- 3.1% ferheging fan totale OPPS-betellingen3
- 3.1% ferheging yn totale ASC betellingen4
Wy hawwe de folgjende tabellen levere basearre op mienskiplike fakturearringsenario's foar ferskate technologyen en prosedueres. Dit is allinich bedoeld foar yllustrative doelen en is gjin garânsje foar fergoedingsnivo's of dekking. Fergoeding kin ferskille op basis fan 'e spesifike prosedueres dy't wurde útfierd, en op' e Comprehensive Ambulatory Payment Classification (APC) dy't CMS hat makke yn 'e HOPD. Mei de CY2024-regels as referinsje hat Abbott de potensjele ynfloed analysearre op betelling oan yndividuele prosedueres útfierd binnen de HOPD, en yn 'e ASC-soarchynstelling, dy't ús technologyen as terapy-oplossings belûke. Wy sille trochgean mei it analysearjen fan 'e potinsjele ynfloed fan' e wizigingen oan CMS-betelbelied en dit dokumint as nedich bywurkje. Foar mear ynformaasje kinne jo besykje Abbott.com, of nim kontakt op mei it Abbott Health Care Economics-team by 855-569-6430 or AbbottEconomics@Abbott.com.
Spesifikaasje
Sikehûs ambulant (OPPS) | Ambulatory Surgery Center (ASC) | ||||||||||
Franchise |
Technology |
Proseduere |
Primêr APC |
CPT‡ Koade |
ASC
Kompleksiteit Adj. CPT‡ Koade |
2023 Fergoeding |
2024 Fergoeding |
% Feroaring |
2023 Fergoeding |
2024 Fergoeding |
% Feroaring |
Electrophysiology (EP) |
EP Ablation |
Katheter ablaasje, AV-knooppunt | 5212 | 93650 | $6,733 | $7,123 | 5.8% | ||||
EP-stúdzje mei katheterablaasje, SVT | 5213 | 93653 | $23,481 | $22,653 | -3.5% | ||||||
EP-stúdzje en katheterablaasje, VT | 5213 | 93654 | $23,481 | $22,653 | -3.5% | ||||||
EP-stúdzje en katheterablaasje, behanneling fan AF troch PVI | 5213 | 93656 | $23,481 | $22,653 | -3.5% | ||||||
EP Studies | Wiidweidige EP-stúdzje sûnder ynduksje | 5212 | 93619 | $6,733 | $7,123 | 5.8% | |||||
Cardiac Rhythm Management (CRM) |
Implantable Cardiac Monitor (ICM) | ICM ymplantaasje | 33282 | $8,163 | |||||||
5222 | 33285 | $8,163 | $8,103 | -0.7% | $7,048 | $6,904 | -2.0% | ||||
ICM Removal | 5071 | 33286 | $649 | $671 | 3.4% | $338 | $365 | 8.0% | |||
Pacemaker |
Systeemimplantaat as ferfanging - Ien keamer (ventrikulêr) |
5223 |
33207 |
$10,329 |
$10,185 |
-1.4% |
$7,557 |
$7,223 |
-4.4% |
||
System Implant of Ferfanging - Dual Chamber | 5223 | 33208 | $10,329 | $10,185 | -1.4% | $7,722 | $7,639 | -1.1% | |||
Leadless Pacemaker Removal | 5183 | 33275 | $2,979 | $3,040 | 2.0% | $2,491 | $2,310 | -7.3% | |||
Leadless Pacemaker Implant | 5224 | 33274 | $17,178 | $18,585 | 8.2% | $12,491 | $13,171 | 5.4% | |||
Batterijferfanging - Single Chamber | 5222 | 33227 | $8,163 | $8,103 | -0.7% | $6,410 | $6,297 | -1.8% | |||
Batterijferfanging - Dual Chamber | 5223 | 33228 | $10,329 | $10,185 | -1.4% | $7,547 | $7,465 | -1.1% | |||
Implantable cardioverter defibrillator (ICD) |
Systeem Implant of Ferfanging | 5232 | 33249 | $32,076 | $31,379 | -2.2% | $25,547 | $24,843 | -2.8% | ||
