Abbott Vascular Coding lan Cakupan Resources
Informasi produk
Spesifikasi
- Jeneng Produk: Health Economics & Reimbursement 2024 Reimbursement Guide
- Kategori: Ekonomi Kesehatan
- Produsen: Abbott
- Taun: 2024
Pandhuan Panggunaan Produk
Swaraview
Health Economics & Reimbursement 2024 Reimbursement Guide dening Abbott nyedhiyakake informasi babagan prospek pembayaran maneh kanggo macem-macem teknologi lan prosedur kesehatan miturut Sistem Pembayaran Prospektif Rawat Jalan Rumah Sakit CMS (OPPS) lan Aturan Akhir Pusat Bedah Ambulatory (ASC) kanggo taun 2024.
Pedoman Prosedur
Pandhuan kalebu tabel kanthi skenario tagihan umum kanggo teknologi lan prosedur kayata Manajemen Irama Jantung (CRM), Electrophysiology (EP), lan prosedur liyane sing gegandhengan. Penting kanggo ngrujuk menyang Klasifikasi Pembayaran Ambulatory Komprehensif (APC) khusus sing diwenehake dening CMS kanggo informasi ganti rugi sing akurat.
Analisis mbalekaken
Abbott wis nganalisa dampak potensial saka owah-owahan pembayaran ing prosedur individu ing Rumah Sakit Outpatient Department (HOPD) lan setelan care ASC. Pandhuan kasebut minangka referensi kanggo mangerteni tingkat reimbursement lan jangkoan adhedhasar aturan CY2024.
Informasi Kontak
Kanggo rincian utawa pitakon luwih lengkap, bukak Abbott.com utawa hubungi tim Abbott Health Care Economics ing 855-569-6430 utawa email AbbottEconomics@Abbott.com.
FAQ
- P: Sepira kerepe pandhuan mbayar maneh dianyari?
- A: Abbott bakal terus nganalisa lan nganyari pandhuan mbayar maneh yen perlu adhedhasar owah-owahan ing kabijakan pembayaran CMS.
- P: Apa panuntun bisa njamin tingkat ganti rugi tartamtu?
- A: Pandhuan mung menehi ilustrasi lan ora njamin tingkat reimbursement utawa jangkoan amarga variasi ing prosedur lan klasifikasi APC.
Informasi produk
Prospektus Penggantian Pasien Rawat Jalan Rumah Sakit CMS (OPPS) dan Pusat Bedah Ambulatory (ASC)
Pusat Layanan Medicare & Medicaid (CMS) nggawe owah-owahan sing signifikan marang kabijakan lan tingkat pembayaran taun tanggalan 2024 (CY2024) sing mengaruhi sawetara prosedur nggunakake teknologi lan solusi terapi Abbott ing Departemen Rawat Jalan Rumah Sakit (HOPD) lan Pusat Bedah Ambulatory (ASC) setelan care. Owah-owahan kasebut ditambah karo kemajuan saka inisiatif reformasi pembayaran anyar lan sing terus-terusan sing mengaruhi mayoritas fasilitas kesehatan AS. Ing dokumen prospektus iki, Abbott nyorot kabijakan pembayaran tartamtu lan tarif pembayaran anyar kanggo panyedhiya kesehatan sing nindakake layanan sing saiki dibayar kanthi beda tinimbang taun-taun sadurunge. Tanggal 2 November 2023, CMS ngrilis Aturan Akhir Sistem Pembayaran Prospektif Rawat Jalan Rumah Sakit (OPPS)/Pusat Bedah Ambulatory (ASC) CY2024, efektif kanggo layanan tanggal 1 Januari 2024.3,4 Kanggo 2024, proyek CMS a:
- Tambah 3.1% ing total pembayaran OPPS3
- Tambah 3.1% ing total pembayaran ASC4
Kita wis nyedhiyakake tabel ing ngisor iki adhedhasar skenario tagihan umum kanggo macem-macem teknologi lan prosedur. Iki mung kanggo ilustrasi lan ora njamin tingkat mbayar maneh utawa jangkoan. Pembayaran maneh bisa beda-beda adhedhasar prosedur tartamtu sing ditindakake, lan Klasifikasi Pembayaran Ambulatory Comprehensive (APC) sing wis digawe CMS ing HOPD. Nggunakake aturan CY2024 minangka referensi, Abbott wis analisa impact potensial ing pembayaran kanggo prosedur individu dileksanakake ing HOPD, lan ing setelan care ASC, kang ndherek teknologi kita utawa solusi therapy. Kita bakal terus nganalisis dampak potensial saka owah-owahan ing kabijakan pembayaran CMS lan nganyari dokumen iki yen perlu. Kanggo informasi luwih lengkap mangga bukak Abbott.com, utawa hubungi tim Abbott Health Care Economics ing 855-569-6430 or AbbottEconomics@Abbott.com.
