ʻO Abbott Vascular Coding and Coverage Resources
ʻIke Huahana
Nā kikoʻī
- Inoa Huahana: Health Economics & Reimbursement 2024 Reimbursement Guide
- Māhele: Healthcare Economics
- Mea Hana: Abbott
- Makahiki: 2024
Nā ʻōlelo hoʻohana huahana
Pauview
Hāʻawi ka Health Economics & Reimbursement 2024 Reimbursement Guide na Abbott i ka ʻike e pili ana i nā manaʻo uku no nā ʻenehana mālama olakino a me nā kaʻina hana ma lalo o ka CMS Hospital Outpatient Prospective Payment System (OPPS) a me Ambulatory Surgical Center (ASC) Rule Hope no ka makahiki 2024.
Nā Kūlana Kūlana
Aia i loko o ke alakaʻi nā papa me nā hiʻohiʻona pili kālā maʻamau no nā ʻenehana a me nā kaʻina hana e like me Cardiac Rhythm Management (CRM), Electrophysiology (EP), a me nā kaʻina hana e pili ana. He mea nui ia e nānā i ka Comprehensive Ambulatory Payment Classification (APC) i hāʻawi ʻia e CMS no ka ʻike uku uku.
ʻIkepili Hoʻihoʻi
Ua loiloi ʻo Abbott i ka hopena o ka hoʻololi ʻana i ka uku ma nā kaʻina hana pilikino i loko o ka Hale Hōʻikeʻike ʻOihana Hoʻomaʻi (HOPD) a me nā hoʻonohonoho mālama ASC. He kuhikuhi kēia alakaʻi no ka hoʻomaopopo ʻana i nā pae hoʻihoʻi a me ka uhi e pili ana i nā lula CY2024.
ʻIke pili
No nā kikoʻī hou aku a i ʻole nā nīnau, e kipa Abbott.com a i ʻole e hoʻokaʻaʻike aku i ka hui Abbott Health Care Economics ma 855-569-6430 aiʻole leka uila AbbottEconomics@Abbott.com.
FAQ
- Nīnau: Pehea ka manawa e hoʻonui ʻia ai ke alakaʻi uku?
- A: E hoʻomau ʻo Abbott i ka nānā ʻana a me ka hoʻonui ʻana i ke alakaʻi hoʻihoʻi e like me ka mea e pono ai ma muli o nā loli i nā kulekele uku CMS.
- Nīnau: Hiki i ke alakaʻi ke hōʻoiaʻiʻo i nā pae uku uku?
- A: Hāʻawi ke alakaʻi i nā kumu hoʻohālike wale nō a ʻaʻole ia e hōʻoiaʻiʻo i nā pae uku a i ʻole ka uhi ʻana ma muli o nā ʻano like ʻole o nā kaʻina hana a me nā hoʻohālikelike APC.
ʻIke Huahana
CMS Hospital Outpatient (OPPS) a me Ambulatory Surgical Center (ASC) Reimbursement Prospectus
Ua hana nā Centers for Medicare & Medicaid Services (CMS) i nā loli koʻikoʻi i ka makahiki kalena 2024 (CY2024) nā kulekele a me nā pae uku e pili ana i nā kaʻina hana me ka hoʻohana ʻana i ka ʻenehana a me nā hoʻonā lapaʻau ʻo Abbott i ka Hospital Outpatient Department (HOPD) a me Ambulatory Surgical Center (ASC) hoʻonohonoho mālama. Hoʻopili ʻia kēia mau hoʻololi e ka neʻe ʻana o nā hana hou a me ka hoʻomau ʻana i ka hoʻoponopono hou ʻana i ka uku e hoʻopilikia ana i ka hapa nui o nā keʻena mālama olakino US. Ma kēia palapala hoʻolaha, hōʻike ʻo Abbott i kekahi mau kulekele uku a me nā uku uku hou i nā lawelawe mālama ola e hana ana i nā lawelawe i uku ʻokoʻa ʻia ma mua o nā makahiki i hala. Ma Nowemapa 2, 2023, ua hoʻokuʻu ʻo CMS i ka CY2024 Hospital Outpatient Prospective Payment System (OPPS)/Ambulatory Surgical Center (ASC) Rule Hope, kūpono no nā lawelawe ma Ianuali 1, 2024.3,4 No 2024, nā papahana CMS a:
- 3.1% ka piʻi ʻana o ka huina OPPS uku3
- 3.1% hoʻonui i ka huina ASC uku4
Ua hoʻolako mākou i nā papa ma lalo e pili ana i nā hiʻohiʻona pili kālā maʻamau no nā ʻenehana like ʻole a me nā kaʻina hana. Hoʻolālā ʻia kēia no nā kumu hoʻohālike wale nō a ʻaʻole ia he hōʻoia no nā pae uku a i ʻole ka uhi. Hiki ke ʻokoʻa ka uku hou ʻana ma muli o nā kaʻina hana kikoʻī i hana ʻia, a ma ka Comprehensive Ambulatory Payment Classification (APC) i hana ʻia e CMS ma ka HOPD. Me ka hoʻohana ʻana i nā lula CY2024 ma ke ʻano he kuhikuhi, ua loiloi ʻo Abbott i ka hopena hiki ke uku i nā kaʻina hana i hana ʻia i loko o ka HOPD, a i ka hoʻonohonoho mālama ASC, e pili ana i kā mākou ʻenehana a i ʻole nā mea hoʻonā. E hoʻomau mākou i ka nānā ʻana i ka hopena o nā hoʻololi i nā kulekele uku CMS a hoʻonui i kēia palapala inā pono. No ka 'ike hou aku e kipa mai Abbott.com, a i ʻole e kelepona i ka hui Abbott Health Care Economics ma 855-569-6430 or AbbottEconomics@Abbott.com.
Hōʻike
| Ka maʻi maʻi ma waho (OPPS) | Kikowaena ʻOpe ʻAi ʻAma (ASC) | ||||||||||
|
ʻO Franchise |
ʻenehana |
Kaʻina hana |
APC kumu mua |
CPT‡ Code |
ASC
Paʻakikī Adj. CPT‡ Code |
2023 Hoʻihoʻi hou |
2024 Hoʻihoʻi hou |
% Hoʻololi |
2023 Hoʻihoʻi hou |
2024 Hoʻihoʻi hou |
% Hoʻololi |
|
Electrophysiology (EP) |
EP Hoʻopau |
ʻO ka hoʻokaʻawale ʻana o ka Catheter, AV node | 5212 | 93650 | $6,733 | $7,123 | 5.8% | ||||
| Hoʻopaʻa haʻawina EP me ka wehe ʻana o ka catheter, SVT | 5213 | 93653 | $23,481 | $22,653 | -3.5% | ||||||
| EP haʻawina a me ka catheter ablation, VT | 5213 | 93654 | $23,481 | $22,653 | -3.5% | ||||||
| ʻO ka haʻawina EP a me ka wehe ʻana i ka catheter, ka mālama ʻana i ka AF e PVI | 5213 | 93656 | $23,481 | $22,653 | -3.5% | ||||||
| Haʻawina EP | Haʻawina EP piha me ka hoʻokomo ʻole | 5212 | 93619 | $6,733 | $7,123 | 5.8% | |||||
|
Ka hoʻokele ʻana o ka puʻuwai puʻuwai (CRM) |
Hiki ke hoʻopaʻa ʻia i ka naʻau (ICM) | ICM implantation | 33282 | $8,163 | |||||||
| 5222 | 33285 | $8,163 | $8,103 | -0.7% | $7,048 | $6,904 | -2.0% | ||||
| Wehe ICM | 5071 | 33286 | $649 | $671 | 3.4% | $338 | $365 | 8.0% | |||
|
Pacemaker |
Hoʻokomo ʻana i ka ʻōnaehana a i ʻole ka hoʻololi ʻana - ke keʻena hoʻokahi (Ventricular) |
5223 |
33207 |
$10,329 |
$10,185 |
-1.4% |
$7,557 |
$7,223 |
-4.4% |
||
| Pūnaehana Implant a i ʻole Hoʻololi - ʻElua Chamber | 5223 | 33208 | $10,329 | $10,185 | -1.4% | $7,722 | $7,639 | -1.1% | |||
| Wehe ʻia ʻo Leadless Pacemaker | 5183 | 33275 | $2,979 | $3,040 | 2.0% | $2,491 | $2,310 | -7.3% | |||
| Hoʻokomo ʻia ʻo Leadless Pacemaker | 5224 | 33274 | $17,178 | $18,585 | 8.2% | $12,491 | $13,171 | 5.4% | |||
| Pākuʻi Pākuʻi - Keʻena Hoʻokahi | 5222 | 33227 | $8,163 | $8,103 | -0.7% | $6,410 | $6,297 | -1.8% | |||
| Pākuʻi Pākuʻi - ʻElua Chamber | 5223 | 33228 | $10,329 | $10,185 | -1.4% | $7,547 | $7,465 | -1.1% | |||
|
ʻO ka Defibrillator Cardioverter Hoʻokomo (ICD) |