Batterijferfanging - Single Chamber | 5231 | 33262 | $22,818 | $22,482 | -1.5% | $19,382 | $19,146 | -1.2% | |||
Batterijferfanging - Dual Chamber | 5231 | 33263 | $22,818 | $22,482 | -1.5% | $19,333 | $19,129 | -1.1% | |||
Sub-Q ICD | Ynfoegje fan subkutane ICD-systeem | 5232 | 33270 | $32,076 | $31,379 | -2.2% | $25,478 | $25,172 | -1.2% | ||
Leads Only - Pacemaker, ICD, SICD, CRT | Single lead, Pacemaker, ICD, of SICD | 5222 | 33216 | $8,163 | $8,103 | -0.7% | $5,956 | $5,643 | -5.3% | ||
CRT | 5223 | 33224 | $10,329 | $10,185 | -1.4% | $7,725 | $7,724 | -0.0% | |||
Apparaat Monitoring | Programming en Remote Monitoring | 5741 | 0650T | $35 | $36 | 2.9% | |||||
5741 | 93279 | $35 | $36 | 2.9% | |||||||
CRT-P |
Systeem Implant of Ferfanging | 5224 | 33208
+ 33225 |
C7539 | $18,672 | $18,585 | -0.5% | $10,262 | $10,985 | 7.0% | |
Batterij ferfanging | 5224 | 33229 | $18,672 | $18,585 | -0.5% | $11,850 | $12,867 | 8.6% | |||
CRT-D |
Systeem Implant of Ferfanging | 5232 | 33249
+ 33225 |
$18,672 | $31,379 | -2.2% | $25,547 | $24,843 | -2.8% | ||
Batterij ferfanging | 5232 | 33264 | $32,076 | $31,379 | -2.2% | $25,557 | $25,027 | -2.1% | |||
Heart falen |
CardioMEMS | Sensor Implant | C2624 | ||||||||
5200 | 33289 | $27,305 | $27,721 | 1.5% | $24,713 | ||||||
LVAD | Ferhoar, persoanlik | 5742 | 93750 | $100 | $92 | -8.0% | |||||
Advance soarch planning | 5822 | 99497 | $76 | $85 | 11.8% | ||||||
Hypertensie |
Renale denervaasje |
Renale denervaasje, iensidich |
5192 |
0338T |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
|
Renale denervaasje, bilaterale |
5192 |
0339T |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$3,834 |
64.8% |
Sikehûs ambulant (OPPS) | Ambulatory Surgery Center (ASC) | ||||||||||
Franchise |
Technology |
Proseduere |
Primêr APC |
CPT‡ Koade |
ASC
Kompleksiteit Adj. CPT‡ Koade |
2023 Fergoeding |
2024 Fergoeding |
% Feroaring |
2023 Fergoeding |
2024 Fergoeding |
% Feroaring |
Coronary |
PCI Drug Eluting Stents (ynklusyf FFR/OCT) |
DES, mei angioplasty; ien skip, mei of sûnder FFR en / of OCT | 5193 | C9600 | $10,615 | $10,493 | -1.1% | $6,489 | $6,706 | 3.3% | |
Twa DES, mei angioplasty; twa skippen, mei of sûnder FFR en/of OCT. |
5193 |
C9600 |
$10,615 |
$10,493 |
-1.1% |
$6,489 |
$6,706 |
3.3% |
|||
Twa DES, mei angioplasty; ien skip, mei of sûnder FFR en/of OCT |
5193 |
C9600 |
$10,615 |
$10,493 |
-1.1% |
$6,489 |
$6,706 |
3.3% |
|||
Twa DES, mei angioplasty; twa grutte coronary arterijen, mei of sûnder FFR en / of OCT. |
5194 |
C9600 |
$10,615 |
$16,725 |
57.6% |
$9,734 |
$10,059 |
3.3% |
|||
BMS mei atherektomy | BMS mei atherektomy | 5194 | 92933 | $17,178 | $16,725 | -2.6% | |||||
DES mei atherektomy | DES mei atherektomy | 5194 | C9602 | $17,178 | $16,725 | -2.6% | |||||
DES en AMI | DES en AMI | C9606 | $0 | ||||||||
DES en CTO | DES en CTO | 5194 | C9607 | $17,178 | $16,725 | -2.6% | |||||