Spesifikasi
| Rawat Jalan Rumah Sakit (OPPS) | Pusat Bedah Ambulatory (ASC) | ||||||||||
|
Waralaba |
Teknologi |
tata cara |
APC utama |
CPT‡ Kode |
ASC
Kompleksitas Adj. Kode CPT‡ |
2023 mbalekaken |
2024 mbalekaken |
% Ganti |
2023 mbalekaken |
2024 mbalekaken |
% Ganti |
|
Elektrofisiologi (EP) |
EP Ablasi |
Ablasi kateter, nodus AV | 5212 | 93650 | $6,733 | $7,123 | 5.8% | ||||
| Sinau EP kanthi ablasi kateter, SVT | 5213 | 93653 | $23,481 | $22,653 | -3.5% | ||||||
| Studi EP lan ablasi kateter, VT | 5213 | 93654 | $23,481 | $22,653 | -3.5% | ||||||
| Sinau EP lan ablasi kateter, perawatan AF dening PVI | 5213 | 93656 | $23,481 | $22,653 | -3.5% | ||||||
| Studi EP | Sinau EP komprehensif tanpa induksi | 5212 | 93619 | $6,733 | $7,123 | 5.8% | |||||
|
Manajemen Irama Jantung (CRM) |
Monitor Jantung Implantable (ICM) | implantasi ICM | 33282 | $8,163 | |||||||
| 5222 | 33285 | $8,163 | $8,103 | -0.7% | $7,048 | $6,904 | -2.0% | ||||
| Ngilangi ICM | 5071 | 33286 | $649 | $671 | 3.4% | $338 | $365 | 8.0% | |||
|
Alat pacu jantung |
Implan utawa Pengganti Sistem - Kamar Tunggal (Ventrikel) |
5223 |
33207 |
$10,329 |
$10,185 |
-1.4% |
$7,557 |
$7,223 |
-4.4% |
||
| Sistem Implan utawa Panggantos - Dual Chamber | 5223 | 33208 | $10,329 | $10,185 | -1.4% | $7,722 | $7,639 | -1.1% | |||
| Ngilangi Pacemaker Tanpa Timbal | 5183 | 33275 | $2,979 | $3,040 | 2.0% | $2,491 | $2,310 | -7.3% | |||
| Implan Pacemaker Tanpa Timbal | 5224 | 33274 | $17,178 | $18,585 | 8.2% | $12,491 | $13,171 | 5.4% | |||
| Panggantos baterei - Single Chamber | 5222 | 33227 | $8,163 | $8,103 | -0.7% | $6,410 | $6,297 | -1.8% | |||
| Panggantos baterei - Dual Chamber | 5223 | 33228 | $10,329 | $10,185 | -1.4% | $7,547 | $7,465 | -1.1% | |||
|
Implantable Cardioverter Defibrillator (ICD) |
Sistem Implan utawa Panggantos | 5232 | 33249 | $32,076 | $31,379 | -2.2% | $25,547 | $24,843 | -2.8% | ||
| Panggantos baterei - Single Chamber | 5231 | 33262 | $22,818 | $22,482 | -1.5% | $19,382 | $19,146 | -1.2% | |||
| Panggantos baterei - Dual Chamber | 5231 | 33263 | $22,818 | $22,482 | -1.5% | $19,333 | $19,129 | -1.1% | |||
| Sub-Q ICD | Pemasangan sistem ICD subkutan | 5232 | 33270 | $32,076 | $31,379 | -2.2% | $25,478 | $25,172 | -1.2% | ||
| Mung Timbal - Pacemaker, ICD, SICD, CRT | Timbal tunggal, Pacemaker, ICD, utawa 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% | |||
| Ngawasi piranti | Pemrograman lan Pemantauan Jarak Jauh | 5741 | 0650T | $35 | $36 | 2.9% | |||||
| 5741 | 93279 | $35 | $36 | 2.9% | |||||||
|
CRT-P |
Sistem Implan utawa Panggantos | 5224 | 33208
+ 33225 |
C7539 | $18,672 | $18,585 | -0.5% | $10,262 | $10,985 | 7.0% | |
| Panggantos baterei | 5224 | 33229 | $18,672 | $18,585 | -0.5% | $11,850 | $12,867 | 8.6% | |||
|
CRT-D |
Sistem Implan utawa Panggantos | 5232 | 33249
+ 33225 |
$18,672 | $31,379 | -2.2% | $25,547 | $24,843 | -2.8% | ||
| Panggantos baterei | 5232 | 33264 | $32,076 | $31,379 | -2.2% | $25,557 | $25,027 | -2.1% | |||
|
Gagal Jantung |
KardioMEMS | Implan Sensor Kab | C2624 | ||||||||
