Abbott Vascular Coding and Coverage Resources
Zambiri Zamalonda
Zofotokozera
- Dzina lazogulitsa: Health Economics & Reimbursement 2024 Reimbursement Guide
- Category: Healthcare Economics
- Wopanga: Abbott
- Chaka: 2024
Malangizo Ogwiritsira Ntchito Zogulitsa
Zathaview
The Health Economics & Reimbursement 2024 Reimbursement Guide yolembedwa ndi Abbott imapereka chidziwitso chakubweza kwa matekinoloje osiyanasiyana azachipatala ndi njira zomwe zili pansi pa CMS Hospital Outpatient Prospective Payment System (OPPS) ndi Ambulatory Surgical Center (ASC) Final Rule ya chaka cha 2024.
Ndondomeko Zoyendetsera Ntchito
Bukhuli likuphatikizapo matebulo omwe ali ndi zochitika zolipirira zaukadaulo ndi njira monga Cardiac Rhythm Management (CRM), Electrophysiology (EP), ndi njira zina zofananira. Ndikofunika kunena za Comprehensive Ambulatory Payment Classification (APC) yoperekedwa ndi CMS kuti mudziwe zambiri zobwezera.
Kubweza Analysis
Abbott adasanthula momwe zingakhudzire kusintha kwa malipiro pamachitidwe amunthu payekha mu Dipatimenti Yopereka Odwala Odwala (HOPD) ndi makonzedwe a chisamaliro cha ASC. Bukuli limagwira ntchito ngati chiwongolero chomvetsetsa kuchuluka kwa kubweza ndi kuphimba kutengera malamulo a CY2024.
Zambiri zamalumikizidwe
Kuti mudziwe zambiri kapena kufunsa, pitani Abbott.com kapena funsani gulu la Abbott Health Care Economics pa 855-569-6430 kapena imelo AbbottEconomics@Abbott.com.
FAQ
- Q: Kodi ndondomeko yobwezera imasinthidwa kangati?
- A: Abbott apitiliza kusanthula ndikusintha kalozera wobweza ngati kuli kofunikira kutengera kusintha kwa mfundo zolipirira za CMS.
- Q: Kodi bukhuli lingakutsimikizireni kubweza kwapadera?
- Yankho: Bukhuli limapereka zowonetsera zokha ndipo silikutsimikizira kuchuluka kwa kubweza kapena kuperekedwa chifukwa cha kusiyanasiyana kwa machitidwe ndi magulu a APC.
Zambiri Zamalonda
CMS Hospital Outpatient (OPPS) ndi Ambulatory Surgical Center (ASC) Reimbursement Prospectus
Centers for Medicare & Medicaid Services (CMS) idasintha kwambiri ndondomeko za kalendala ya chaka cha 2024 (CY2024) ndi magawo olipira omwe amakhudza njira zingapo zogwiritsira ntchito ukadaulo wa Abbott ndi mayankho achipatala mu Dipatimenti Yopereka Chithandizo Pachipatala (HOPD) ndi Ambulatory Surgical Center (ASC) makonda a chisamaliro. Zosinthazi zikukulirakulira ndi kupita patsogolo kwa njira zatsopano zosinthira zolipirira zomwe zikukhudza zipatala zambiri zaku US. Mu chikalata cha prospectus ichi, Abbott akuwunikira ndondomeko zina zolipirira ndi malipiro atsopano kwa opereka chithandizo chamankhwala omwe amagwira ntchito zomwe tsopano zimalipidwa mosiyana ndi zaka zapitazo. Pa Novembara 2, 2023, CMS idatulutsa CY2024 Hospital Outpatient Prospective Payment System (OPPS)/Ambulatory Surgical Center (ASC) Final Rule, yogwira ntchito pa Januware 1, 2024.3,4 Pa 2024, CMS imapanga:
- 3.1% kuwonjezeka kwa malipiro onse a OPPS3
- Kuwonjezeka kwa 3.1% kwa malipiro onse a ASC4
Tapereka magome otsatirawa kutengera momwe mabilu amagwiritsidwira ntchito paukadaulo ndi njira zosiyanasiyana. Izi ndi zowonetsera basi ndipo si chitsimikizo cha kubweza kapena kubweza. Kubweza kungasiyane kutengera njira zomwe zikuchitidwa, komanso pa Comprehensive Ambulatory Payment Classification (APC) yomwe CMS idapanga mu HOPD. Pogwiritsa ntchito malamulo a CY2024 ngati chiwongolero, Abbott adasanthula momwe ndalama zingakhudzire njira zomwe zimachitidwa mkati mwa HOPD, komanso m'malo osamalira a ASC, omwe amakhudza matekinoloje athu kapena mayankho athu. Tipitiliza kusanthula zomwe zingachitike chifukwa cha kusintha kwa mfundo zolipirira za CMS ndikusintha chikalatachi ngati kuli kofunikira. Kuti mudziwe zambiri chonde pitani Abbott.com, kapena funsani gulu la Abbott Health Care Economics pa 855-569-6430 or AbbottEconomics@Abbott.com.
