Abbott Cardiac Rhythm Management Coding and Coverage Resources
Zofotokozera:
- Zogulitsa: Cardiac Rhythm Management System
- Tsiku Logwira NtchitoJanuware 1, 2024
- Wopanga: Abambo
Malangizo Ogwiritsira Ntchito Zogulitsa
Mawu Oyamba:
Cardiac Rhythm Management System idapangidwa kuti izipereka chithandizo chamtima kwa odwala omwe ali ndi vuto linalake la mtima. Zimathandizira pakuwongolera mtima komanso kuthana ndi vuto la kugunda kwa mtima.
Chodzikanira:
Ndikofunikira kudziwa kuti zomwe zaperekedwa m'bukuli ndi zongogwiritsa ntchito basi. Nthawi zonse funsani akatswiri azachipatala kuti akupatseni malangizo okhudza kugwiritsa ntchito mankhwalawa.
Biventricular Pacing / Cardiac Resynchronization Therapy (CRT):
Nthawi zina, kutsogola kwina kungafunike kuti mukwaniritse ma biventricular pacing. Ngati kuyika kowonjezera kwa lead kukufunika, kuyenera kunenedwa padera pogwiritsa ntchito ma CPT khodi 33224 kapena 33225. Khodi 33226 imagwiritsidwa ntchito poyikanso. Onani gawo la Cardiac Resynchronization Therapy kuti mudziwe zambiri.
FAQ:
- Q: Kodi Cardiac Rhythm Management System iyenera kuyang'aniridwa kangati?
- A: Kuyang'anitsitsa nthawi zonse ndi kuyang'anitsitsa ndi akatswiri a zaumoyo akulimbikitsidwa kuti awonetsetse kuti dongosololi likuyenda bwino komanso kusintha kulikonse kofunikira.
- Q: Kodi odwala omwe ali ndi pacemaker angagwiritse ntchito makinawa?
- A: Odwala omwe ali ndi pacemaker ayenera kufunsa othandizira awo azaumoyo kuti awone ngati Cardiac Rhythm Management System ndiyoyenera momwe alili.
MIGWIRIZANO NDI ZOKWANIRITSA
Zonse zomwe zili m'bukuli zitha kukhala zochokera kuzinthu zingapo, kuphatikiza koma osati kungoyambira, zolemba zasayansi, seti ya data yomwe ikupezeka malonda, zambiri zoperekedwa ndi kasitomala, ndi zakunja.
Kuyerekeza komwe kwawonetsedwa ndi kwazithunzi zokha. Izi sizinali cholinga china chilichonse.
Tiyenera kuzindikira kuti nthawi zambiri pamakhala kusiyana pakati pa zotsatira zenizeni zachuma. Abbott satenga udindo pazosiyana zilizonse.
Palibe chitsimikizo cha zotsatira zazachuma zilizonse, kuphatikizapo malipiro, kupulumutsa mtengo, kapena kuchuluka kwa ndondomeko. Zotsatira zachuma zimadalira pazinthu zambiri ndipo zimasiyana.
Zipatala zina zaku Maryland zomwe zimalipidwa pansi pa zomwe zaperekedwa ku Maryland Waiver pogwiritsa ntchito gulu la All Patient Refined Diagnosis Related Group (APR-DRG) sizimalipidwa pansi pa Medicare Inpatient Prospective Payment System (IPPS).
Zowerengera Zobwezera siziyenera kuperekedwa kwaulere kwa Akatswiri azaumoyo omwe ali ndi zilolezo (HCPs) omwe amachita ku Vermont pafupipafupi.