| 5200 | 33289 | $27,305 | $27,721 | 1.5% | $24,713 | ||||||
| LVAD | Interogasi, ing wong | 5742 | 93750 | $100 | $92 | -8.0% | |||||
| Advance care planning | 5822 | 99497 | $76 | $85 | 11.8% | ||||||
|
Hipertensi |
Denervasi Renal |
Denervasi ginjel, unilateral |
5192 |
0338T |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
|
|
Denervasi ginjel, bilateral |
5192 |
0339T |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$3,834 |
64.8% |
|||
| Rawat Jalan Rumah Sakit (OPPS) | Pusat Bedah Ambulatory (ASC) | ||||||||||
|
Waralaba |
Teknologi |
tata cara |
APC utama |
CPT‡ Kode |
ASC
Kompleksitas Adj. Kode CPT‡ |
2023 mbalekaken |
2024 mbalekaken |
% Ganti |
2023 mbalekaken |
2024 mbalekaken |
% Ganti |
|
Koroner |
PCI Drug Eluting Stent (kalebu FFR/OCT) |
DES, kanthi angioplasti; siji prau, nganggo utawa tanpa FFR lan / utawa OCT | 5193 | C9600 | $10,615 | $10,493 | -1.1% | $6,489 | $6,706 | 3.3% | |
| Loro DES, kanthi angioplasti; rong prau, nganggo utawa tanpa FFR lan / utawa OCT. |
5193 |
C9600 |
$10,615 |
$10,493 |
-1.1% |
$6,489 |
$6,706 |
3.3% |
|||
| Loro DES, kanthi angioplasti; siji prau, nganggo utawa tanpa FFR lan / utawa OCT |
5193 |
C9600 |
$10,615 |
$10,493 |
-1.1% |
$6,489 |
$6,706 |
3.3% |
|||
| Loro DES, kanthi angioplasti; loro arteri koroner utama, kanthi utawa tanpa FFR lan / utawa OCT. |
5194 |
C9600 |
$10,615 |
$16,725 |
57.6% |
$9,734 |
$10,059 |
3.3% |
|||
| BMS karo atherectomy | BMS karo atherectomy | 5194 | 92933 | $17,178 | $16,725 | -2.6% | |||||
| DES karo atherectomy | DES karo atherectomy | 5194 | C9602 | $17,178 | $16,725 | -2.6% | |||||
| DES lan AMI | DES lan AMI | C9606 | $0 | ||||||||
| DES lan CTO | DES lan CTO | 5194 | C9607 | $17,178 | $16,725 | -2.6% | |||||
|
Angiografi Koroner lan Fisiologi Koroner (FFR/CFR) utawa OCT |
Angiografi koroner | 5191 | 93454 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | ||
| Angiografi koroner + OCT | 5192 | 93454
+ 92978 |
C7516 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Angiografi koroner ing graft | 5191 | 93455 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Angiografi koroner ing graft
+ OKT |
5191 | 93455
+ 92978 |
C7518 | $5,215 | $3,108 | -40.4% | $2,327 | ||||
| Angiografi koroner ing graft + FFR / CFR | 5191 | 93455
+ 93571 |
C7519 | $5,215 | $3,108 | -40.4% | $2,327 | ||||
| Angiografi koroner kanthi katerisasi jantung tengen | 5191 | 93456 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Angiografi koroner kanthi katerisasi jantung tengen + OCT | 5192 | 93456
+ 92978 |
C7521 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Angiografi koroner kanthi katerisasi jantung tengen + FFR/CFR | 5192 | 93456
+ 93571 |
C7522 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Angiografi koroner ing graft kanthi kateterisasi jantung tengen | 5191 | 93457 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Angiografi koroner ing graft kanthi kateterisasi jantung tengen
+ FFR/CFR |
5191 |
93457
+ 93571 |
$5,215 |
$3,108 |
-40.4% |
$0 |
$0 |