Pūnaehana Implant a i ʻole Hoʻololi | 5232 | 33249 | $32,076 | $31,379 | -2.2% | $25,547 | $24,843 | -2.8% | ||
| Pākuʻi Pākuʻi - Keʻena Hoʻokahi | 5231 | 33262 | $22,818 | $22,482 | -1.5% | $19,382 | $19,146 | -1.2% | |||
| Pākuʻi Pākuʻi - ʻElua Chamber | 5231 | 33263 | $22,818 | $22,482 | -1.5% | $19,333 | $19,129 | -1.1% | |||
| Sub-Q ICD | Hoʻokomo ʻia o ka ʻōnaehana Subcutaneous ICD | 5232 | 33270 | $32,076 | $31,379 | -2.2% | $25,478 | $25,172 | -1.2% | ||
| Ke alakaʻi wale nō - Pacemaker, ICD, SICD, CRT | Ke alakaʻi hoʻokahi, Pacemaker, ICD, a i ʻole 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% | |||
| Nānā Mea Hana | Papahana a me ka nana mamao | 5741 | 0650T | $35 | $36 | 2.9% | |||||
| 5741 | 93279 | $35 | $36 | 2.9% | |||||||
|
CRT-P |
Pūnaehana Implant a i ʻole Hoʻololi | 5224 | 33208
+ 33225 |
C7539 | $18,672 | $18,585 | -0.5% | $10,262 | $10,985 | 7.0% | |
| Pākuʻi Pākuʻi | 5224 | 33229 | $18,672 | $18,585 | -0.5% | $11,850 | $12,867 | 8.6% | |||
|
CRT-D |
Pūnaehana Implant a i ʻole Hoʻololi | 5232 | 33249
+ 33225 |
$18,672 | $31,379 | -2.2% | $25,547 | $24,843 | -2.8% | ||
| Pākuʻi Pākuʻi | 5232 | 33264 | $32,076 | $31,379 | -2.2% | $25,557 | $25,027 | -2.1% | |||
|
Puuwai Puuwai |
CardioMEMS | Hoʻokomo ʻia ʻo Sensor | C2624 | ||||||||
| 5200 | 33289 | $27,305 | $27,721 | 1.5% | $24,713 | ||||||
| LVAD | Ninau, kino | 5742 | 93750 | $100 | $92 | -8.0% | |||||
| Hoʻolālā mālama mua | 5822 | 99497 | $76 | $85 | 11.8% | ||||||
|
Ka maʻi kiʻekiʻe |
Hoʻohaʻahaʻa Renal |
ʻO ka hoʻohaʻahaʻa ʻana i ka renal, unilateral |
5192 |
0338T |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
|
|
ʻO ka hoʻohaʻahaʻa ʻana i ka renal, bilateral |
5192 |
0339T |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$3,834 |
64.8% |
|||
| Ka maʻi maʻi ma waho (OPPS) | Kikowaena ʻOpe ʻAi ʻAma (ASC) | ||||||||||
|
ʻO Franchise |
ʻenehana |
Kaʻina hana |
APC kumu mua |
CPT‡ Code |
ASC
Paʻakikī Adj. CPT‡ Code |
2023 Hoʻihoʻi hou |
2024 Hoʻihoʻi hou |
% Hoʻololi |
2023 Hoʻihoʻi hou |
2024 Hoʻihoʻi hou |
% Hoʻololi |
|
Coronary |
PCI Drug Eluting Stents (me ka FFR/OCT) |
DES, me ka angioplasty; hoʻokahi moku, me ka FFR a/a i ʻole OCT | 5193 | C9600 | $10,615 | $10,493 | -1.1% | $6,489 | $6,706 | 3.3% | |
| ʻElua DES, me ka angioplasty; ʻelua mau moku, me ka FFR a me / a i ʻole OCT. |
5193 |
C9600 |
$10,615 |
$10,493 |
-1.1% |
$6,489 |
$6,706 |
3.3% |
|||
| ʻElua DES, me ka angioplasty; hoʻokahi moku, me ka FFR a me / a i ʻole OCT |
5193 |
C9600 |
$10,615 |
$10,493 |
-1.1% |
$6,489 |
$6,706 |
3.3% |
|||
| ʻElua DES, me ka angioplasty; ʻelua mau aʻaʻaʻa coronary nui, me ka FFR a me/a i ʻole OCT. |
5194 |
C9600 |
$10,615 |
$16,725 |
57.6% |
$9,734 |
$10,059 |
3.3% |
|||
| BMS me ka atherectomy | BMS me ka atherectomy | 5194 | 92933 | $17,178 | $16,725 | -2.6% | |||||