Izi siziyenera kugawidwa kwa anthu ena
Mawu Oyamba
Izi ndizomwe zikupereka maupangiri okhudzana ndi malangizo anthawi zonse pakubweza akagwiritsidwa ntchito mogwirizana ndi zilembo zamalonda. Izi zikuphatikizanso zambiri zokhudzana ndi kufalitsa, kulemba ma code ndi kubweza. Zowonjezera zitha kupezeka pa
www.cardiovascular.abbott/us/en/hcp/reimbursement.html
Biventricular Pacing / Cardiac Resynchronization Therapy (CRT)
Nthawi zina, kutsogola kwina kungafunike kuti mukwaniritse kuyenda kwa ventricle yakumanzere (biventricular pacing). Pachifukwa ichi, kuyika kowonjezera kwa transvenous kuyenera kufotokozedwa padera pogwiritsa ntchito CPT‡ 33224 kapena 33225. Onani Cardiac Resynchronization
Therapy gawo kuti mudziwe zambiri.
Kubweza Hotline
Abbott amapereka nambala yobwezera ndalama, yomwe imapereka mauthenga amoyo komanso kubweza kuchokera kwa akatswiri odzipereka obwezera. Coding ndi kubweza thandizo likupezeka Lolemba mpaka Lachisanu pa 855-569-6430. Thandizo la kulemba ndi kubweza ndalama limaperekedwa malinga ndi zotsutsa zomwe zafotokozedwa m'nkhaniyi.
Chodzikanira
Izi ndi zomwe zili m'bukuli ndizongodziwa zambiri zokha ndipo sizinali zofunidwa, ndipo siziphatikiza malamulo, kubweza ndalama, bizinesi, zachipatala, kapena upangiri wina. Kuphatikiza apo, sichinalinganizidwe ndipo sichikuimira chifaniziro kapena chitsimikizo cha kubweza, kulipira, kapena mtengo, kapena kuti kubweza kapena malipiro ena adzalandiridwa. Sichikufuna kuonjezera kapena kukulitsa malipiro ndi wolipira aliyense. Abbott sapereka chitsimikizo kapena chitsimikizo kapena chitsimikizo kuti mndandanda wamakhodi ndi nkhani zomwe zili pachikalatachi ndi zathunthu kapena zopanda zolakwika. Momwemonso, palibe chilichonse m'chikalatachi chiyenera kukhala viewed monga malangizo oti musankhe khodi ina iliyonse, ndipo Abbott salimbikitsa kuyenera kwa kugwiritsa ntchito nambala inayake. Udindo waukulu wolembera ndi kupeza malipiro / kubweza udakali ndi kasitomala. Izi zikuphatikiza udindo wowona kulondola ndi kutsimikizika kwa zolemba zonse ndi zodandaula zomwe zaperekedwa kwa omwe amalipira anzawo. Kuphatikiza apo, kasitomala akuyenera kuzindikira kuti malamulo, malamulo, ndi mfundo zowunikira ndizovuta ndipo zimasinthidwa pafupipafupi, motero, kasitomala amayenera kukaonana ndi amkhalapakati am'deralo nthawi zambiri ndipo akuyenera kufunsana ndi aphungu azamalamulo kapena azachuma, ma code, kapena kubweza katswiri pa mafunso aliwonse okhudzana ndi kulemba, kubweza, kubweza, kapena zina zilizonse zokhudzana nazo. Izi zimapanganso zambiri pazolinga zokha. Sichikuperekedwa kapena kuloledwa kugwiritsidwa ntchito pa malonda.
OPANGA PAKATI
Sing'anga
- NA: Medicare sanakhazikitse ndalama zolipirira code iyi. Fufuzani ndi Medicare Administrative Contractor (MAC) wapafupi wanu kuti mutsimikizire kuchuluka kwa malipiro. Ndi udindo kwa dokotala kuti adziwe zomwe, ngati zilipo, zosintha ziyenera kugwiritsidwa ntchito poyamba
- NA: Medicare sanakhazikitse ndalama zolipirira code iyi. Fufuzani ndi Medicare Administrative Contractor (MAC) wapafupi wanu kuti mutsimikizire kuchuluka kwa malipiro. Ndi udindo kwa dokotala kuti adziwe zomwe, ngati zilipo, zosintha ziyenera kugwiritsidwa ntchito poyamba.