Coronary Angiography and Coronary Physiology (FFR / CFR) of OCT |
Coronary angiography | 5191 | 93454 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | ||
Coronary angiography + OKT | 5192 | 93454
+ 92978 |
C7516 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
Coronary angiography yn graft | 5191 | 93455 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
Coronary angiography yn graft
+ OKT |
5191 | 93455
+ 92978 |
C7518 | $5,215 | $3,108 | -40.4% | $2,327 | ||||
Coronary angiography yn graft + FFR / CFR | 5191 | 93455
+ 93571 |
C7519 | $5,215 | $3,108 | -40.4% | $2,327 | ||||
Coronary angiography mei rjochts hert catheterization | 5191 | 93456 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
Coronary angiography mei rjochter hert caterterization + OCT | 5192 | 93456
+ 92978 |
C7521 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
Coronary angiography mei rjochts hert catheterization + FFR / CFR | 5192 | 93456
+ 93571 |
C7522 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
Coronary angiography yn graft mei rjochter hert katheterization | 5191 | 93457 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
Coronary angiography yn graft mei rjochter hert katheterization
+ FFR/CFR |
5191 |
93457
+ 93571 |
$5,215 |
$3,108 |
-40.4% |
$0 |
$0 |
||||
Coronary angiography mei linker hert katerisaasje | 5191 | 93458 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
Coronary angiography mei linker hert katerisaasje + OCT | 5192 | 93458
+ 92978 |
C7523 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
Coronary angiography mei linker hert katerisaasje + FFR / CFR | 5192 | 93458
+ 93571 |
C7524 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
Coronary angiography yn graft mei linker hert katerisaasje | 5191 | 93459 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
Coronary angiography yn graft mei linker hert katerisaasje + OCT | 5192 | 93459
+ 92978 |
C7525 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
Coronary angiography yn graft mei linker hert katerisaasje + FFR / CFR |
5192 |
93459
+ 93571 |
C7526 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
Cornary angiography mei rjochts en lofts hert katheterization | 5191 | 93460 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
Cornary angiography mei rjochts en lofts hert katheterization
+ OKT |
5192 |
93460
+ 92978 |
C7527 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
Cornary angiography mei rjochts en lofts hert katheterization + FFR / CFR |
5192 |
93460
+ 93571 |
C7528 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
Sikehûs ambulant (OPPS) | Ambulatory Surgery Center (ASC) | ||||||||||
Franchise |
Technology |
Proseduere |
Primêr APC |
CPT‡ Koade |
ASC
Kompleksiteit Adj. CPT‡ Koade |
2023 Fergoeding |
2024 Fergoeding |
% Feroaring |
2023 Fergoeding |
2024 Fergoeding |
% Feroaring |
Coronary |
Coronary Angiography and Coronary Physiology (FFR / CFR) of OCT |
