Abbott Vascular Codeing and Coverage Resources
Bayanin samfur
Ƙayyadaddun bayanai
- Sunan Samfura: Ilimin Tattalin Arziƙi na Lafiya & Jagoran Maida Kuɗaɗen 2024
- Category: Tattalin Arzikin Kiwon Lafiya
- Marubucin: Abbott
- Shekara: 2024
Umarnin Amfani da samfur
Ƙarsheview
Jagoran Maimaitawa na Kiwon Lafiyar Kiwon Lafiya & Maidawa 2024 na Abbott yana ba da bayani game da abubuwan da za a biya don fasahohin kiwon lafiya daban-daban da kuma hanyoyin da ke ƙarƙashin Tsarin Biyan Kuɗi na Asibitin na CMS (OPPS) da Cibiyar Nazarin Ambulatory (ASC) ta Ƙarshe na shekara ta 2024.
Ka'idojin Tsari
Jagoran ya haɗa da tebur tare da yanayin lissafin kuɗi na gama gari don fasaha da matakai kamar Gudanar da Rhythm na Cardiac (CRM), Electrophysiology (EP), da sauran hanyoyin da suka danganci. Yana da mahimmanci a koma zuwa takamaiman Cikakken Tsarin Biyan Kuɗi (APC) wanda CMS ke bayarwa don ingantacciyar bayanin biyan kuɗi.
Binciken Maida Kuɗi
Abbott yayi nazarin yuwuwar tasirin canje-canjen biyan kuɗi akan hanyoyin daidaikun mutane a cikin Sashen Kula da Lafiya na Asibiti (HOPD) da saitunan kulawa na ASC. Jagoran yana aiki azaman tunani don fahimtar matakan biyan kuɗi da ɗaukar hoto dangane da dokokin CY2024.
Bayanin hulda
Don ƙarin bayani ko tambayoyi, ziyarci Abbott.com ko tuntuɓi ƙungiyar Tattalin Arzikin Kiwon Lafiyar Abbott a 855-569-6430 ko kuma imel AbbottEconomics@Abbott.com.
FAQ
- Tambaya: Sau nawa ake sabunta jagorar biyan kuɗi?
- A: Abbott zai ci gaba da nazari da sabunta jagorar biyan kuɗi kamar yadda ya cancanta bisa canje-canje ga manufofin biyan kuɗi na CMS.
- Tambaya: Shin jagorar na iya ba da garantin takamaiman matakan biyan kuɗi?
- A: Jagoran yana ba da dalilai na misali kawai kuma baya bada garantin biyan kuɗi ko ɗaukar hoto saboda bambancin tsari da rabe-raben APC.
Bayanin samfur
CMS Asibitin Outpatient (OPPS) da Ambulatory Surgical Center (ASC) Prospectus Reimbursement Prospectus
Cibiyoyin Kula da Medicare & Medicaid Services (CMS) sun yi canje-canje masu mahimmanci ga manufofin shekara ta 2024 (CY2024) da matakan biyan kuɗi waɗanda ke tasiri hanyoyin da yawa ta amfani da fasahar Abbott da hanyoyin magance jiyya a cikin Sashen Kula da Lafiya na Asibiti (HOPD) da Ambulatory Surgical Center (ASC) saituna na kulawa. Waɗannan sauye-sauyen suna haɓaka ta hanyar ci gaban sabbin shirye-shiryen sake fasalin biyan kuɗi da ke gudana wanda ke tasiri galibin wuraren kiwon lafiyar Amurka. A cikin wannan daftarin aiki mai yiwuwa, Abbott ya ba da haske game da wasu manufofin biyan kuɗi da sabbin ƙimar biyan kuɗi ga ma'aikatan kiwon lafiya waɗanda ke yin ayyukan da ake biyan yanzu daban fiye da na shekarun baya. A ranar 2 ga Nuwamba, 2023, CMS ta fito da Tsarin Biyan Kuɗi na Asibitin CY2024 (OPPS)/Ambulatory Surgical Center (ASC) Dokar Ƙarshe, mai tasiri ga ayyuka a ranar 1 ga Janairu, 2024.3,4 Don 2024, CMS tana aiwatar da:
- 3.1% ya karu a cikin jimlar biyan kuɗi na OPPS3
- 3.1% karuwa a cikin jimlar biyan kuɗin ASC4
Mun samar da tebur masu zuwa bisa ga yanayin lissafin kuɗi gama gari don fasaha da matakai daban-daban. Anyi nufin wannan don dalilai na misali kawai kuma baya garantin matakan biyan kuɗi ko ɗaukar hoto. Maidawa zai iya bambanta dangane da ƙayyadaddun hanyoyin da ake aiwatarwa, da kuma akan Cikakken Tsarin Biyan Kuɗi (APC) wanda CMS ya ƙirƙira a cikin HOPD. Yin amfani da ka'idojin CY2024 a matsayin tunani, Abbott ya bincika yiwuwar tasiri akan biyan kuɗi zuwa hanyoyin da aka yi a cikin HOPD, da kuma a cikin tsarin kulawa na ASC, wanda ya haɗa da fasaharmu ko hanyoyin magancewa. Za mu ci gaba da nazarin yuwuwar tasirin canje-canje ga manufofin biyan kuɗi na CMS da sabunta wannan daftarin aiki kamar yadda ya cancanta. Don ƙarin bayani ziyarci Abbott.com, ko tuntuɓi ƙungiyar Tattalin Arziƙi na Kiwon Lafiyar Abbott a 855-569-6430 or AbbottEconomics@Abbott.com.
