IMPULSE DYNAMICS Mai Rarraba Mai Haɓakawa Mai Waya Mai Wayo Jagoran Mai Amfani

Abubuwan da ke ciki boye

1 IMPULSE DYNAMICS Mai Rarraba Mai Haɓakawa Mai Kyau

2 Umarnin Amfani da samfur

3 Bayanin samfur

4 kwatancin

5 Alamomi don amfani

6 Takardu / Albarkatu

6.1 Magana

7 Labarai masu alaka

IMPULSE DYNAMICS Mai Rarraba Mai Haɓakawa Mai Kyau

Ƙayyadaddun bayanai

Sunan samfur: Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwaƙwalwa na Ƙaƙwalwa na Ƙaƙwalwa na Ƙaƙwalwa na Ƙaƙƙa ) na Ƙarya na Zuciya

Amfani: Maganin gazawar zuciya

Umarnin Amfani da samfur

Lambobin CPT

0408T - Shigarwa ko maye gurbin tsarin daidaita yanayin ƙanƙancewar zuciya na dindindin, gami da ƙimar kwangila lokacin da aka yi, da shirye-shiryen ji da sigogin warkewa; bugun jini janareta tare da transvenous lantarki
0409T - Shigarwa ko maye gurbin tsarin daidaita yanayin ƙanƙancewar zuciya na dindindin, gami da ƙimar kwangila lokacin da aka yi, da shirye-shiryen ji da sigogin warkewa; pulse janareta kawai

Matsakaicin Biyan Kuɗi na Ƙasa na Medicare:

0408T - $32,062
0409T - $8,276

Tambayoyin da ake yawan yi (FAQ)

Q: Ta yaya zan sami bayanin biyan kuɗi na CCM implants?
- A: Likitan Lissafin Kuɗi na CCM an kwatanta su ta hanyar Lambobin CPT na Sashe na III. Da fatan za a koma ga Ma'aikatan Kwangilar Gudanarwar ku na Medicare webrukunin yanar gizo ko tuntuɓar Ƙarfafawar Impulse don takamaiman bayanin biyan kuɗi a cikin ikon ku.
Tambaya: Ta yaya zan iya ƙaddamar da ƙarin tambayoyi?
- A: Ana iya ƙaddamar da ƙarin tambayoyi ga reimbursement@impulse-dynamics.com.

An ƙirƙiri wannan hanyar ƙididdigewa da biyan kuɗi don samar da bayanai don biyan kuɗin da ya dace na gyare-gyaren Canjin Ƙirar Zuciya don maganin gazawar zuciya.
Ana iya ƙaddamar da ƙarin tambayoyi ga reimbursement@impulse-dynamics.com

Likita, Asibitin Marasa lafiya da Ƙwararren Ƙwararren Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararru
Lambobin CPT masu zuwa, Rarraba Biyan Kuɗi (APC), alamomin matsayi, da matsakaicin biyan kuɗi na ƙasa ana tanadar da su ga likitocin lissafin hanyoyin CCM da aka fi ba da rahoto, sassan marasa lafiya na asibiti ko cibiyoyin tiyata na gaggawa.

Bayanin samfur

Biyan Kuɗi na Wurin Lantarki
Ana amfani da lambobin CPT na rukuni na III don zayyana hanyoyin yin amfani da fasahohi masu tasowa. Kodayake Optimizer® Smart ya sami amincewar FDA a ranar 21 ga Maris, 2019 a ƙarƙashin na'urar Na'urar Breakthrough na FDA, AMA kuma har yanzu bai fitar da lambobin CPT na CPT na CCM ba.

Har sai an fitar da lambobin CPT na Category I, masu biyan kuɗi za su iya ci gaba da fahimtar Rukunin III CPT lambobin da ke da alaƙa da CCM a matsayin wakiltar hanyoyin bincike ko gwaji. Yayin da wannan takarda ke nuna ingantacciyar taswira ga APC, masu samarwa da abokan aikinsu yakamata su bi izini kafin tsarawa ko gudanar da hanyoyin dasa CCM don tabbatar da masu biyan kuɗi ba za su hana biyan kuɗi ba. Don taimako tare da izini na farko da roko, ziyarci www.impulse-dynamics.com/reimbursement

Biyan Kuɗi na Likita

CCM implants an bayyana su ta CPT lambobin CPT Class III. Ta hanyar ma'anar, irin waɗannan lambobin ba su da ƙimar ƙimar RVU ta dindindin ta AMA. Yawancin Masu Kwangila Masu Gudanarwa na Medicare (MACs) sun sanya ƙimar biyan kuɗi zuwa waɗannan lambobin CPT. Da fatan za a koma zuwa MAC's webrukunin yanar gizo ko tuntuɓi Ƙarfafawar Impulse don bayani kan biyan kuɗi a takamaiman ikon ɗan kwangilar ku.