Coronary angiography yn graft mei rjochts en lofts hert katheterization |
5191 |
93461 |
$2,958 |
$3,108 |
5.1% |
$1,489 |
$1,633 |
9.7% |
|
Coronary angiography yn graft mei rjochts en lofts hert katheterization + FFR / CFR |
5192 |
93461
+ 93571 |
C7529 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
Perifeare vascular |
Angioplasty |
Angioplasty (Iliac) | 5192 | 37220 | $5,215 | $5,452 | 4.5% | $3,074 | $3,275 | 6.5% | |
Angioplasty (Fem/Pop) | 5192 | 37224 | $5,215 | $5,452 | 4.5% | $3,230 | $3,452 | 6.9% | |||
Angioplasty (Tibial/Peroneal) | 5193 | 37228 | $10,615 | $10,493 | -1.1% | $6,085 | $6,333 | 4.1% | |||
Atherectomy |
Atherectomy (Iliac) | 5194 | 0238T | $17,178 | $16,725 | -2.7% | $9,782 | $9,910 | 1.3% | ||
Atherectomy (Fem/Pop) | 5194 | 37225 | $10,615 | $16,725 | 57.6% | $7,056 | $11,695 | 65.7% | |||
Atherectomy (Tibial / Peroneal) | 5194 | 37229 | $17,178 | $16,725 | -2.6% | $11,119 | $11,096 | -0.2% | |||
Stenting |
Stenting (Iliac) | 5193 | 37221 | $10,615 | $10,493 | -1.1% | $6,599 | $6,772 | 2.6% | ||
Stenting (Fem/Pop) | 5193 | 37226 | $10,615 | $10,493 | -1.1% | $6,969 | $7,029 | 0.9% | |||
Stenting (periph, incl renale) | 5193 | 37236 | $10,615 | $10,493 | -1.1% | $6,386 | $6,615 | 3.6% | |||
Stenting (Tibial/Peroneal) | 5194 | 37230 | $17,178 | $16,725 | -2.6% | $11,352 | $10,735 | -5.4% | |||
Atherectomy en Stenting |
Atherectomy en stenting (Fem / Pop) | 5194 | 37227 | $17,178 | $16,725 | -2.6% | $11,792 | $11,873 | 0.7% | ||
Atherectomy en stenting (Tibial / Peroneal) | 5194 | 37231 | $17,178 | $16,725 | -2.6% | $11,322 | $11,981 | 5.8% | |||
Vascular Plugs |
Fenous embolization of occlusion | 5193 | 37241 | $10,615 | $10,493 | -1.1% | $5,889 | $6,108 | 3.7% | ||
Arterial embolization of occlusion | 5194 | 37242 | $10,615 | $16,725 | 57.6% | $6,720 | $11,286 | 67.9% | |||
Embolisaasje of occlusion foar tumors, orgaanischemia, of infarkt |
5193 |
37243 |
$10,615 |
$10,493 |
-1.1% |
$4,579 |
$4,848 |
5.9% |
|||
Embolisaasje of occlusion foar arteriële of venous bloeding of lymfatyske ekstravasaasje |
5193 |
37244 |
$10,615 |
$10,493 |
-1.1% |
||||||
Arteriële meganyske trombectomy |
primêr arteriële perkutane meganyske trombektomy; earste skip |
5194 |
37184 |
$10,615 |
$16,725 |
57.6% |
$6,563 |
$10,116 |
54.1% |
||
Perifeare vascular |
primêr arteriële perkutane meganyske trombektomy; twadde en alle folgjende skip(en) |
37185 |
Ferpakt |
Ferpakt |
NA |
NA |
|||||
Sekundêre arteriële perkutane meganyske trombektomy | 37186 | Ferpakt | Ferpakt | NA | NA | ||||||
Arteriële meganyske trombectomy mei angioplasty |
primêr arteriële perkutane meganyske trombektomy; earste skip mei angioplasty Iliac |
NA |
37184
+37220 |
$8,100 |
$11,754 |
45.1% |
|||||
primêr arteriële perkutane meganyske trombektomy; initial skip mei angioplasty fem / pop |
NA |
37184
+37224 |
$8,178 |
$11,842 |
44.8% |
||||||