Ƙayyadaddun bayanai
| Ma'aikacin Asibiti (OPPS) | Cibiyar Tafiya ta Ambulator (ASC) | ||||||||||
|
Franchise |
Fasaha |
Tsari |
APC Primary |
CPT ‡ Lambar |
ASC
Complexity Adj. CPT ‡ Code |
2023 Maidawa |
2024 Maidawa |
% Canza |
2023 Maidawa |
2024 Maidawa |
% Canza |
|
Electrophysiology (EP) |
Farashin EP |
Catheter ablation, AV node | 5212 | 93650 | $6,733 | $7,123 | 5.8% | ||||
| Nazarin EP tare da ablation na catheter, SVT | 5213 | 93653 | $23,481 | $22,653 | -3.5% | ||||||
| Nazarin EP da catheter ablation, VT | 5213 | 93654 | $23,481 | $22,653 | -3.5% | ||||||
| Nazarin EP da catheter ablation, jiyya na AF ta PVI | 5213 | 93656 | $23,481 | $22,653 | -3.5% | ||||||
| Nazarin EP | Cikakken karatun EP ba tare da ƙaddamarwa ba | 5212 | 93619 | $6,733 | $7,123 | 5.8% | |||||
|
Gudanar da Rhythm na zuciya (CRM) |
Kulawar Zuciya Mai Rasa (ICM) | ICM dasa | 33282 | $8,163 | |||||||
| 5222 | 33285 | $8,163 | $8,103 | -0.7% | $7,048 | $6,904 | -2.0% | ||||
| Cire ICM | 5071 | 33286 | $649 | $671 | 3.4% | $338 | $365 | 8.0% | |||
|
Mai sarrafa bugun jini |
Dasa Tsari ko Sauyawa - Majalisa Guda (Ventricular) |
5223 |
33207 |
$10,329 |
$10,185 |
-1.4% |
$7,557 |
$7,223 |
-4.4% |
||
| Dasa Tsarin Tsarin Ko Sauyawa - Rukunin Gida Biyu | 5223 | 33208 | $10,329 | $10,185 | -1.4% | $7,722 | $7,639 | -1.1% | |||
| Cire na'urar bugun zuciya mara guba | 5183 | 33275 | $2,979 | $3,040 | 2.0% | $2,491 | $2,310 | -7.3% | |||
| Zuba bugun bugun jini mara guba | 5224 | 33274 | $17,178 | $18,585 | 8.2% | $12,491 | $13,171 | 5.4% | |||
| Maye gurbin Baturi - Chamber Guda | 5222 | 33227 | $8,163 | $8,103 | -0.7% | $6,410 | $6,297 | -1.8% | |||
| Maye gurbin Baturi - Chamber Biyu | 5223 | 33228 | $10,329 | $10,185 | -1.4% | $7,547 | $7,465 | -1.1% | |||
|
Defibrillator na Cardioverter (ICD) |
Tsarin Dasa ko Sauyawa | 5232 | 33249 | $32,076 | $31,379 | -2.2% | $25,547 | $24,843 | -2.8% | ||
| Maye gurbin Baturi - Chamber Guda | 5231 | 33262 | $22,818 | $22,482 | -1.5% | $19,382 | $19,146 | -1.2% | |||
| Maye gurbin Baturi - Chamber Biyu | 5231 | 33263 | $22,818 | $22,482 | -1.5% | $19,333 | $19,129 | -1.1% | |||
| Sub-Q ICD | Shigar da tsarin ICD na Subcutaneous | 5232 | 33270 | $32,076 | $31,379 | -2.2% | $25,478 | $25,172 | -1.2% | ||
| Jagoranci Kawai - Mai yin bugun jini, ICD, SICD, CRT | Gubar guda ɗaya, Mai bugun zuciya, ICD, ko 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% | |||
| Kulawar Na'ura | Shirye-shirye da Kulawa Mai Nisa | 5741 | 0650T | $35 | $36 | 2.9% | |||||
| 5741 | 93279 | $35 | $36 | 2.9% | |||||||
|
CRT-P |
Tsarin Dasa ko Sauyawa | 5224 | 33208
+ 33225 |
C7539 | $18,672 | $18,585 | -0.5% | $10,262 | $10,985 | 7.0% | |
| Madadin Baturi | 5224 | 33229 | $18,672 | $18,585 | -0.5% | $11,850 | $12,867 | 8.6% | |||
|
CRT-D |
Tsarin Dasa ko Sauyawa | 5232 | 33249
+ 33225 |
$18,672 | $31,379 | -2.2% | $25,547 | $24,843 | -2.8% | ||
| Madadin Baturi | 5232 | 33264 | $32,076 | $31,379 | -2.2% | $25,557 | $25,027 | -2.1% | |||
|
Kasawar Zuciya |