Kufotokozera
| Odwala Pachipatala (OPPS) | Ambulatory Surgery Center (ASC) | ||||||||||
|
Franchise |
Zamakono |
Ndondomeko |
APC yoyamba |
CPT‡ Kodi |
ASC
Zovuta za Adj. Kodi CPT |
2023 Kubweza |
2024 Kubweza |
% Sinthani |
2023 Kubweza |
2024 Kubweza |
% Sinthani |
|
Electrophysiology (EP) |
EP Ablation |
Catheter ablation, AV node | 5212 | 93650 | $6,733 | $7,123 | 5.8% | ||||
| Phunziro la EP ndi catheter ablation, SVT | 5213 | 93653 | $23,481 | $22,653 | -3.5% | ||||||
| EP kuphunzira ndi catheter ablation, VT | 5213 | 93654 | $23,481 | $22,653 | -3.5% | ||||||
| Kuphunzira kwa EP ndi catheter ablation, chithandizo cha AF ndi PVI | 5213 | 93656 | $23,481 | $22,653 | -3.5% | ||||||
| Maphunziro a EP | Kuphunzira kwathunthu kwa EP popanda kulowetsedwa | 5212 | 93619 | $6,733 | $7,123 | 5.8% | |||||
|
Cardiac Rhythm Management (CRM) |
Implantable Cardiac Monitor (ICM) | Kuyika kwa ICM | 33282 | $8,163 | |||||||
| 5222 | 33285 | $8,163 | $8,103 | -0.7% | $7,048 | $6,904 | -2.0% | ||||
| Kuchotsedwa kwa ICM | 5071 | 33286 | $649 | $671 | 3.4% | $338 | $365 | 8.0% | |||
|
Pacemaker |
Kuyika Kwadongosolo kapena Kusintha - Chipinda Chimodzi (Ventricular) |
5223 |
33207 |
$10,329 |
$10,185 |
-1.4% |
$7,557 |
$7,223 |
-4.4% |
||
| Kuyika Kwadongosolo kapena Kusintha - Dual Chamber | 5223 | 33208 | $10,329 | $10,185 | -1.4% | $7,722 | $7,639 | -1.1% | |||
| Kuchotsa Pacemaker Yopanda Mtsogolere | 5183 | 33275 | $2,979 | $3,040 | 2.0% | $2,491 | $2,310 | -7.3% | |||
| Opanda Pacemaker Implant | 5224 | 33274 | $17,178 | $18,585 | 8.2% | $12,491 | $13,171 | 5.4% | |||
| Kusintha kwa Battery - Chipinda Chokha | 5222 | 33227 | $8,163 | $8,103 | -0.7% | $6,410 | $6,297 | -1.8% | |||
| Kusintha Kwa Battery - Dual Chamber | 5223 | 33228 | $10,329 | $10,185 | -1.4% | $7,547 | $7,465 | -1.1% | |||
|
Implantable Cardioverter Defibrillator (ICD) |
System Implant kapena Kusintha | 5232 | 33249 | $32,076 | $31,379 | -2.2% | $25,547 | $24,843 | -2.8% | ||
| Kusintha kwa Battery - Chipinda Chokha | 5231 | 33262 | $22,818 | $22,482 | -1.5% | $19,382 | $19,146 | -1.2% | |||
| Kusintha Kwa Battery - Dual Chamber | 5231 | 33263 | $22,818 | $22,482 | -1.5% | $19,333 | $19,129 | -1.1% | |||
| Sub-Q ICD | Kuyika kwa subcutaneous ICD system | 5232 | 33270 | $32,076 | $31,379 | -2.2% | $25,478 | $25,172 | -1.2% | ||
| Zotsogola Zokha - Pace-maker, ICD, SICD, CRT | Mtsogoleri Mmodzi, Pacemaker, ICD, kapena SICD | 5222 | 33216 | $8,163 | $8,103 | -0.7% | $5,956 | $5,643 | -5.3% | ||
| Mtengo CRT | 5223 | 33224 | $10,329 | $10,185 | -1.4% | $7,725 | $7,724 | -0.0% | |||
| Kuwunika kwa Chipangizo | Mapulogalamu ndi Kuwunika Kutali | 5741 | 0650T | $35 | $36 | 2.9% | |||||
| 5741 | 93279 | $35 | $36 | 2.9% | |||||||
|
CRT-P |
System Implant kapena Kusintha | 5224 | 33208
+ 33225 |