- J1: Ntchito Zachipatala Gawo B zoperekedwa kudzera mu APC yokwanira
- Q2: T ma code Package
- J1: Ntchito Zachipatala Gawo B zimaperekedwa kudzera mu APC yokwanira
- Q2: T Package code
- T = Njira yofunikira, kuchepetsa kangapo kumagwira ntchito
Ambulatory Surgery Center (ASC)
- A2: Njira ya opaleshoni pa mndandanda wa ASC mu CY 2007; malipiro otengera kulemera kwa OPPS.
- G2: Njira yopangira opaleshoni yopanda ofesi yowonjezeredwa mu CY 2008 kapena mtsogolo; malipiro otengera kulemera kwa OPPS
- J8: Chida chogwiritsa ntchito kwambiri; kulipidwa pamtengo wosinthidwa
Odwala Achipatala
Zindikirani: nenani kuphatikizika kwa ma code a chipangizo ndi/kapena ma lead omwe amafotokoza bwino kachitidwe kachitidwe
- CC: zovuta kapena comorbidity. MCC: vuto lalikulu kapena comorbidity akagwiritsidwa ntchito ngati matenda achiwiri
Odwala Achipatala
Zindikirani: nenani kuphatikizika kwa ma code a chipangizo ndi/kapena lead omwe amafotokoza bwino kachitidwe kachitidwe
Odwala Achipatala
Zindikirani: nenani kuphatikizika kwa ma code a chipangizo ndi/kapena ma lead omwe amafotokoza bwino kachitidwe kachitidwe
- CC: zovuta kapena comorbidity. MCC: vuto lalikulu kapena comorbidity akagwiritsidwa ntchito ngati matenda achiwiri
HCPCS Chipangizo C-Makhodi
Zizindikiro za ICD-10-CM
Zizindikiro za matenda zimagwiritsidwa ntchito ndi zipatala ndi madokotala kuti alembe zomwe zikuwonetsa ndondomekoyi. Kwa odwala a Cardiac pacemaker, Implantable cardioverter defibrillators (ICD) ndi Implantable/Insertable Cardiac Monitors (ICM) odwala, pali zambiri zomwe zingatheke za zizindikiro za matenda ndi mitundu yosiyanasiyana yosakanikirana. Zochitika zotheka ndi zophatikizika ndizochuluka kwambiri kuti sizingajambulidwe muzolemba izi. Makasitomala akuyenera kufunsana ndi omwe akunyamula katundu wawo kapena amkhalapakati ndipo akuyenera kufunsana ndi aphungu azamalamulo kapena katswiri wazachuma, wolembera kapena wobweza ndalama polemba, kubweza kapena mafunso olipira okhudzana ndi ma code a ICD-10-CM.
MALONJE
- FY2024 IPPS Final Rule Home Tsamba. US Centers for Medicare ndi Medicaid Services. [otchulidwa: Seputembara 2023].
https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/fy-2024-ipps-final-rule-home-page - CY2024 ASC Final Notice Tsamba Lanyumba. US Centers for Medicare ndi Medicaid Services. [otchulidwa: Novembala 2023].
https://www.cms.gov/medicare/payment/prospective-payment-systems/ambulatory-surgical-center-asc/asc-regulations-and-notices - CY2024 MPFS Final Rule Home Tsamba. US Centers for Medicare ndi Medicaid Services. [otchulidwa: Novembala 2023].
https://www.cms.gov/medicare/payment/fee-schedules/physician/federal-regulation-notices - CY2024 OPPS Final Rule Tsamba Lanyumba. US Centers for Medicare ndi Medicaid Services. [Wotchulidwa: Novembala 2023].