primêr arteriële perkutane meganyske trombektomy; earste skip mei angioplasty tib / pero |
NA |
37184
+37228 |
$9,606 |
$13,283 |
38.3% |
||||||
Arteriële meganyske trombectomy mei stenting |
primêr arteriële perkutane meganyske trombektomy; earste skip mei stenting Iliac |
NA |
37184
+37221 |
$9,881 |
$13,502 |
36.7% |
|||||
primêr arteriële perkutane meganyske trombektomy; initial skip mei stenting fem / pop |
NA |
37184
+37226 |
$10,251 |
$13,631 |
33.0% |
||||||
primêr arteriële perkutane meganyske trombektomy; initial skip mei stenting tib / pero |
NA |
37184
+37230 |
$14,634 |
$15,793 |
7.9% |
Sikehûs ambulant (OPPS) | Ambulatory Surgery Center (ASC) | ||||||||||
Franchise |
Technology |
Proseduere |
Primêr APC |
CPT‡ Koade |
ASC
Kompleksiteit Adj. CPT‡ Koade |
2023 Fergoeding |
2024 Fergoeding |
% Feroaring |
2023 Fergoeding |
2024 Fergoeding |
% Feroaring |
Perifeare vascular |
Venous meganyske trombectomy |
Venous perkutane meganyske trombectomy, earste behanneling | 5193 | 37187 | $10,615 | $10,493 | -1.1% | $7,321 | $7,269 | -0.7% | |
Venous perkutane meganyske trombectomy, werhelje behanneling op de folgjende dei |
5183 |
37188 |
$2,979 |
$3,040 |
2.0% |
$2,488 |
$2,568 |
3.2% |
|||
Venous meganyske trombectomy mei angioplasty | Venous perkutane meganyske trombectomy, earste behanneling mei angioplasty |
NA |
37187 + 37248 |
$8,485 |
$8,532 |
0.6% |
|||||
Venous meganyske trombectomy mei stenting | Venous perkutane meganyske trombectomy, earste behanneling mei stenting |
NA |
37187 + 37238 |
$10,551 |
$10,619 |
0.6% |
|||||
Dialyse Circuit Trombectomy |
Perkutane meganyske trombectomy, dialyse circuit | 5192 | 36904 | $5,215 | $5,452 | 4.5% | $3,071 | $3,223 | 4.9% | ||
Perkutane meganyske trombectomy, dialyse circuit, mei angioplasty |
5193 |
36905 |
$10,615 |
$10,493 |
-1.1% |
$5,907 |
$6,106 |
3.4% |
|||
Perkutane meganyske trombectomy, dialyse circuit, mei stent |
5194 |
36906 |
$17,178 |
$16,725 |
-2.6% |
$11,245 |
$11,288 |
0.4% |
|||
Trombolyse |
Transcatheter arteriële trombolyse behanneling, earste dei |
5184 |
37211 |
$5,140 |
$5,241 |
2.0% |
$3,395 |
$3,658 |
7.7% |
||
Transcatheter venous trombolyse behanneling, earste dei |
5183 |
37212 |
$2,979 |
$3,040 |
2.0% |
$1,444 |
$1,964 |
36.0% |
|||
Transcatheter arteriële of veneuze trombolyse behanneling, de folgjende dei |
5183 |
37213 |
$2,979 |
$3,040 |
2.0% |
||||||
Transcatheter arteriële of veneuze trombolyse behanneling, lêste dei | 5183 | 37214 | $2,979 | $3,040 | 2.0% | ||||||
Struktureel Heart |
PFO ôfsluting | ASD / PFO sluting | 5194 | 93580 | $17,178 | $16,725 | -2.6% | ||||
ASD | ASD / PFO sluting | 5194 | 93580 | $17,178 | $16,725 | -2.6% | |||||
VSD | VSD sluting | 5194 | 93581 | $17,178 | $16,725 | -2.6% | |||||
PDA | PDA sluting | 5194 | 93582 | $17,178 | $16,725 | -2.6% | |||||
Chronyske pine |
Spinal Cord Stimulaasje en DRG Stimulaasje |
Single Lead Trial: perkutane | 5462 | 63650 | $6,604 | $6,523 | -1.2% | $4,913 | $4,952 | 0.8% | |