| DES me ka atherectomy | DES me ka atherectomy | 5194 | C9602 | $17,178 | $16,725 | -2.6% | |||||
| DES a me AMI | DES a me AMI | C9606 | $0 | ||||||||
| DES a me CTO | DES a me CTO | 5194 | C9607 | $17,178 | $16,725 | -2.6% | |||||
|
Coronary Angiography and Coronary Physiology (FFR/ CFR) a i ʻole OCT |
ʻO ka angiography coronary | 5191 | 93454 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | ||
| ʻO ka angiography coronary + OCT | 5192 | 93454
+ 92978 |
C7516 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| ʻO ka angiography coronary ma ke kāpili | 5191 | 93455 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| ʻO ka angiography coronary ma ke kāpili
+ OKT |
5191 | 93455
+ 92978 |
C7518 | $5,215 | $3,108 | -40.4% | $2,327 | ||||
| ʻO ka angiography coronary i ka graft + FFR/CFR | 5191 | 93455
+ 93571 |
C7519 | $5,215 | $3,108 | -40.4% | $2,327 | ||||
| ʻO ka angiography coronary me ka hoʻopili ʻana i ka puʻuwai ʻākau | 5191 | 93456 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| ʻO ka angiography coronary me ka hoʻopili ʻana i ka puʻuwai ʻākau + OCT | 5192 | 93456
+ 92978 |
C7521 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| ʻO ka angiography coronary me ka hoʻopili puʻuwai ʻākau + FFR/CFR | 5192 | 93456
+ 93571 |
C7522 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| ʻO ka coronary angiography i ka grafft me ka catheterization puʻuwai ʻākau | 5191 | 93457 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| ʻO ka coronary angiography i ka grafft me ka catheterization puʻuwai ʻākau
+ FFR/CFR |
5191 |
93457
+ 93571 |
$5,215 |
$3,108 |
-40.4% |
$0 |
$0 |
||||
| ʻO ka angiography coronary me ka hoʻoheheʻe ʻana o ka naʻau hema | 5191 | 93458 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| ʻO ka angiography coronary me ka hoʻopaʻa ʻana o ka puʻuwai hema + OCT | 5192 | 93458
+ 92978 |
C7523 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| ʻO ka angiography coronary me ka catherization puʻuwai hema + FFR/CFR | 5192 | 93458
+ 93571 |
C7524 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| ʻO ka angiography coronary i ka grafft me ka hoʻoheheʻe ʻana o ka puʻuwai hema | 5191 | 93459 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| ʻO ka angiography coronary i ka graft me ka catherization puʻuwai hema + OCT | 5192 | 93459
+ 92978 |
C7525 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| ʻO ka angiography coronary i ka grafft me ka catherization puʻuwai hema + FFR/CFR |
5192 |
93459
+ 93571 |
C7526 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
| Cornary angiography me ka puʻuwai ʻākau a hema | 5191 | 93460 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Cornary angiography me ka puʻuwai ʻākau a hema
+ OKT |
5192 |
93460
+ 92978 |
C7527 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
| ʻO Cornary angiography me ka hoʻopaʻa ʻana i ka puʻuwai ʻākau a hema + FFR/CFR |
5192 |
93460
+ 93571 |