C7539 | $18,672 | $18,585 | -0.5% | $10,262 | $10,985 | 7.0% | |
| Kusintha kwa Battery | 5224 | 33229 | $18,672 | $18,585 | -0.5% | $11,850 | $12,867 | 8.6% | |||
|
CRT-D |
System Implant kapena Kusintha | 5232 | 33249
+ 33225 |
$18,672 | $31,379 | -2.2% | $25,547 | $24,843 | -2.8% | ||
| Kusintha kwa Battery | 5232 | 33264 | $32,076 | $31,379 | -2.2% | $25,557 | $25,027 | -2.1% | |||
|
Kulephera kwa Mtima |
CardioMEMS | Sensor Implant | C2624 | ||||||||
| 5200 | 33289 | $27,305 | $27,721 | 1.5% | $24,713 | ||||||
| LVAD | Kufunsa, mwa munthu | 5742 | 93750 | $100 | $92 | -8.0% | |||||
| Kukonzekera kwapatsogolo kwa chisamaliro | 5822 | 99497 | $76 | $85 | 11.8% | ||||||
|
Matenda oopsa |
Kuchepetsa aimpso |
Kuwonongeka kwa aimpso, unilateral |
5192 |
0338T |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
|
|
Kuchepetsa aimpso, mbali ziwiri |
5192 |
0339T |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$3,834 |
64.8% |
|||
| Odwala Pachipatala (OPPS) | Ambulatory Surgery Center (ASC) | ||||||||||
|
Franchise |
Zamakono |
Ndondomeko |
APC yoyamba |
CPT‡ Kodi |
ASC
Zovuta za Adj. Kodi CPT |
2023 Kubweza |
2024 Kubweza |
% Sinthani |
2023 Kubweza |
2024 Kubweza |
% Sinthani |
|
Matenda a Coronary |
PCI Drug Eluting Stents (kuphatikiza FFR/OCT) |
DES, ndi angioplasty; chotengera chimodzi, chokhala ndi FFR kapena / kapena OCT | 5193 | C9600 | $10,615 | $10,493 | -1.1% | $6,489 | $6,706 | 3.3% | |
| Awiri DES, ndi angioplasty; zombo ziwiri, kapena popanda FFR ndi/ kapena OCT. |
5193 |
C9600 |
$10,615 |
$10,493 |
-1.1% |
$6,489 |
$6,706 |
3.3% |
|||
| Awiri DES, ndi angioplasty; chotengera chimodzi, chokhala ndi FFR kapena / kapena OCT |
5193 |
C9600 |
$10,615 |
$10,493 |
-1.1% |
$6,489 |
$6,706 |
3.3% |
|||
| Awiri DES, ndi angioplasty; Mitsempha iwiri ikuluikulu yapamtima, yokhala ndi FFR kapena / kapena OCT. |
5194 |
C9600 |
$10,615 |
$16,725 |
57.6% |
$9,734 |
$10,059 |
3.3% |
|||
| BMS ndi atherectomy | BMS ndi atherectomy | 5194 | 92933 | $17,178 | $16,725 | -2.6% | |||||
| DES ndi atherectomy | DES ndi atherectomy | 5194 | C9602 | $17,178 | $16,725 | -2.6% | |||||
| DES ndi AMI | DES ndi AMI | C9606 | $0 | ||||||||
| DES ndi CTO | DES ndi CTO | 5194 | C9607 | $17,178 | $16,725 | -2.6% | |||||
|
Coronary Angiography ndi Coronary Physiology (FFR / CFR) kapena OCT |
Coronary angiography | 5191 | 93454 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | ||
| Coronary angiography + OCT | 5192 | 93454
+ 92978 |
C7516 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Coronary angiography mu graft | 5191 | 93455 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Coronary angiography mu graft
+ OCT |
5191 | 93455
+ 92978 |
C7518 | $5,215 | $3,108 | -40.4% | $2,327 | ||||
| Coronary angiography mu kumezanitsa + FFR/CFR | 5191 | 93455
+ 93571 |