https://www.cms.gov/medicare/payment/prospective-payment-systems/hospital-outpatient/regulations-notices - FY2023 IPPS Final Rule Home Tsamba. US Centers for Medicare ndi Medicaid Services. [otchulidwa: Ogasiti 2022].
https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/fy-2023-ipps-final-rule-home-page - Lamulo Lomaliza la CY2023 OPPS Ndi Chidziwitso Chowongolera. US Centers for Medicare ndi Medicaid Services. [otchulidwa: Novembala 2023].
https://www.cms.gov/medicare/payment/prospective-payment-systems/hospital-outpatient/regulations-notices - Chipatala cha Provider Outpatient Charge Data ndi APC, CY2021. [otchulidwa: Novembala 2023].
https://data.cms.gov/provider-summary-by-type-of-service/medicare-outpatient-hospitals/medicare-outpatient-hospitals-by-provider-and-service - Zipatala za Medicare Inpatient - ndi Wopereka ndi Utumiki - FY2021 [wotchulidwa: Sept 2023].
https://data.cms.gov/provider-summary-by-type-of-service/medicare-inpatient-hospitals/medicare-inpatient-hospitals-by-provider-and-service - HOSPITAL ACUTE INPATIENT SERVICES SERVICES SYSTEM PAYMENTS SYSTEM - PAYMENT BASICS [otchulidwa: September 2023] https://www.medpac.gov/wp-content/uploads/2021/11/MedPAC_Payment_Basics_22_hospital_FINAL_SEC.pdf
- Ndalama za CGS Medicare Part B [zotchulidwa: Januware 2021].
https://www.cgsmedicare.com/partb/fees/index.html - Ndalama Zoyamba za Coast Service Options (FCSO) Medicare Part B [zotchulidwa: Januware 2021].
https://medicare.fcso.com/SharedTools/faces/FeeSchedule_en.jspx?lob=&state= - National Government Services (NGS) Medicare Fee Schedule Lookup [wotchulidwa: September 2023].
https://www.ngsmedicare.com/web/ngs/fee-schedules-and-pricers?lob=93617&state=97256®ion=93623 - Noridian Healthcare Solutions Medicare Contractor Status Codes (C-Status) [wotchulidwa: January 2021].
https://med.noridianmedicare.com/web/jeb/fees-news/fee-schedules/contractor-status-codes-c-status - Ndondomeko ya Malipiro a Dokotala wa Novitas Solutions Medicare [otchulidwa: Seputembara 2023].
https://www.novitas-solutions.com/webcenter/portal/MedicareJH/FeeLookup - Palmetto GBA Medicare Physician Fee schedule Part B [wotchulidwa: January 2021].
https://www.palmettogba.com/palmetto/fees_front.nsf/fee_main?OpenForm - Ma Dongosolo a Malipiro a WPS Medicare Physician [otchulidwa: Januware 2021].
https://www.wpsgha.com/wps/portal/mac/site/fees-and-reimbursements/guides-and-resources/2021-mpfs/!ut/p/z0/fczRCoMgFIDhJ5JjDqTbNhouku1q2LmJwzKTNhWtPf96gl3-8PEDggEM9PWONh8DvY8eUI4PpaSqat7fhea80dfnqa37862R0AH-B8dBZH3RDjDRtjAf5gjG7X6yhVGYWLYl7vllCxjBRcU-aS6QVhx-vBlflA!!/
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- Mmodzi wa St. Jude Medical Dr., St. Paul, MN 55117, USA,
- Tel: 1 651 756 2000
- ™ imasonyeza chizindikiro cha Abbott Group of Companies Imasonyeza chizindikiro cha munthu wina, chomwe ndi katundu wa eni ake.
- www.mtima.abbott
2024 CRM Medicare Reimbursement Guide
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©2023 Abbott. Maumwini onse ndi otetezedwa. MAT-1901316 v17.0
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Zambiri zomwe zili pano za DISTRIBUTION ku US ONLY.
Zolemba / Zothandizira
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