||||
| Angiografi koroner kanthi katerisasi jantung kiwa | 5191 | 93458 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Angiografi koroner kanthi katerisasi jantung kiwa + OCT | 5192 | 93458
+ 92978 |
C7523 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Angiografi koroner kanthi katerisasi jantung kiwa + FFR / CFR | 5192 | 93458
+ 93571 |
C7524 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Angiografi koroner ing graft karo katerisasi jantung kiwa | 5191 | 93459 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Angiografi koroner ing korupsi kanthi katerisasi jantung kiwa + OCT | 5192 | 93459
+ 92978 |
C7525 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Angiografi koroner ing graft kanthi katerisasi jantung kiwa + FFR / CFR |
5192 |
93459
+ 93571 |
C7526 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
| Cornary angiography kanthi kateterisasi jantung tengen lan kiwa | 5191 | 93460 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Cornary angiography kanthi kateterisasi jantung tengen lan kiwa
+ OKT |
5192 |
93460
+ 92978 |
C7527 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
| Cornary angiography kanthi kateterisasi jantung tengen lan kiwa + FFR/CFR |
5192 |
93460
+ 93571 |
C7528 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
| Rawat Jalan Rumah Sakit (OPPS) | Pusat Bedah Ambulatory (ASC) | ||||||||||
|
Waralaba |
Teknologi |
tata cara |
APC utama |
CPT‡ Kode |
ASC
Kompleksitas Adj. Kode CPT‡ |
2023 mbalekaken |
2024 mbalekaken |
% Ganti |
2023 mbalekaken |
2024 mbalekaken |
% Ganti |
|
Koroner |
Angiografi Koroner lan Fisiologi Koroner (FFR/CFR) utawa OCT |
Angiografi koroner ing graft kanthi kateterisasi jantung tengen lan kiwa |
5191 |
93461 |
$2,958 |
$3,108 |
5.1% |
$1,489 |
$1,633 |
9.7% |
|
| Angiografi koroner ing graft kanthi kateterisasi jantung tengen lan kiwa + FFR / CFR |
5192 |
93461
+ 93571 |
C7529 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
|
Vaskular perifer |
Angioplasti |
Angioplasti (Iliac) | 5192 | 37220 | $5,215 | $5,452 | 4.5% | $3,074 | $3,275 | 6.5% | |
| Angioplasti (Fem/Pop) | 5192 | 37224 | $5,215 | $5,452 | 4.5% | $3,230 | $3,452 | 6.9% | |||
| Angioplasti (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, kalebu 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 lan Stenting |
Atherectomy lan stenting (Fem/Pop) | 5194 | 37227 | $17,178 | $16,725 | -2.6% | $11,792 | $11,873 | 0.7% | ||
| Atherectomy lan stenting (Tibial / Peroneal) | 5194 | 37231 | $17,178 | $16,725 | -2.6% | $11,322 | $11,981 | 5.8% | |||
|
Vaskular Plug |
Embolisasi utawa oklusi vena | 5193 | 37241 | $10,615 | $10,493 | -1.1% | $5,889 | $6,108 | 3.7% | ||
| Embolisasi arteri utawa oklusi | 5194 | 37242 | $10,615 | $16,725 | 57.6% | $6,720 | $11,286 | 67.9% | |||
| Embolisasi utawa oklusi kanggo tumor, iskemia organ, utawa infark |
5193 |
37243 |
$10,615 |
$10,493 |
-1.1% |
$4,579 |
$4,848 |
5.9% |
|||
| Embolisasi utawa oklusi kanggo pendarahan arteri utawa vena utawa ekstravasasi limfatik |
5193 |
37244 |
$10,615 |