C7519 | $5,215 | $3,108 | -40.4% | $2,327 | ||||
| Coronary angiography yokhala ndi catherterization ya mtima wakumanja | 5191 | 93456 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Coronary angiography yokhala ndi catherterization yamtima wakumanja + OCT | 5192 | 93456
+ 92978 |
C7521 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Coronary angiography yokhala ndi catherterization yamtima wakumanja + FFR/CFR | 5192 | 93456
+ 93571 |
C7522 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Coronary angiography mu graft yokhala ndi catheterization yamtima wakumanja | 5191 | 93457 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Coronary angiography mu graft yokhala ndi catheterization yamtima wakumanja
+ FFR/CFR |
5191 |
93457
+ 93571 |
$5,215 |
$3,108 |
-40.4% |
$0 |
$0 |
||||
| Coronary angiography yokhala ndi catherization yamtima wakumanzere | 5191 | 93458 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Coronary angiography yokhala ndi catherization yamtima wakumanzere + OCT | 5192 | 93458
+ 92978 |
C7523 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Coronary angiography yokhala ndi catherization yamtima wakumanzere + FFR/CFR | 5192 | 93458
+ 93571 |
C7524 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Coronary angiography mu graft yokhala ndi catherization yamtima wakumanzere | 5191 | 93459 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Coronary angiography mu graft yokhala ndi catherization yamtima wakumanzere + OCT | 5192 | 93459
+ 92978 |
C7525 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Coronary angiography mu graft yokhala ndi catherization yamtima wakumanzere + FFR/CFR |
5192 |
93459
+ 93571 |
C7526 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
| Cornary angiography yokhala ndi catheterization yamtima wakumanja ndi kumanzere | 5191 | 93460 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Cornary angiography yokhala ndi catheterization yamtima wakumanja ndi kumanzere
+ OCT |
5192 |
93460
+ 92978 |
C7527 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
| Cornary angiography yokhala ndi catheterization yamtima wakumanja ndi kumanzere + FFR/CFR |
5192 |
93460
+ 93571 |
C7528 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
| Odwala Pachipatala (OPPS) | Ambulatory Surgery Center (ASC) | ||||||||||
|
Franchise |
Zamakono |
Ndondomeko |
APC yoyamba |
CPT‡ Kodi |
ASC
Zovuta za Adj. Kodi CPT |
2023 Kubweza |
2024 Kubweza |
% Sinthani |
2023 Kubweza |
2024 Kubweza |
% Sinthani |
|
Matenda a Coronary |
Coronary Angiography ndi Coronary Physiology (FFR / CFR) kapena OCT |
Coronary angiography mu graft yokhala ndi catheterization yamtima wakumanja ndi kumanzere |
5191 |
93461 |
$2,958 |
$3,108 |
5.1% |
$1,489 |
$1,633 |
9.7% |
|
| Coronary angiography mu kumezanitsa ndi kumanja ndi kumanzere mtima catheterization + FFR/CFR |