CardioMEMS | Sensor Implant | C2624 | ||||||||
| 5200 | 33289 | $27,305 | $27,721 | 1.5% | $24,713 | ||||||
| LVAD | Tambayoyi, a cikin mutum | 5742 | 93750 | $100 | $92 | -8.0% | |||||
| Tsarin kulawa na gaba | 5822 | 99497 | $76 | $85 | 11.8% | ||||||
|
Hawan jini |
Ciwon koda |
Ciwon koda, a gefe guda |
5192 |
0338T |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
|
|
Ƙwaƙwalwar koda, biyu |
5192 |
0339T |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$3,834 |
64.8% |
|||
| Ma'aikacin Asibiti (OPPS) | Cibiyar Tafiya ta Ambulator (ASC) | ||||||||||
|
Franchise |
Fasaha |
Tsari |
APC Primary |
CPT ‡ Lambar |
ASC
Complexity Adj. CPT ‡ Code |
2023 Maidawa |
2024 Maidawa |
% Canza |
2023 Maidawa |
2024 Maidawa |
% Canza |
|
Ciwon ciki |
PCI Drug Eluting Stents (gami da FFR/OCT) |
DES, tare da angioplasty; jirgi ɗaya, tare da ko ba tare da FFR da/ko OCT ba | 5193 | C9600 | $10,615 | $10,493 | -1.1% | $6,489 | $6,706 | 3.3% | |
| DES guda biyu, tare da angioplasty; jiragen ruwa guda biyu, tare da ko ba tare da FFR da/ ko OCT ba. |
5193 |
C9600 |
$10,615 |
$10,493 |
-1.1% |
$6,489 |
$6,706 |
3.3% |
|||
| DES guda biyu, tare da angioplasty; jirgi ɗaya, tare da ko ba tare da FFR da/ ko OCT |
5193 |
C9600 |
$10,615 |
$10,493 |
-1.1% |
$6,489 |
$6,706 |
3.3% |
|||
| DES guda biyu, tare da angioplasty; manyan jijiyoyin jini guda biyu, tare da ko ba tare da FFR da/ko OCT ba. |
5194 |
C9600 |
$10,615 |
$16,725 |
57.6% |
$9,734 |
$10,059 |
3.3% |
|||
| BMS tare da atherectomy | BMS tare da atherectomy | 5194 | 92933 | $17,178 | $16,725 | -2.6% | |||||
| DES tare da atherectomy | DES tare da atherectomy | 5194 | C9602 | $17,178 | $16,725 | -2.6% | |||||
| DES da AMI | DES da AMI | C9606 | $0 | ||||||||
| DES da CTO | DES da CTO | 5194 | C9607 | $17,178 | $16,725 | -2.6% | |||||
|
Coronary Angiography da Ciwon Jiki (FFR/CFR) ko OCT |
Angiography na jijiyoyin jini | 5191 | 93454 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | ||
| Angiography na jijiyoyin jini + OCT | 5192 | 93454
+ 92978 |
C7516 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Coronary angiography a cikin yara | 5191 | 93455 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Coronary angiography a cikin yara
+ OCT |
5191 | 93455
+ 92978 |
C7518 | $5,215 | $3,108 | -40.4% | $2,327 | ||||
| Angiography na jijiyoyin jini a cikin graft + FFR/CFR | 5191 | 93455
+ 93571 |
C7519 | $5,215 | $3,108 | -40.4% | $2,327 | ||||
| Angiography na jijiyoyin jini tare da bugun zuciya na dama | 5191 | 93456 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Angiography na jijiyoyin jini tare da bugun zuciya na dama + OCT | 5192 | 93456
+ 92978 |
C7521 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Angiography na jijiyoyin jini tare da bugun zuciya na dama + FFR/CFR | 5192 | 93456
+ 93571 |
C7522 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Angiography na jijiyoyin jini a cikin graft tare da catheterization na dama na zuciya | 5191 | 93457 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Angiography na jijiyoyin jini a cikin graft tare da catheterization na dama na zuciya