Lokacin yin abubuwan da aka saka CCM a cikin ikon MAC waɗanda ba a ba da ƙimar biyan kuɗi ba ko na masu biyan kuɗin Medicare ba, ana ba likitocin da ke ƙaddamar da da'awar ƙwanƙwasa CCM shawara don yin la'akari da sabis ɗin da ke akwai ko hanya mai kama da tsarin dasa CCM dangane da farashi da albarkatu. Ana nuna lissafin yiwuwar Rukunin I CPT lambobin tunani akan shafi mai zuwa. Don ƙarin cikakkun bayanai game da amfani da lambobin tunani don hanyoyin CCM, da fatan za a tuntuɓi Jagorar Canzawa Mai Sauƙi CPT.
Medicare sanya XXX (ra'ayin duniya ba ya aiki) ga duk lambobi goma da suka dace da hanyoyin CCM; barin biyan kuɗi zuwa ga shawarar MAC mai dacewa.

CPT Code1 Bayanin Jimillar RVUs Aiki RVUs

33207	Shigar sabo ko maye gurbin na'urar bugun zuciya ta dindindin tare da na'urar lantarki mai wucewa; ventricular	14.09	7.80
33208	Shigar sabo ko maye gurbin na'urar bugun zuciya ta dindindin tare da na'urar lantarki mai wucewa; atrial da ventricular	15.25	8.52
33212	Shigar da janareta bugun bugun zuciya kawai; tare da jagora guda daya wanzu	9.55	5.01
33213	Shigar da janareta bugun bugun zuciya kawai; tare da jagora biyu masu wanzuwa	10.00	5.28
33221	Shigar da janareta bugun bugun zuciya kawai; tare da data kasance mahara jagorori	10.56	5.55
33228	Cire janareta bugun bugun jini na dindindin tare da maye gurbin bugun bugun bugun zuciya; dual gubar tsarin	10.47	5.52
33230	Shigar da janareta na bugun jini na defibrillator kawai; tare da jagora biyu masu wanzuwa	11.05	6.07
33249	Shigar ko maye gurbin tsarin defibrillator na dindindin, tare da gubar (s), ɗaki ɗaya ko biyu	26.85	14.92
CUTARWA HANYOYI
33233	Cire janareta bugun bugun jini na dindindin kawai	6.92	3.14
33235	Cire na'urar bugun bugun zuciya (s); dual gubar tsarin	18.77	9.90
33241	Cire janareta na bugun bugun jini na defibrillator kawai	6.37	3.04
33244	Cire ɗaki ɗaya ko biyu da aka dasa na'urar defibrillator (s); ta hanyar hakowa	25.44	13.74
MATSAYI HANYOYI
33215	Mayar da na'urar bugun bugun jini da aka dasa a baya ko na'urar da ba za a iya sakawa ba (dama ko ventricular dama) na lantarki	9.17	4.92
33222	Mayar da aljihun fata don na'urar bugun zuciya	10.18	4.85
33223	Matsar da aljihun fata don defibrillator mai iya dasawa	12.09	6.30
SHIRI/KIMANIN HANYOYI
	Ƙimar na'urar shirye-shirye (a cikin mutum) tare da daidaitawar na'urar da aka dasa don gwada aikin
93280	na'urar kuma zaɓi mafi kyawun ƙima mai kyau na dindindin tare da bincike, sakeview da rahoton likita ko wani	2.35	0.77
	ƙwararrun ƙwararrun kula da lafiya; dual gubar bugun jini tsarin
	Ƙimar na'urar tambayoyi (a cikin mutum) tare da bincike, sakeview da rahoton likita ko wasu ƙwararrun lafiya
93288	ƙwararrun kulawa, ya haɗa da haɗi, rikodi da kuma cire haɗin kowane gamuwa da haƙuri; guda, dual, ko mahara	1.23	0.43
	tsarin bugun zuciya
	Ƙimar na'urar tambayoyi (a cikin mutum) tare da bincike, sakeview da rahoton likita ko wasu ƙwararrun kula da lafiya
93289	ƙwararru, ya haɗa da haɗi, rikodi da cire haɗin kowane gamuwa da haƙuri; gubar guda ɗaya, dual, ko mahara yawa	1.36	0.75
	Tsarin defibrillator mai jujjuyawa mai jujjuyawa, gami da nazarin abubuwan bayanan da aka samu na bugun zuciya
	Ƙimar na'urar shirye-shirye (a cikin mutum) tare da daidaitawar na'urar da aka dasa don gwada aikin
93283	na'urar kuma zaɓi mafi kyawun ƙima mai kyau na dindindin tare da bincike, sakeview da rahoton likita ko wani	2.91	1.15
	ƙwararrun ƙwararrun kula da lafiya; Dual gubar transvenous implantable defibrillator tsarin