5192 |
93461
+ 93571 |
C7529 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
|
Peripheral Vascular |
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 ndi Stenting |
Atherectomy ndi stenting (Fem / Pop) | 5194 | 37227 | $17,178 | $16,725 | -2.6% | $11,792 | $11,873 | 0.7% | ||
| Atherectomy ndi stenting (Tibial / Peroneal) | 5194 | 37231 | $17,178 | $16,725 | -2.6% | $11,322 | $11,981 | 5.8% | |||
|
Mapulagi a Vascular |
Kutsekeka kwa venous kapena kutsekeka | 5193 | 37241 | $10,615 | $10,493 | -1.1% | $5,889 | $6,108 | 3.7% | ||
| Arterial embolization kapena occlusion | 5194 | 37242 | $10,615 | $16,725 | 57.6% | $6,720 | $11,286 | 67.9% | |||
| Embolization kapena occlusion kwa zotupa, organ ischemia, kapena infarction |
5193 |
37243 |
$10,615 |
$10,493 |
-1.1% |
$4,579 |
$4,848 |
5.9% |
|||
| Embolization kapena occlusion kwa arterial kapena venous hemorrhage kapena lymphatic extravasation |
5193 |
37244 |
$10,615 |
$10,493 |
-1.1% |
||||||
|
Arterial Mechanical Thrombectomy |
Primary arterial percutaneous mechanical thrombectomy; chombo choyamba |
5194 |
37184 |
$10,615 |
$16,725 |
57.6% |
$6,563 |
$10,116 |
54.1% |
||
|
Peripheral Vascular |
Primary arterial percutaneous mechanical thrombectomy; chotengera chachiwiri ndi chotsatira |
37185 |
Zapaketi |
Zapaketi |
NA |
NA |
|||||
| Secondary arterial percutaneous mechanical thrombectomy | 37186 | Zapaketi | Zapaketi | NA | NA | ||||||
|
Arterial Mechanical Thrombectomy ndi Angioplasty |
Primary arterial percutaneous mechanical thrombectomy; chotengera choyamba ndi angioplasty Iliac |
NA |
37184
+37220 |
$8,100 |
$11,754 |
45.1% |
|||||
| Primary arterial percutaneous mechanical thrombectomy; chotengera choyamba ndi angioplasty fem/pop |
NA |
37184
+37224 |
$8,178 |
$11,842 |
44.8% |
||||||
| Primary arterial percutaneous mechanical thrombectomy; chotengera choyamba ndi angioplasty tib/pero |
NA |
37184
+37228 |
$9,606 |
$13,283 |
38.3% |
||||||
|
Arterial Mechanical Thrombectomy yokhala ndi Stenting |
Primary arterial percutaneous mechanical thrombectomy; chotengera choyamba chokhala ndi stenting Iliac |
NA |
37184
+37221 |
$9,881 |
$13,502 |
36.7% |
|||||
| Primary arterial percutaneous mechanical thrombectomy; chotengera choyamba chokhala ndi stenting fem/pop |
NA |
37184
+37226 |
$10,251 |
$13,631 |
33.0% |
||||||
| Primary arterial percutaneous mechanical thrombectomy; chotengera choyamba chokhala ndi stenting tib/pero |
NA |
37184
+37230 |
$14,634 |
$15,793 |
7.9% |
||||||
| Odwala Pachipatala (OPPS) | Ambulatory Surgery Center (ASC) | ||||||||||
|
Franchise |
Zamakono |
Ndondomeko |
APC yoyamba |
CPT‡ Kodi |
ASC
Zovuta za Adj. Kodi CPT |
2023 Kubweza |
2024 Kubweza |
% Sinthani |
2023 Kubweza |
2024 Kubweza |
% Sinthani |
|
Peripheral Vascular |