C7528 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
| Ka maʻi maʻi ma waho (OPPS) | Kikowaena ʻOpe ʻAi ʻAma (ASC) | ||||||||||
|
ʻO Franchise |
ʻenehana |
Kaʻina hana |
APC kumu mua |
CPT‡ Code |
ASC
Paʻakikī Adj. CPT‡ Code |
2023 Hoʻihoʻi hou |
2024 Hoʻihoʻi hou |
% Hoʻololi |
2023 Hoʻihoʻi hou |
2024 Hoʻihoʻi hou |
% Hoʻololi |
|
Coronary |
Coronary Angiography and Coronary Physiology (FFR/ CFR) a i ʻole OCT |
ʻO ka angiography coronary i ka grafft me ka catheterization puʻuwai ʻākau a hema |
5191 |
93461 |
$2,958 |
$3,108 |
5.1% |
$1,489 |
$1,633 |
9.7% |
|
| ʻO ka angiography coronary ma ke kāpili me ka catheterization puʻuwai ʻākau a hema + FFR/CFR |
5192 |
93461
+ 93571 |
C7529 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
|
ʻO ka ʻauamo ʻaoʻao |
ʻO ka angioplasty |
ʻO ka angioplasty (Iliac) | 5192 | 37220 | $5,215 | $5,452 | 4.5% | $3,074 | $3,275 | 6.5% | |
| ʻO ka 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% | |||
|
ʻO ka hoʻopaʻa ʻana |
Hoʻopaʻa (Iliac) | 5193 | 37221 | $10,615 | $10,493 | -1.1% | $6,599 | $6,772 | 2.6% | ||
| ʻO ka hoʻopaʻa ʻana (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% | |||
| ʻO ka hoʻopaʻa ʻana (Tibial/Peroneal) | 5194 | 37230 | $17,178 | $16,725 | -2.6% | $11,352 | $10,735 | -5.4% | |||
|
Atherectomy a me Stenting |
Atherectomy a me ka stenting (Fem/ Pop) | 5194 | 37227 | $17,178 | $16,725 | -2.6% | $11,792 | $11,873 | 0.7% | ||
| Atherectomy a me ka stenting (Tibial / Peroneal) | 5194 | 37231 | $17,178 | $16,725 | -2.6% | $11,322 | $11,981 | 5.8% | |||
|
Pākuʻi Vascular |
ʻO ka embolization a i ʻole ka hoʻopaʻa ʻana | 5193 | 37241 | $10,615 | $10,493 | -1.1% | $5,889 | $6,108 | 3.7% | ||
| ʻO ka embolization a i ʻole ka hoʻopaʻa ʻana | 5194 | 37242 | $10,615 | $16,725 | 57.6% | $6,720 | $11,286 | 67.9% | |||
| ʻO ka embolization a i ʻole ka hoʻopaʻa ʻana no nā maʻi koko, ischemia organ, a i ʻole infarction |
5193 |
37243 |
$10,615 |
$10,493 |
-1.1% |
$4,579 |
$4,848 |
5.9% |
|||
| Embolization a occlusion no ka arterial a venous hemorrhage a lymphatic extravasation |
5193 |
37244 |
$10,615 |
$10,493 |
-1.1% |
||||||
|
ʻO ka Thrombectomy Mechanical Arterial |
ʻO ka thrombectomy mechanical percutaneous arterial mua; moku mua |
5194 |
37184 |
$10,615 |
$16,725 |
57.6% |
$6,563 |
$10,116 |
54.1% |
||
|
ʻO ka ʻauamo ʻaoʻao |
ʻO ka thrombectomy mechanical percutaneous arterial mua; lua a me nā moku hope a pau |
37185 |
Hoʻopili ʻia |
Hoʻopili ʻia |
NA |
NA |
|||||
| ʻO ka thrombectomy mechanical percutaneous arterial lua | 37186 | Hoʻopili ʻia | Hoʻopili ʻia | NA | NA | ||||||
|
ʻO ka Thrombectomy Mechanical Arterial me ka Angioplasty |
ʻO ka thrombectomy mechanical percutaneous arterial mua; moku mua me ka angioplasty Iliac |
NA |
37184
+37220 |
$8,100 |
$11,754 |
45.1% |
|||||
| ʻO ka thrombectomy mechanical percutaneous arterial mua; moku mua me ka angioplasty fem/pop |