Dual Lead Trial: perkutane | 5462 | 63650 | $6,604 | $6,523 | -1.2% | $9,826 | $9,904 | 0.8% | |||
Surgical Lead Trial | 5464 | 63655 | $21,515 | $20,865 | -3.0% | $17,950 | $17,993 | 0.2% | |||
Folslein systeem - Single lead - Perkutane | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $29,629 | $30,250 | 2.1% | |||
Folslein systeem - Dual Lead - Perkutane | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $34,542 | $35,202 | 1.9% | |||
Folsleine systeem IPG - Laminectomy | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $42,666 | $43,291 | 1.5% | |||
IPG implant of ferfanging | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $24,716 | $25,298 | 2.4% | |||
Single lead | 5462 | 63650 | Ferpakt | Ferpakt | $4,913 | $4,952 | 0.8% | ||||
Dual lead | 5462 | 63650 | Ferpakt | Ferpakt | $4,913 | $4,952 | 0.8% | ||||
Analyse fan IPG, Simple Programming | 5742 | 95971 | $100 | $92 | -8.0% | ||||||
Perifeare nervestimulaasje |
Folslein systeem - Single lead - Perkutane | 5464 | 64590 | $21,515 | $20,865 | -3.0% | $19,333 | $19,007 | -1.7% | ||
5462 | 64555 | $6,604 | $6,523 | -1.2% | $5,596 | $5,620 | 0.4% | ||||
Folslein systeem - Dual Lead - Perkutane | 5464 | 64590 | $21,515 | $20,865 | -3.0% | $19,333 | $19,007 | -1.7% | |||
5462 | 64555 | $6,604 | $6,523 | -1.2% | $5,596 | $5,620 | 0.4% | ||||
IPG ferfanging | 5464 | 64590 | $21,515 | $20,865 | -3.0% | $19,333 | $19,007 | -1.7% |
Sikehûs ambulant (OPPS) | Ambulatory Surgery Center (ASC) | ||||||||||
Franchise |
Technology |
Proseduere |
Primêr APC |
CPT‡ Koade |
ASC
Kompleksiteit Adj. CPT‡ Koade |
2023 Fergoeding |
2024 Fergoeding |
% Feroaring |
2023 Fergoeding |
2024 Fergoeding |
% Feroaring |
Chronyske pine |
RF ablaasje |
Cervical Spine / Thoracic Spine | 5431 | 64633 | $1,798 | $1,842 | 2.4% | $854 | $898 | 5.2% | |
Lumbar Spine | 5431 | 64635 | $1,798 | $1,842 | 2.4% | $854 | $898 | 5.2% | |||
Oare perifeare senuwen | 5443 | 64640 | $852 | $869 | 2.0% | $172 | $173 | 0.6% | |||
Radiofrekwinsje ablaasje | 5431 | 64625 | $1,798 | $1,842 | 2.4% | $854 | $898 | 5.2% | |||
Bewegingsstoornissen |
DBS |
IPG Placement - Single Array | 5464 | 61885 | $21,515 | $20,865 | -3.0% | $19,686 | $19,380 | -1.6% | |
IPG Pleatsing - Twa Single Array IPGs | 5464 | 61885 | $21,515 | $20,865 | -3.0% | $19,686 | $19,380 | -1.6% | |||
5464 | 61885 | $21,515 | $20,865 | -3.0% | $19,686 | $19,380 | -1.6% | ||||
IPG Placement - Dual Array | 5465 | 61886 | $29,358 | $29,617 | 0.9% | $24,824 | $25,340 | 2.1% | |||
Analyse fan IPG, Gjin programmearring | 5734 | 95970 | $116 | $122 | 5.2% | ||||||
Analyse fan IPG, ienfâldige programmearring; earste 15 min | 5742 | 95983 | $100 | $92 | -8.0% | ||||||
Analyse fan IPG, ienfâldige programmearring; ekstra 15 Min | 95984 | $0 |
Disclaimer