Venous Mechanical Thrombectomy |
Venous percutaneous mechanical thrombectomy, chithandizo choyambirira | 5193 | 37187 | $10,615 | $10,493 | -1.1% | $7,321 | $7,269 | -0.7% | |
| Venous percutaneous mechanical thrombectomy, kubwereza chithandizo tsiku lotsatira |
5183 |
37188 |
$2,979 |
$3,040 |
2.0% |
$2,488 |
$2,568 |
3.2% |
|||
| Venous Mechanical Thrombectomy ndi Angioplasty | Venous percutaneous mechanical thrombectomy, chithandizo choyambirira ndi angioplasty |
NA |
37187 + 37248 |
$8,485 |
$8,532 |
0.6% |
|||||
| Venous Mechanical Thrombectomy yokhala ndi Stenting | Venous percutaneous mechanical thrombectomy, chithandizo choyambirira ndi stenting |
NA |
37187 + 37238 |
$10,551 |
$10,619 |
0.6% |
|||||
|
Dialysis Circuit Thrombectomy |
Percutaneous mechanical thrombectomy, dialysis circuit | 5192 | 36904 | $5,215 | $5,452 | 4.5% | $3,071 | $3,223 | 4.9% | ||
| Percutaneous mechanical thrombectomy, dialysis circuit, ndi angioplasty |
5193 |
36905 |
$10,615 |
$10,493 |
-1.1% |
$5,907 |
$6,106 |
3.4% |
|||
| Percutaneous mechanical thrombectomy, dialysis circuit, ndi stent |
5194 |
36906 |
$17,178 |
$16,725 |
-2.6% |
$11,245 |
$11,288 |
0.4% |
|||
|
Thrombolysis |
Chithandizo cha transcatheter arterial thrombolysis, tsiku loyamba |
5184 |
37211 |
$5,140 |
$5,241 |
2.0% |
$3,395 |
$3,658 |
7.7% |
||
| Chithandizo cha transcatheter venous thrombolysis, tsiku loyamba |
5183 |
37212 |
$2,979 |
$3,040 |
2.0% |
$1,444 |
$1,964 |
36.0% |
|||
| Transcatheter arterial kapena venous thrombolysis, tsiku lotsatira |
5183 |
37213 |
$2,979 |
$3,040 |
2.0% |
||||||
| Chithandizo cha transcatheter arterial kapena venous thrombolysis, tsiku lomaliza | 5183 | 37214 | $2,979 | $3,040 | 2.0% | ||||||
|
Structural Heart |
Kutsekedwa kwa PFO | Kutseka kwa ASD/PFO | 5194 | 93580 | $17,178 | $16,725 | -2.6% | ||||
| ASD | Kutseka kwa ASD/PFO | 5194 | 93580 | $17,178 | $16,725 | -2.6% | |||||
| VSD | Kutsekedwa kwa VSD | 5194 | 93581 | $17,178 | $16,725 | -2.6% | |||||
| PDA | Kutseka kwa PDA | 5194 | 93582 | $17,178 | $16,725 | -2.6% | |||||
|
Ululu Wosatha |
Kukondoweza kwa Spinal Cord ndi DRG Stimulation |
Mayeso Otsogolera Amodzi: percutaneous | 5462 | 63650 | $6,604 | $6,523 | -1.2% | $4,913 | $4,952 | 0.8% | |
| Kuyesa Kwapawiri Kwambiri: percutaneous | 5462 | 63650 | $6,604 | $6,523 | -1.2% | $9,826 | $9,904 | 0.8% | |||
| Mayesero Otsogolera Opaleshoni | 5464 | 63655 | $21,515 | $20,865 | -3.0% | $17,950 | $17,993 | 0.2% | |||
| Dongosolo Lathunthu - Kutsogola Kumodzi - Percutaneous | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $29,629 | $30,250 | 2.1% | |||
| Kachitidwe Kathunthu - Dual Lead - Percutaneous | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $34,542 | $35,202 | 1.9% | |||
| Pulogalamu Yathunthu ya IPG - Laminectomy | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $42,666 | $43,291 | 1.5% | |||