NA |
37184
+37224 |
$8,178 |
$11,842 |
44.8% |
||||||
| ʻO ka thrombectomy mechanical percutaneous arterial mua; moku mua me ka angioplasty tib/pero |
NA |
37184
+37228 |
$9,606 |
$13,283 |
38.3% |
||||||
|
ʻO ka Thrombectomy Mechanical Arterial me ka Stenting |
ʻO ka thrombectomy mechanical percutaneous arterial mua; moku mua me ka Iliac stenting |
NA |
37184
+37221 |
$9,881 |
$13,502 |
36.7% |
|||||
| ʻO ka thrombectomy mechanical percutaneous arterial mua; moku mua me ka stenting fem/pop |
NA |
37184
+37226 |
$10,251 |
$13,631 |
33.0% |
||||||
| ʻO ka thrombectomy mechanical percutaneous arterial mua; moku mua me ka stenting tib/pero |
NA |
37184
+37230 |
$14,634 |
$15,793 |
7.9% |
||||||
| Ka maʻi maʻi ma waho (OPPS) | Kikowaena ʻOpe ʻAi ʻAma (ASC) | ||||||||||
|
ʻO Franchise |
ʻenehana |
Kaʻina hana |
APC kumu mua |
CPT‡ Code |
ASC
Paʻakikī Adj. CPT‡ Code |
2023 Hoʻihoʻi hou |
2024 Hoʻihoʻi hou |
% Hoʻololi |
2023 Hoʻihoʻi hou |
2024 Hoʻihoʻi hou |
% Hoʻololi |
|
ʻO ka ʻauamo ʻaoʻao |
ʻO ka Thrombectomy Mechanical Venous |
Venous percutaneous mechanical thrombectomy, lapaʻau mua | 5193 | 37187 | $10,615 | $10,493 | -1.1% | $7,321 | $7,269 | -0.7% | |
| ʻO Venous percutaneous mechanical thrombectomy, e hana hou i ka mālama ʻana i ka lā aʻe |
5183 |
37188 |
$2,979 |
$3,040 |
2.0% |
$2,488 |
$2,568 |
3.2% |
|||
| ʻO ka Thrombectomy Mechanical Venous me ka Angioplasty | Venous percutaneous mechanical thrombectomy, lapaʻau mua me ka angioplasty |
NA |
37187 + 37248 |
$8,485 |
$8,532 |
0.6% |
|||||
| ʻO ka Thrombectomy Mechanical Venous me ka Stenting | Venous percutaneous mechanical thrombectomy, lapaʻau mua me ka stenting |
NA |
37187 + 37238 |
$10,551 |
$10,619 |
0.6% |
|||||
|
Dialysis Circuit Thrombectomy |
ʻO ka thrombectomy mechanical percutaneous, kaapuni dialysis | 5192 | 36904 | $5,215 | $5,452 | 4.5% | $3,071 | $3,223 | 4.9% | ||
| Percutaneous mechanical thrombectomy, dialysis circuit, me ka angioplasty |
5193 |
36905 |
$10,615 |
$10,493 |
-1.1% |
$5,907 |
$6,106 |
3.4% |
|||
| Percutaneous mechanical thrombectomy, dialysis circuit, me ka stent |
5194 |
36906 |
$17,178 |
$16,725 |
-2.6% |
$11,245 |
$11,288 |
0.4% |
|||
|
Thrombolysis |
Transcatheter arterial thrombolysis lapaʻau, lā mua |
5184 |
37211 |
$5,140 |
$5,241 |
2.0% |
$3,395 |
$3,658 |
7.7% |
||
| Transcatheter venous thrombolysis lapaʻau, lā mua |
5183 |
37212 |
$2,979 |
$3,040 |
2.0% |
$1,444 |
$1,964 |
36.0% |
|||
| Transcatheter arterial a venous thrombolysis lapaʻau, i ka lā aʻe |
5183 |
37213 |
$2,979 |
$3,040 |
2.0% |
||||||
| Transcatheter arterial a venous thrombolysis lapaʻau, lā hope | 5183 | 37214 | $2,979 | $3,040 | 2.0% | ||||||
|
Naʻau Kūleʻa |
Pani PFO | Pani ASD/PFO | 5194 | 93580 | $17,178 | $16,725 | -2.6% | ||||
| ASD | Pani ASD/PFO | 5194 | 93580 | $17,178 | $16,725 | -2.6% | |||||