Dit materiaal en de hjiryn befette ynformaasje is allinich foar algemiene ynformaasjedoelen en is net bedoeld, en foarmje gjin juridysk, fergoeding, saaklik, klinysk of oar advys. Fierder is it net bedoeld om en makket gjin foarstelling of garânsje foar fergoeding, betelling, of lading, of dat fergoeding of oare betelling wurdt ûntfongen. It is net bedoeld om betelling te ferheegjen of te maksimearjen troch elke betaler. Abbott jout gjin útdruklike of ymplisearre garânsje of garânsje dat de list mei koades en ferhalen yn dit dokumint folslein of flaterfrij is. Likemin moat neat yn dit dokumint wêze viewed as ynstruksjes foar it selektearjen fan in bepaalde koade, en Abbott pleitet of garandearret de passendheid fan it brûken fan in bepaalde koade net. De úteinlike ferantwurdlikens foar kodearring en it krijen fan betelling / fergoeding bliuwt by de klant. Dit omfettet de ferantwurdlikens foar de krektens en wierheid fan alle kodearring en oanspraken dy't yntsjinne binne oan betalers fan tredden. Dêrnjonken moat de klant opmerke dat wetten, regeljouwing en dekkingsbelied kompleks binne en faak wurde bywurke en kin sûnder notice feroare wurde. De klant moat faaks kontrolearje mei syn pleatslike ferfierders of intermediairs en moat rieplachtsje mei juridyske adviseur as in spesjalist foar finansjele, kodearring of fergoeding foar alle fragen yn ferbân mei kodearring, fakturearring, fergoeding, of hokker relatearre problemen. Dit materiaal reprodusearret ynformaasje allinich foar referinsjedoelen. It wurdt net levere as autorisearre foar marketinggebrûk.
Boarnen
- Sikehûs Ambulante Prospective Payment-Finale Regel mei Kommentaar CY2024:
- Ambulatory Surgical Center Payment-Final Rule CY2024 Payment Tariven:
- Sikehûs Ambulante Prospective Payment-Finale Regel mei Kommentaar CY2023:
- Ambulatory Surgical Center Payment-Final Rule CY2023 Payment Tariven: https://www.cms.gov/medicaremedicare-fee-service-paymentascpaymentasc-regulations-and-notices/cms-1772-fc
WAARSCHUWING: Dit produkt is bedoeld foar gebrûk troch of ûnder lieding fan in dokter. Foarôfgeand oan gebrûk, ferwize de ynstruksjes foar gebrûk, binnen de produktkarton (as beskikber) of op vascular.eifu.abbott of by manuals.eifu.abbott foar mear detaillearre ynformaasje oer oantsjuttings, kontraindikaasjes, warskôgings, foarsoarchsmaatregels en neidielige barrens. Abbott One St. Jude Medical Dr., St. Paul, MN 55117, Feriene Steaten, Tel: 1 651 756 2000 ™ Jout in hannelsmerk oan fan 'e Abbott-groep fan bedriuwen. ‡ Jout in hannelsmerk fan tredden oan, dat eigendom is fan har respektive eigner.
©2024 Abbott. Alle rjochten foarbehâlden. MAT-1901573 v6.0. Item goedkard allinnich foar US gebrûk. HE&R goedkard allinich foar net-promosjoneel gebrûk.
Dokuminten / Resources
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Abbott Vascular Coding and Coverage Resources [pdf] Hânlieding foar brûkers Vascular Kodearring en dekking Resources, Kodearjen en dekking Resources, Coverage Resources, Resources |