Za a iya bayar da ɗaya ko fiye daga cikin waɗannan kwatancen a cikin ƙaddamar da da'awar don taimakawa wajen ƙayyade abin da ya dace na waɗannan hanyoyin. Kowane mai bayarwa dole ne ya ƙayyade mafi dacewa lambar tunani. Waɗannan su ne examples kawai, ba cikakke ko takamaiman jeri ba. Ya kamata rikodin likita ya haɗa da takaddun likita don tallafawa dalilin da ake magana da lambar a matsayin kwatankwacinsa, kamar lokacin sabis da matakin ƙwarewa, tsarin dasawa, da sauran bayanan da suka dace waɗanda ke goyan bayan kwatancen lambar da aka nusar don biyan kuɗi. Likitoci dole ne su yi lissafin lambar Rukunin III na CCM, kuma ba lambar da aka ambata ba. Mai yiwuwa ɗan kwangilar Medicare ko mai biyan kuɗi na kasuwanci zai iya neman kwafin rikodin don yin shawarar biyan kuɗi.

Rahoto Tsarin Asibitin Jiki
Lambobin ICD-10-CM (diagnosis), lambobin ICD-10-PCS (tsari), da ma'anar DRG ana bayar da su don hanyoyin CCM da aka fi ba da rahoto a cikin saitin asibiti na marasa lafiya.

ICD-10-CM Code3

MAI WUYA ZUCIYA RASHIN GASKIYA MAGANIN GASKIYA CODES

Hukumar MCC

I50.10	Rashin gazawar ventricle na hagu, ba a fayyace ba	X
I50.20	systolic (congestive) gazawar zuciya da ba a bayyana ba	X
I50.21	M systolic (congestive) gazawar zuciya		X
I50.22	Ciwon zuciya na systolic (congestive) na yau da kullun	X
I50.23	M a kan na kullum systolic (congestive) zuciya gazawar	X
I50.30	Diastolic (congestive) gazawar zuciya da ba a bayyana ba	X
I50.31	M diastolic (congestive) ciwon zuciya		X
I50.32	Ciwon zuciya na diastolic na yau da kullun (congestive).	X
I50.33	M a kan na kullum diastolic (congestive) zuciya gazawar		X
I50.40	Haɗin systolic (maƙarƙashiya da diastolic (maƙarƙashiya) gazawar zuciya	X
I50.41	M hade systolic (congestive) da diastolic (congestive) zuciya gazawar		X
I50.42	Haɗaɗɗen systolic na yau da kullun (congestive) da diastolic (congestive) gazawar zuciya	X
I50.43	M a kan na kullum hade systolic (congestive) da diastolic (congestive) zuciya gazawar		X
I50.80	Sauran raunin zuciya
I50.810	Dama zuciya gazawar, ba a fayyace ba
I50.811	Ciwon zuciya mai tsanani
I50.812	Raunin zuciya na dama na yau da kullun
I50.813	Mummunan ciwon zuciya na dama
I50.814	Dama zuciya ta gaza saboda gazawar zuciya ta hagu
I50.82	Ciwon zuciya na Biventricular
I50.83	Babban fitarwa na zuciya gazawar
I50.84	Karshen stage ciwon zuciya
I50.89	Sauran raunin zuciya
I50.90	Ciwon zuciya, ba a fayyace ba

Saukewa: ICD-10-PCS4

HANYOYIN SHIGA/MATSAYI

0JH60AZ Shigar da Na'urar Canjin Ƙaƙwalwar Ƙirji a cikin Tissue Subcutaneous Chest da Fascia, Buɗe Hanyar
0JH63AZ Shigar da Na'urar Canjin Ƙaƙwalwar Ƙirji a cikin Tissue Subcutaneous Chest da Fascia, Hanya Mai Sauƙi
0JH80AZ Shigar da Na'urar Canjin Ƙaƙwalwa a cikin Tissue Subcutaneous Tissue da Fascia, Buɗe Hanyar
0JH83AZ Shigar da Na'urar Canjin Ƙaƙwalwar Ƙaƙwalwar Ƙwaƙwalwar Ƙwaƙwalwar Ƙwaƙwalwar Ciki da Fascia, Ƙaƙwalwar Hanya
02H63MZ Shigar da gubar zuciya zuwa cikin dama na atrium na dama, hanya mai ma'ana (lokacin da aka ƙayyade a matsayin jagora don na'urar daidaitawa)
02HK3MZ Shigar da gubar zuciya zuwa cikin ventricle na dama, hanya mara kyau (lokacin da aka ƙayyade a matsayin jagora don na'urar daidaitawa)