| VSD | Hoʻopaʻa VSD | 5194 | 93581 | $17,178 | $16,725 | -2.6% | |||||
| PDA | PDA pani | 5194 | 93582 | $17,178 | $16,725 | -2.6% | |||||
|
ʻEha ʻehaʻeha |
ʻO ka hoʻouluʻana i ke kuamoʻo a me ka DRG |
Hoʻokahi Lead Trial: percutaneous | 5462 | 63650 | $6,604 | $6,523 | -1.2% | $4,913 | $4,952 | 0.8% | |
| ʻElua hoʻokolokolo alakaʻi: percutaneous | 5462 | 63650 | $6,604 | $6,523 | -1.2% | $9,826 | $9,904 | 0.8% | |||
| ʻO ka hoʻāʻo alakaʻi ʻana | 5464 | 63655 | $21,515 | $20,865 | -3.0% | $17,950 | $17,993 | 0.2% | |||
| Pūnaehana piha – Ke alakaʻi hoʻokahi – Percutaneous | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $29,629 | $30,250 | 2.1% | |||
| Pūnaehana piha – Pālua Lead – Percutaneous | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $34,542 | $35,202 | 1.9% | |||
| IPG Pūnaehana piha - Laminectomy | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $42,666 | $43,291 | 1.5% | |||
| IPG implant a pani hou paha | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $24,716 | $25,298 | 2.4% | |||
| Hoʻokahi alakaʻi | 5462 | 63650 | Hoʻopili ʻia | Hoʻopili ʻia | $4,913 | $4,952 | 0.8% | ||||
| Ke alakaʻi pālua | 5462 | 63650 | Hoʻopili ʻia | Hoʻopili ʻia | $4,913 | $4,952 | 0.8% | ||||
| ʻIkepili o ka IPG, Hoʻolālā maʻalahi | 5742 | 95971 | $100 | $92 | -8.0% | ||||||
|
ʻO ka hoʻoulu ʻana i nā ʻaʻalolo āpau |
Pūnaehana piha – Ke alakaʻi hoʻokahi – 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% | ||||
| Pūnaehana piha – Pālua Lead – 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% | ||||
| Pani IPG | 5464 | 64590 | $21,515 | $20,865 | -3.0% | $19,333 | $19,007 | -1.7% | |||
| Ka maʻi maʻi ma waho (OPPS) | Kikowaena ʻOpe ʻAi ʻAma (ASC) | ||||||||||
|
ʻO Franchise |
ʻenehana |
Kaʻina hana |
APC kumu mua |
CPT‡ Code |
ASC
Paʻakikī Adj. CPT‡ Code |
2023 Hoʻihoʻi hou |
2024 Hoʻihoʻi hou |
% Hoʻololi |
2023 Hoʻihoʻi hou |
2024 Hoʻihoʻi hou |
% Hoʻololi |
|
ʻEha ʻehaʻeha |
RF Ablation |
Ka iwi kuamoʻo / 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% | |||
| Nā Aʻalolo ʻē aʻe | 5443 | 64640 | $852 | $869 | 2.0% | $172 | $173 | 0.6% | |||
| Hoʻokuʻu ʻia ka Radiofrequency | 5431 | 64625 | $1,798 | $1,842 | 2.4% | $854 | $898 | 5.2% | |||
|
Nā maʻi hoʻoneʻe |
DBS |
Hoʻokomo IPG - Hoʻokahi Array | 5464 | 61885 | $21,515 | $20,865 | -3.0% | $19,686 | $19,380 | -1.6% | |
| Hoʻokomo IPG - ʻElua mau IPG Array Hoʻokahi | 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% | ||||
| Hoʻokomo i ka IPG - ʻAi ʻAlua | 5465 | 61886 | $29,358 | $29,617 | 0.9% | $24,824 | $25,340 | 2.1% | |||
| ʻIkepili o IPG, ʻAʻohe Papahana | 5734 | 95970 | $116 | $122 | 5.2% | ||||||
| ʻIkepili o IPG, Hoʻolālā Maʻalahi; mua 15 Min | 5742 | 95983 | $100 | $92 | -8.0% | ||||||
| ʻIkepili o IPG, Hoʻolālā Maʻalahi; hou 15 Min | 95984 | $0 | |||||||||
Hoʻolele