$10,493 |
-1.1% |
||||||
|
Thrombektomi Mekanik Arteri |
Trombektomi mekanik perkutan arteri primer; kapal wiwitan |
5194 |
37184 |
$10,615 |
$16,725 |
57.6% |
$6,563 |
$10,116 |
54.1% |
||
|
Vaskular perifer |
Trombektomi mekanik perkutan arteri primer; kapindho lan kabeh kapal sabanjure |
37185 |
Dibungkus |
Dibungkus |
NA |
NA |
|||||
| Trombektomi mekanik perkutan arteri sekunder | 37186 | Dibungkus | Dibungkus | NA | NA | ||||||
|
Thrombektomi Mekanik Arteri karo Angioplasti |
Trombektomi mekanik perkutan arteri primer; kapal awal kanthi angioplasti Iliac |
NA |
37184
+37220 |
$8,100 |
$11,754 |
45.1% |
|||||
| Trombektomi mekanik perkutan arteri primer; prau awal karo angioplasty fem / pop |
NA |
37184
+37224 |
$8,178 |
$11,842 |
44.8% |
||||||
| Trombektomi mekanik perkutan arteri primer; prau awal karo angioplasty tib / pero |
NA |
37184
+37228 |
$9,606 |
$13,283 |
38.3% |
||||||
|
Thrombektomi Mekanik Arteri kanthi Stenting |
Trombektomi mekanik perkutan arteri primer; kapal awal kanthi stenting Iliac |
NA |
37184
+37221 |
$9,881 |
$13,502 |
36.7% |
|||||
| Trombektomi mekanik perkutan arteri primer; prau awal karo stenting fem / pop |
NA |
37184
+37226 |
$10,251 |
$13,631 |
33.0% |
||||||
| Trombektomi mekanik perkutan arteri primer; prau awal karo stenting tib / pero |
NA |
37184
+37230 |
$14,634 |
$15,793 |
7.9% |
||||||
| Rawat Jalan Rumah Sakit (OPPS) | Pusat Bedah Ambulatory (ASC) | ||||||||||
|
Waralaba |
Teknologi |
tata cara |
APC utama |
CPT‡ Kode |
ASC
Kompleksitas Adj. Kode CPT‡ |
2023 mbalekaken |
2024 mbalekaken |
% Ganti |
2023 mbalekaken |
2024 mbalekaken |
% Ganti |
|
Vaskular perifer |
Thrombektomi Mekanik Vena |
Trombektomi mekanik perkutaneus vena, perawatan awal | 5193 | 37187 | $10,615 | $10,493 | -1.1% | $7,321 | $7,269 | -0.7% | |
| Thrombektomi mekanik perkutaneus vena, baleni perawatan ing dina sabanjure |
5183 |
37188 |
$2,979 |
$3,040 |
2.0% |
$2,488 |
$2,568 |
3.2% |
|||
| Thrombektomi Mekanik Vena kanthi Angioplasti | Trombektomi mekanik perkutaneus vena, perawatan awal kanthi angioplasti |
NA |
37187 + 37248 |
$8,485 |
$8,532 |
0.6% |
|||||
| Thrombektomi Mekanik Vena kanthi Stenting | Trombektomi mekanik perkutaneus vena, perawatan awal kanthi stenting |
NA |
37187 + 37238 |
$10,551 |
$10,619 |
0.6% |
|||||
|
Thrombektomi Sirkuit Dialisis |
Trombektomi mekanik perkutan, sirkuit dialisis | 5192 | 36904 | $5,215 | $5,452 | 4.5% | $3,071 | $3,223 | 4.9% | ||
| Trombektomi mekanik perkutan, sirkuit dialisis, kanthi angioplasti |
5193 |
36905 |
$10,615 |
$10,493 |
-1.1% |
$5,907 |
$6,106 |
3.4% |
|||
| Trombektomi mekanik perkutan, sirkuit dialisis, kanthi stent |
5194 |
36906 |
$17,178 |
$16,725 |
-2.6% |
$11,245 |
$11,288 |
0.4% |
|||
|
Trombolisis |
Perawatan trombolisis arteri transcatheter, dina wiwitan |
5184 |
37211 |
$5,140 |
$5,241 |
2.0% |
$3,395 |
$3,658 |
7.7% |
||
| Perawatan trombolisis vena transcatheter, dina wiwitan |
5183 |
37212 |
$2,979 |
$3,040 |
2.0% |
$1,444 |
$1,964 |
36.0% |
|||