+ FFR/CFR |
5191 |
93457
+ 93571 |
$5,215 |
$3,108 |
-40.4% |
$0 |
$0 |
||||
| Angiography na jijiyoyin jini tare da catherization na hagu | 5191 | 93458 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Angiography na jijiyoyin jini tare da catherization na zuciya na hagu + OCT | 5192 | 93458
+ 92978 |
C7523 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Angiography na jijiyoyin jini tare da catherization na zuciya na hagu + FFR/CFR | 5192 | 93458
+ 93571 |
C7524 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Angiography na jijiyoyin jini a cikin graft tare da catherization na hagu | 5191 | 93459 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Angiography na jijiyoyin jini a cikin graft tare da catherization na hagu na hagu + OCT | 5192 | 93459
+ 92978 |
C7525 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Angiography na jijiyoyin jini a cikin graft tare da catherization na hagu + FFR/CFR |
5192 |
93459
+ 93571 |
C7526 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
| Cornary angiography tare da dama da hagu catheterization na zuciya | 5191 | 93460 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Cornary angiography tare da dama da hagu catheterization na zuciya
+ OCT |
5192 |
93460
+ 92978 |
C7527 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
| Cornary angiography tare da dama da hagu catheterization na zuciya + FFR/CFR |
5192 |
93460
+ 93571 |
C7528 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
| Ma'aikacin Asibiti (OPPS) | Cibiyar Tafiya ta Ambulator (ASC) | ||||||||||
|
Franchise |
Fasaha |
Tsari |
APC Primary |
CPT ‡ Lambar |
ASC
Complexity Adj. CPT ‡ Code |
2023 Maidawa |
2024 Maidawa |
% Canza |
2023 Maidawa |
2024 Maidawa |
% Canza |
|
Ciwon ciki |
Coronary Angiography da Ciwon Jiki (FFR/CFR) ko OCT |
Angiography na jijiyoyin jini a cikin graft tare da catheterization na dama da hagu |
5191 |
93461 |
$2,958 |
$3,108 |
5.1% |
$1,489 |
$1,633 |
9.7% |
|
| Angiography na jijiyoyin jini a cikin graft tare da catheterization na dama da hagu + FFR/CFR |
5192 |
93461
+ 93571 |
C7529 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
|
Jijiyoyin Jiki |
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 Renal) | 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 da Stent |
Atherectomy da stenting (Fem/ Pop) | 5194 | 37227 | $17,178 | $16,725 | -2.6% | $11,792 | $11,873 | 0.7% | ||
| Atherectomy da stenting (Tibial/ Peroneal) | 5194 | 37231 | $17,178 | $16,725 | -2.6% | $11,322 | $11,981 | 5.8% | |||
|
Vascular Plugs |
Rushewar jini ko rufewa | 5193 | 37241 | $10,615 | $10,493 | -1.1% | $5,889 | $6,108 | 3.7% | ||
| Rushewar jijiya ko rufewa | 5194 | 37242 | $10,615 | $16,725 | 57.6% | $6,720 | $11,286 | 67.9% | |||
| Rushewa ko rufewa don ciwace-ciwacen daji, ischemia na gabbai, ko infarction |
5193 |
37243 |
$10,615 |
$10,493 |
-1.1% |
$4,579 |
$4,848 |
5.9% |
|||
| Rushewa ko rufewa don zubar jini na jijiya ko venous ko extravasation na lymphatic |