ʻO kēia mea a me ka ʻike i loaʻa ma ʻaneʻi no nā kumu ʻike maʻamau wale nō a ʻaʻole i manaʻo ʻia, ʻaʻole ia he kānāwai, uku hou, ʻoihana, ke kino, a i ʻole nā ʻōlelo aʻo ʻē aʻe. Eia kekahi, ʻaʻole i manaʻo ʻia a ʻaʻole ia he hōʻike a hōʻoiaʻiʻo paha no ka uku hou ʻana, uku, a i ʻole ka uku, a i ʻole e loaʻa ka uku hou a i ʻole nā uku ʻē aʻe. ʻAʻole i manaʻo ʻia e hoʻonui a hoʻonui paha i ka uku e kekahi mea uku. ʻAʻole ʻae ʻo Abbott i kahi palapala hōʻoia a i ʻole hōʻoiaʻiʻo ʻana i ka papa inoa o nā code a me nā moʻolelo i loko o kēia palapala ua piha a ʻaʻohe hewa. Pēlā nō, ʻaʻohe mea ma kēia palapala viewed ma ke ʻano he kuhikuhi no ke koho ʻana i kekahi code, ʻaʻole ʻo Abbott i kākoʻo a ʻae paha i ke kūpono o ka hoʻohana ʻana i kekahi code. ʻO ke kuleana hope loa no ka hoʻopili ʻana a me ka loaʻa ʻana o ka uku / uku hoʻihoʻi ʻia me ka mea kūʻai aku. Loaʻa kēia i ke kuleana no ka pololei a me ka ʻoiaʻiʻo o nā coding āpau a me nā koi i waiho ʻia i nā mea uku ʻaoʻao ʻekolu. Eia hou, pono e hoʻomaopopo ka mea kūʻai aku he paʻakikī nā kānāwai, nā hoʻoponopono, a me nā kulekele uhi a hoʻonui pinepine ʻia a hiki ke loli me ka ʻole o ka ʻike. Pono ka mea kūʻai aku e nānā me kāna mau mea lawe kūloko a i ʻole nā intermediaries pinepine a pono e kūkākūkā me ka ʻōlelo aʻoaʻo loio a i ʻole kekahi loea kālā, coding, a i ʻole uku uku no nā nīnau e pili ana i ka coding, billing, reimbursement, a i ʻole nā pilikia pili. Hoʻopuka hou kēia mea i ka ʻike no nā kumu kuhikuhi wale nō. ʻAʻole hāʻawi ʻia a ʻae ʻia no ka hoʻohana kūʻai ʻana.
Nā kumu
- ʻO ka uku no ka maʻi ma waho o ka hale maʻi-ka rula hope me ka ʻōlelo CY2024:
- Uku ʻO ke Keʻena Kūʻokoʻa Ambulatory-Rula Hope CY2024 Uku Uku:
- ʻO ka uku no ka maʻi ma waho o ka hale maʻi-ka rula hope me ka ʻōlelo CY2023:
- Uku ʻO ke Keʻena Kūʻokoʻa Ambulatory-Rula Hope CY2023 Uku Uku: https://www.cms.gov/medicaremedicare-fee-service-paymentascpaymentasc-regulations-and-notices/cms-1772-fc
ALOHA: Hoʻohana ʻia kēia huahana no ka hoʻohana ʻana e a i ʻole ma lalo o ke kuhikuhi a ke kauka. Ma mua o ka hoʻohana ʻana, e kuhikuhi i nā ʻōkuhi no ka hoʻohana ʻana, i loko o ka pahu pahu huahana (inā loaʻa) a i ʻole ma vascular.eifu.abbott a i ʻole ma manuals.eifu.abbott no ka ʻike kikoʻī e pili ana i nā Indications, Contraindications, Warnings, Precautions and Adverse Events. Abbott One St. Jude Medical Dr., St. Paul, MN 55117, USA, Tel: 1 651 756 2000 ™ Hōʻike i kahi hōʻailona o ka hui Abbott o nā hui. ‡ Hōʻike i kahi hōʻailona kālepa ʻekolu, ʻo ia ka waiwai o ka mea nona kēlā me kēia.
©2024 Abbott. Ua mālama ʻia nā kuleana āpau. MAT-1901573 v6.0. Ua ʻae ʻia ka mea no ka hoʻohana ʻana iā US wale nō. Ua ʻae ʻia ʻo HE&R no ka hoʻohana hoʻolaha ʻole wale nō.
Palapala / Punawai
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ʻO Abbott Vascular Coding and Coverage Resources [pdf] Palapala a ka mea nona Nā Punawai Vascular Coding and Coverage, Coding and Coverage Resources, Coverage Resources, Resources |