| Perawatan trombolisis arteri utawa vena transcatheter, dina sabanjure |
5183 |
37213 |
$2,979 |
$3,040 |
2.0% |
||||||
| Perawatan trombolisis arteri utawa vena transcatheter, dina pungkasan | 5183 | 37214 | $2,979 | $3,040 | 2.0% | ||||||
|
Jantung Struktural |
Penutupan PFO | Penutupan ASD/PFO | 5194 | 93580 | $17,178 | $16,725 | -2.6% | ||||
| ASD | Penutupan ASD/PFO | 5194 | 93580 | $17,178 | $16,725 | -2.6% | |||||
| VSD | Penutupan VSD | 5194 | 93581 | $17,178 | $16,725 | -2.6% | |||||
| PDA | penutupan PDA | 5194 | 93582 | $17,178 | $16,725 | -2.6% | |||||
|
Nyeri kronis |
Stimulasi Spinal Cord lan Stimulasi DRG |
Uji coba Timbal Tunggal: perkutan | 5462 | 63650 | $6,604 | $6,523 | -1.2% | $4,913 | $4,952 | 0.8% | |
| Uji coba Dual Lead: percutaneous | 5462 | 63650 | $6,604 | $6,523 | -1.2% | $9,826 | $9,904 | 0.8% | |||
| Uji Coba Timbal Bedah | 5464 | 63655 | $21,515 | $20,865 | -3.0% | $17,950 | $17,993 | 0.2% | |||
| Sistem Lengkap – Timbal Tunggal – Perkutan | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $29,629 | $30,250 | 2.1% | |||
| Sistem Lengkap - Timbal Ganda - Percutaneous | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $34,542 | $35,202 | 1.9% | |||
| IPG Sistem Lengkap - Laminektomi | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $42,666 | $43,291 | 1.5% | |||
| IPG implan utawa panggantos | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $24,716 | $25,298 | 2.4% | |||
| Timbal tunggal | 5462 | 63650 | Dibungkus | Dibungkus | $4,913 | $4,952 | 0.8% | ||||
| Dual timbal | 5462 | 63650 | Dibungkus | Dibungkus | $4,913 | $4,952 | 0.8% | ||||
| Analisis IPG, Pemrograman Sederhana | 5742 | 95971 | $100 | $92 | -8.0% | ||||||
|
Stimulasi saraf perifer |
Sistem Lengkap – Timbal Tunggal – Perkutan | 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% | ||||
| Sistem Lengkap - Timbal Ganda - 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% | ||||
| Pengganti IPG | 5464 | 64590 | $21,515 | $20,865 | -3.0% | $19,333 | $19,007 | -1.7% | |||
| Rawat Jalan Rumah Sakit (OPPS) | Pusat Bedah Ambulatory (ASC) | ||||||||||
|
Waralaba |
Teknologi |
tata cara |
APC utama |
CPT‡ Kode |
ASC
Kompleksitas Adj. Kode CPT‡ |
2023 mbalekaken |
2024 mbalekaken |
% Ganti |
2023 mbalekaken |
2024 mbalekaken |
% Ganti |
|
Nyeri kronis |
RF Ablation |
Tulang Belakang Cervical / Tulang Belakang Toraks | 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% | |||
| Saraf perifer liyane | 5443 | 64640 | $852 | $869 | 2.0% | $172 | $173 | 0.6% | |||
| Ablasi frekuensi radio | 5431 | 64625 | $1,798 | $1,842 | 2.4% | $854 | $898 | 5.2% | |||
|
Gangguan Gerakan |
DBS |
Penempatan IPG – Single Array | 5464 | 61885 | $21,515 | $20,865 | -3.0% | $19,686 | $19,380 | -1.6% | |
| Penempatan IPG - Loro IPG Array Tunggal | 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% | ||||
| Penempatan IPG – Array Ganda | 5465 | 61886 | $29,358 | $29,617 | 0.9% | $24,824 | $25,340 | 2.1% | |||
| Analisis IPG, No Programming | 5734 | 95970 | $116 | $122 | 5.2% | ||||||