Asibitin marasa lafiya DRG Assignment

GROUP DA KE DANGANTA GA MAGANIN GASKIYA (DRG)

MS-DRG	Bayani		Biyan Kuɗi na Ƙasa na 20255
275	Zurfafa defibrillator na zuciya tare da catheterization na zuciya da MCC		$49,290
276	Rarraba defibrillator na zuciya tare da MCC ko Carotid Sinus Neurostimulator		$43,204
277	Zuciyar defibrillator dasawa ba tare da MCC ba		$32,446
Farashin HCPCS MATAKI II NA'URA CROSSWALK
Na'ura Kashi	Na'ura Bayani	Lambar Samfura	Farashin HCPCS C- Code6
IPG	OPTIMIZER® Smart	10-B411-3-XX	C1824
IPG	OPTIMIZER® Smart Mini	10-B501-3-XX	C1824
IPG	OPTIMIZER® Lite	10-B502-3-XX	C1824
Caja mara lafiya	OPTIMIZER® Mini Caja Tsarin	10-F202-3-XX	K1030 (Ana amfani da shi don maye gurbin kawai)
Caja mara lafiya	Tsarin Caja na Tsaro	10-F311-3-XX	K1030 (Ana amfani da shi don maye gurbin kawai)
Caja mara lafiya	Tsarin Cajin Vesta	10-F301-3-XX	K1030 (Ana amfani da shi don maye gurbin kawai)

Tsarin Cajin Mara lafiya na Vesta Caja (OPT Lite) 10-F302-3-XX K1030 (an yi amfani da shi don maye gurbin kawai)
Isar da Farfadowar Jagorar Daban-daban C1898
Mai Gabatarwa/Sheath Daban-daban Daban-daban

kwatancin

HCPCS LEVEL II CODES & BAYANI

Farashin HCPCS Lambar	Na'ura Bayani	Kudin shiga Lambar
C1824	Janareta, daidaita yanayin ƙanƙantar zuciya (wanda za a iya dasa)	0278 - Sauran abubuwan da aka saka
C1898	Gubar, bugun bugun zuciya, ban da fasinja ɗaya na VDD	0275 - Masu sarrafa bugun jini

K1030 Tsarin caji na waje don baturi (na ciki) don amfani tare da dasa shuki ƙwanƙwasa ƙwayar zuciya, maye gurbin kawai

Disclaimer
Ƙididdigar ƙididdiga, ɗaukar hoto da bayanan biyan kuɗi da aka bayar ta hanyar Impulse Dynamics ana samun su daga tushe na ɓangare na uku. An bayar da wannan bayanin don dacewa da ma'aikacin kiwon lafiya kawai kuma baya zama ramawa, shawara na doka ko bin doka. Ƙididdigar ƙididdigewa, ɗaukar hoto da bayanan biyan kuɗi yana ƙarƙashin sauyi akai-akai kuma ba zato ba tsammani; don haka Impulse Dynamics yana ba da shawarar cewa masu amfani su koma ga tushen bayanan da aka jera don tabbatar da daidaito kafin yin aiki da bayanan da aka bayar a nan. Impulse Dynamics baya yin wakilci ko garanti dangane da wannan bayanin ko daidaitonsa, cikawarsa ko aiki kuma baya ɗaukar alhakin ɗaukaka wannan bayanin. Impulse Dynamics musamman yana watsi da alhaki ko alhakin sakamako ko sakamakon duk wani mataki da aka ɗauka dangane da bayanai a cikin wannan takaddar. Impulse Dynamics baya bada garantin cewa amfani ko dogaro ga kowane lambobin da aka jera a cikin wannan takaddar za su haifar da kowane ƙayyadadden matakin ɗaukar hoto ko garanti ko adadin biyan kuɗi. Impulse Dynamics yana ƙarfafa masu ba da lafiya da ƙarfi don ƙaddamar da ingantaccen da'awar da ta dace don ayyuka kuma tana ba da shawarar ku tuntuɓi kai tsaye tare da masu biyan kuɗi (misali Cibiyoyin Medicare da Sabis na Medicaid (CMS)), ƙwararrun ƙwararrun ƙwararrun ramuwa, wasu ƙwararrun masu biyan kuɗi, da/ko doka. shawara game da duk codeing, ɗaukar hoto, da al'amurran da suka shafi biyan kuɗi.

Alamomi don amfani

Ana nuna maganin CCM don inganta nisan tafiya na minti 6 na zauren, ingancin rayuwa da matsayi na aiki na NYHA Class III marasa lafiya na ciwon zuciya waɗanda ke da alamun bayyanar cututtuka duk da umarnin da aka ba da shawarar likita, ba sa karɓar CRT, kuma suna da LVEF daga 25% zuwa 45%.