5193 |
37244 |
$10,615 |
$10,493 |
-1.1% |
||||||
|
Jijiya Mechanical Thrombectomy |
Farkon jijiya percutaneous inji thrombectomy; jirgin ruwa na farko |
5194 |
37184 |
$10,615 |
$16,725 |
57.6% |
$6,563 |
$10,116 |
54.1% |
||
|
Jijiyoyin Jiki |
Farkon jijiya percutaneous inji thrombectomy; na biyu da duk jirgi(s) na gaba |
37185 |
Kunshe |
Kunshe |
NA |
NA |
|||||
| Na biyu arterial percutaneous inji thrombectomy | 37186 | Kunshe | Kunshe | NA | NA | ||||||
|
Arterial Mechanical Thrombectomy tare da Angioplasty |
Farkon jijiya percutaneous inji thrombectomy; jirgin ruwa na farko tare da angioplasty Iliac |
NA |
37184
+37220 |
$8,100 |
$11,754 |
45.1% |
|||||
| Farkon jijiya percutaneous inji thrombectomy; jirgin ruwa na farko tare da angioplasty fem/pop |
NA |
37184
+37224 |
$8,178 |
$11,842 |
44.8% |
||||||
| Farkon jijiya percutaneous inji thrombectomy; jirgin ruwa na farko tare da angioplasty tib/pero |
NA |
37184
+37228 |
$9,606 |
$13,283 |
38.3% |
||||||
|
Thrombectomy na Jijiya tare da Stenting |
Farkon jijiya percutaneous inji thrombectomy; jirgin ruwa na farko tare da stenting Iliac |
NA |
37184
+37221 |
$9,881 |
$13,502 |
36.7% |
|||||
| Farkon jijiya percutaneous inji thrombectomy; jirgin ruwa na farko tare da stenting fem/pop |
NA |
37184
+37226 |
$10,251 |
$13,631 |
33.0% |
||||||
| Farkon jijiya percutaneous inji thrombectomy; jirgin ruwa na farko tare da stenting tib/pero |
NA |
37184
+37230 |
$14,634 |
$15,793 |
7.9% |
||||||
| Ma'aikacin Asibiti (OPPS) | Cibiyar Tafiya ta Ambulator (ASC) | ||||||||||
|
Franchise |
Fasaha |
Tsari |
APC Primary |
CPT ‡ Lambar |
ASC
Complexity Adj. CPT ‡ Code |
2023 Maidawa |
2024 Maidawa |
% Canza |
2023 Maidawa |
2024 Maidawa |
% Canza |
|
Jijiyoyin Jiki |
Venous Mechanical Thrombectomy |
Venous percutaneous inji thrombectomy, farkon jiyya | 5193 | 37187 | $10,615 | $10,493 | -1.1% | $7,321 | $7,269 | -0.7% | |
| Venous percutaneous inji thrombectomy, maimaita magani a rana ta gaba |
5183 |
37188 |
$2,979 |
$3,040 |
2.0% |
$2,488 |
$2,568 |
3.2% |
|||
| Venous Mechanical Thrombectomy tare da Angioplasty | Venous percutaneous inji thrombectomy, farkon jiyya tare da angioplasty |
NA |
37187 + 37248 |
$8,485 |
$8,532 |
0.6% |
|||||
| Venous Mechanical Thrombectomy tare da Stent | Venous percutaneous inji thrombectomy, farkon jiyya tare da stenting |
NA |
37187 + 37238 |
$10,551 |
$10,619 |
0.6% |
|||||
|
Dialysis Circuit Thrombectomy |
Percutaneous inji thrombectomy, dialysis kewaye | 5192 | 36904 | $5,215 | $5,452 | 4.5% | $3,071 | $3,223 | 4.9% | ||
| Percutaneous inji thrombectomy, dialysis kewaye, tare da angioplasty |
5193 |
36905 |
$10,615 |
$10,493 |
-1.1% |
$5,907 |
$6,106 |
3.4% |
|||
| Percutaneous inji thrombectomy, dialysis kewaye, tare da stent |
5194 |
36906 |
$17,178 |
$16,725 |
-2.6% |
$11,245 |
$11,288 |
0.4% |
|||
|
Thrombolysis |
Transcatheter arterial thrombolysis magani, ranar farko |
5184 |
37211 |
$5,140 |
$5,241 |
2.0% |
$3,395 |
$3,658 |
7.7% |
||
| Transcatheter venous thrombolysis magani, ranar farko |