| Analisis IPG, Pemrograman Sederhana; pisanan 15 Min | 5742 | 95983 | $100 | $92 | -8.0% | ||||||
| Analisis IPG, Pemrograman Sederhana; tambahan 15 Min | 95984 | $0 | |||||||||
Penafian
Materi iki lan informasi sing ana ing kene mung kanggo tujuan informasi umum lan ora dimaksudake, lan ora kalebu, legal, mbayar maneh, bisnis, klinis, utawa saran liyane. Salajengipun, iku ora dimaksudaké kanggo lan ora akehe perwakilan utawa njamin mbayar maneh, pembayaran, utawa biaya, utawa sing mbalekaken utawa pembayaran liyane bakal ditampa. Iku ora dimaksudaké kanggo nambah utawa nggedhekake pembayaran dening payer sembarang. Abbott ora menehi garansi utawa jaminan sing nyata utawa tersirat yen dhaptar kode lan narasi ing dokumen iki lengkap utawa ora ana kesalahan. Kajaba iku, ora ana ing dokumen iki viewed minangka instruksi kanggo milih kode tartamtu, lan Abbott ora nganjurake utawa njamin kesesuaian panggunaan kode tartamtu. Tanggung jawab utama kanggo coding lan entuk pembayaran / mbayar maneh tetep ana ing pelanggan. Iki kalebu tanggung jawab kanggo akurasi lan kabeneran kabeh coding lan pratelan sing dikirim menyang pembayar pihak katelu. Kajaba iku, pelanggan kudu nyathet yen undang-undang, peraturan, lan kabijakan jangkoan rumit lan asring dianyari lan bisa diganti tanpa kabar. Pelanggan kudu kerep mriksa operator utawa perantara lokal lan kudu takon karo penasihat hukum utawa spesialis finansial, coding, utawa mbayar maneh kanggo pitakon apa wae sing ana gandhengane karo coding, tagihan, mbayar maneh, utawa masalah sing ana gandhengane. Materi iki ngasilake informasi mung kanggo tujuan referensi. Ora diwenehake ora sah kanggo panggunaan marketing.
Sumber
- Pembayaran Calon Rawat Jalan Rumah Sakit-Aturan Akhir kanthi Komentar CY2024:
- Pembayaran Pusat Bedah Ambulatory-Aturan Akhir CY2024 Tarif Pembayaran:
- Pembayaran Calon Rawat Jalan Rumah Sakit-Aturan Akhir kanthi Komentar CY2023:
- Pembayaran Pusat Bedah Ambulatory-Aturan Akhir CY2023 Tarif Pembayaran: https://www.cms.gov/medicaremedicare-fee-service-paymentascpaymentasc-regulations-and-notices/cms-1772-fc
AWAS: Prodhuk iki dimaksudaké kanggo nggunakake utawa miturut arahan saka dokter. Sadurunge nggunakake, referensi Pandhuan kanggo Gunakake, nang karton produk (yen kasedhiya) utawa ing vascular.eifu.abbott utawa ing manuals.eifu.abbott kanggo informasi sing luwih rinci babagan Indikasi, Contraindications, Warnings, Pancegahan lan Adverse Events. Abbott One St. Jude Medical Dr., St. Paul, MN 55117, USA, Telp: 1 651 756 2000 ™ Nuduhake merek dagang saka grup perusahaan Abbott. ‡ Nuduhake merek dagang pihak katelu, sing dadi properti saka pemilike.
© 2024 Abbott. Kabeh hak dilindhungi undhang-undhang. MAT-1901573 v6.0. Item sing disetujoni mung kanggo panggunaan AS. HE&R disetujoni mung kanggo panggunaan non-promosi.
Dokumen / Sumber Daya
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Abbott Vascular Coding lan Cakupan Resources [pdf] Manual Pamilik Coding Vaskular lan Sumber Daya Cakupan, Coding lan Sumber Daya Cakupan, Sumber Daya Cakupan, Sumber Daya |