5183 |
37212 |
$2,979 |
$3,040 |
2.0% |
$1,444 |
$1,964 |
36.0% |
|||
| Transcatheter arterial ko venous thrombolysis magani, rana ta gaba |
5183 |
37213 |
$2,979 |
$3,040 |
2.0% |
||||||
| Maganin jijiya ta transcatheter ko venous thrombolysis, ranar ƙarshe | 5183 | 37214 | $2,979 | $3,040 | 2.0% | ||||||
|
Tsarin Zuciya |
Rufe PFO | ASD/PFO rufewa | 5194 | 93580 | $17,178 | $16,725 | -2.6% | ||||
| ASD | ASD/PFO rufewa | 5194 | 93580 | $17,178 | $16,725 | -2.6% | |||||
| VSD | VSD rufewa | 5194 | 93581 | $17,178 | $16,725 | -2.6% | |||||
| PDA | PDA rufe | 5194 | 93582 | $17,178 | $16,725 | -2.6% | |||||
|
Ciwon Na Aiki |
Ƙarfafa Ƙwararrun Ƙwararru da Ƙarfafa DRG |
Gwajin Gubar Guda Guda Guda: na zahiri | 5462 | 63650 | $6,604 | $6,523 | -1.2% | $4,913 | $4,952 | 0.8% | |
| Gwajin Gubar Biyu: mai tsanani | 5462 | 63650 | $6,604 | $6,523 | -1.2% | $9,826 | $9,904 | 0.8% | |||
| Gwajin gubar tiyata | 5464 | 63655 | $21,515 | $20,865 | -3.0% | $17,950 | $17,993 | 0.2% | |||
| Cikakken Tsarin - Gubar guda ɗaya - Percutaneous | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $29,629 | $30,250 | 2.1% | |||
| Cikakken Tsarin - Gubar Dual - Percutaneous | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $34,542 | $35,202 | 1.9% | |||
| Cikakken Tsarin IPG - Laminectomy | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $42,666 | $43,291 | 1.5% | |||
| IPG implant ko maye gurbin | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $24,716 | $25,298 | 2.4% | |||
| Guda guda ɗaya | 5462 | 63650 | Kunshe | Kunshe | $4,913 | $4,952 | 0.8% | ||||
| Dual gubar | 5462 | 63650 | Kunshe | Kunshe | $4,913 | $4,952 | 0.8% | ||||
| Binciken IPG, Shirye-shiryen Sauƙaƙe | 5742 | 95971 | $100 | $92 | -8.0% | ||||||
|
Ƙarfafa Jijiya na Wuta |
Cikakken Tsarin - Gubar guda ɗaya - Percutaneous | 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% | ||||
| Cikakken Tsarin - Gubar Dual - Percutaneous | 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% | ||||
| Sauya IPG | 5464 | 64590 | $21,515 | $20,865 | -3.0% | $19,333 | $19,007 | -1.7% | |||
| Ma'aikacin Asibiti (OPPS) | Cibiyar Tafiya ta Ambulator (ASC) | ||||||||||
|
Franchise |
Fasaha |
Tsari |
APC Primary |
CPT ‡ Lambar |
ASC
Complexity Adj. CPT ‡ Code |
2023 Maidawa |
2024 Maidawa |
% Canza |
2023 Maidawa |
2024 Maidawa |
% Canza |
|
Ciwon Na Aiki |
Farashin RF |
Kashin mahaifa / kashin kashin thoracic | 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% | |||
| Sauran Jijiyoyin Jijiya | 5443 | 64640 | $852 | $869 | 2.0% | $172 | $173 | 0.6% | |||
| Ablation na mitar rediyo | 5431 | 64625 | $1,798 | $1,842 | 2.4% | $854 | $898 | 5.2% | |||
|
Ciwon Motsi |
DBS |
Wurin IPG - Tsari Daya | 5464 | 61885 | $21,515 | $20,865 | -3.0% | $19,686 | $19,380 | -1.6% | |
| Wurin IPG - IPGs Guda Guda Biyu | 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% | ||||
| Sanya IPG - Tsari Biyu | 5465 | 61886 | $29,358 | $29,617 | 0.9% | $24,824 | $25,340 | 2.1% | |||
| Binciken IPG, Babu Shirye-shirye | 5734 | 95970 | $116 | $122 | 5.2% | ||||||
| Binciken IPG, Shirye-shiryen Sauƙaƙe; farkon 15 Min | 5742 | 95983 | $100 | $92 | -8.0% | ||||||
| Binciken IPG, Shirye-shiryen Sauƙaƙe; karin 15 Min | 95984 | $0 | |||||||||
Disclaimer
Wannan abu da bayanin da ke ƙunshe a nan don dalilai na gabaɗaya ne kawai kuma ba a yi niyya ba, kuma baya zama, doka, biyan kuɗi, kasuwanci, na asibiti, ko wata shawara. Bugu da ƙari kuma, ba a yi niyya ba kuma baya zama wakilci ko garantin biyan kuɗi, biyan kuɗi, ko caji, ko kuma za a karɓi biyan kuɗi ko wasu biyan kuɗi. Ba a yi niyya don ƙarawa ko haɓaka biyan kuɗi ta kowane mai biyan kuɗi ba. Abbott ba shi da garanti mai fayyace ko fayyace ko garantin cewa jerin lambobi da labarai a cikin wannan takaddar sun cika ko mara kuskure. Hakazalika, babu wani abu a cikin wannan takarda ya kamata ya zama viewed a matsayin umarni don zaɓar kowane takamaiman lamba, kuma Abbott baya ba da shawarar ko ba da garantin dacewa da amfani da kowane lamba ta musamman. Babban alhakin ƙididdigewa da samun biyan kuɗi/ramawa ya rage ga abokin ciniki. Wannan ya haɗa da alhakin daidaito da sahihancin duk coding da da'awar da aka ƙaddamar ga masu biyan kuɗi na ɓangare na uku. Bugu da ƙari, abokin ciniki ya kamata ya lura cewa dokoki, ƙa'idodi, da manufofin ɗaukar hoto suna da rikitarwa kuma ana sabunta su akai-akai kuma ana iya canzawa ba tare da sanarwa ba. Abokin ciniki ya kamata ya duba tare da dillalai na gida ko masu shiga tsakani sau da yawa kuma ya kamata ya tuntuɓi mai ba da shawara na doka ko ƙwararrun kuɗi, ƙididdigewa, ko ƙwararrun biyan kuɗi don kowace tambayoyi da suka shafi coding, lissafin kuɗi, biyan kuɗi, ko wasu batutuwa masu alaƙa. Wannan kayan yana sake fitar da bayanai don dalilai kawai. Ba a bayar da izini don amfani da tallace-tallace ba.
Sources
- Biyan Kuɗi na Ƙarshe na Asibiti tare da Sharhi CY2024:
- Biyan Kuɗi na Cibiyar Tiya ta Ambulatory-Dokar Ƙarshe CY2024 Adadin Biyan:
- Biyan Kuɗi na Ƙarshe na Asibiti tare da Sharhi CY2023:
- Biyan Kuɗi na Cibiyar Tiya ta Ambulatory-Dokar Ƙarshe CY2023 Adadin Biyan: https://www.cms.gov/medicaremedicare-fee-service-paymentascpaymentasc-regulations-and-notices/cms-1772-fc
HANKALI: Wannan samfurin an yi nufin amfani dashi ko ƙarƙashin jagorancin likita. Kafin amfani, duba Umurnin Amfani, a cikin kwalin samfurin (lokacin da akwai) ko a vascular.eifu.abbott ko a manuals.eifu.abbott don ƙarin cikakkun bayanai kan Alamu, Contraindications, Gargaɗi, Kariya da Mummunan Abubuwan da suka faru. Abbott One St. Jude Medical Dr., St. Paul, MN 55117, Amurka, Tel: 1 651 756 2000 ™ Yana nuna alamar kasuwanci na ƙungiyar Abbott na kamfanoni. ‡ Yana nuna alamar kasuwanci ta ɓangare na uku, wanda mallakin mai shi ne.
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Takardu / Albarkatu
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Abbott Vascular Codeing and Coverage Resources [pdf] Littafin Mai shi Rubutun Rubuce-rubucen da Abubuwan Rubuce-rubucen, Rubuce-rubuce da Abubuwan Rufewa, Abubuwan Rufewa, Albarkatu |