| IPG implant kapena kusintha | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $24,716 | $25,298 | 2.4% | |||
| Mtsogoleri mmodzi | 5462 | 63650 | Zapaketi | Zapaketi | $4,913 | $4,952 | 0.8% | ||||
| Kutsogolera pawiri | 5462 | 63650 | Zapaketi | Zapaketi | $4,913 | $4,952 | 0.8% | ||||
| Kusanthula kwa IPG, Mapulogalamu Osavuta | 5742 | 95971 | $100 | $92 | -8.0% | ||||||
|
Peripheral Nerve Stimulation |
Dongosolo Lathunthu - Kutsogola Kumodzi - 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% | ||||
| Kachitidwe Kathunthu - Dual 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% | ||||
| Kusintha kwa mtengo wa IPG | 5464 | 64590 | $21,515 | $20,865 | -3.0% | $19,333 | $19,007 | -1.7% | |||
| Odwala Pachipatala (OPPS) | Ambulatory Surgery Center (ASC) | ||||||||||
|
Franchise |
Zamakono |
Ndondomeko |
APC yoyamba |
CPT‡ Kodi |
ASC
Zovuta za Adj. Kodi CPT |
2023 Kubweza |
2024 Kubweza |
% Sinthani |
2023 Kubweza |
2024 Kubweza |
% Sinthani |
|
Ululu Wosatha |
Kusintha kwa RF |
Cervical Spine / 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% | |||
| Zina Zotumphukira Mitsempha | 5443 | 64640 | $852 | $869 | 2.0% | $172 | $173 | 0.6% | |||
| Kusintha kwa ma radiofrequency | 5431 | 64625 | $1,798 | $1,842 | 2.4% | $854 | $898 | 5.2% | |||
|
Mavuto Oyenda |
DBS |
Kuyika kwa IPG - Single Array | 5464 | 61885 | $21,515 | $20,865 | -3.0% | $19,686 | $19,380 | -1.6% | |
| Kuyika kwa IPG - Ma IPG Awiri Amodzi Amodzi | 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% | ||||
| Kuyika kwa IPG - Dual Array | 5465 | 61886 | $29,358 | $29,617 | 0.9% | $24,824 | $25,340 | 2.1% | |||
| Kusanthula kwa IPG, Palibe Mapulogalamu | 5734 | 95970 | $116 | $122 | 5.2% | ||||||
| Kusanthula kwa IPG, Mapulogalamu Osavuta; woyamba 15 Min | 5742 | 95983 | $100 | $92 | -8.0% | ||||||
| Kusanthula kwa IPG, Mapulogalamu Osavuta; zowonjezera 15 Min | 95984 | $0 | |||||||||
Chodzikanira
Izi ndi zomwe zili m'bukuli ndizongodziwa zambiri zokha ndipo sizinapangidwe, ndipo siziphatikiza, zamalamulo, zobwezera, 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 nambala inayake, ndipo Abbott salimbikitsa kapena kutsimikizira 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 ndondomeko zowunikira ndizovuta ndipo zimasinthidwa pafupipafupi ndipo zimatha kusintha popanda kuzindikira. Makasitomala amayenera kukaonana ndi onyamula katundu kapena amkhalapakati pafupipafupi ndipo akuyenera kufunsana ndi aphungu azamalamulo kapena katswiri wazachuma, wolembera, kapena wobweza pa mafunso aliwonse okhudzana ndi kulemba, kulipira, kubweza, kapena zina zilizonse zokhudzana nazo. Izi zimapanganso zambiri pazolinga zokha. Sanaperekedwe movomerezeka kuti agwiritse ntchito malonda.
Magwero
- Lamulo Lomaliza Lolipiridwa ndi Odwala Opanda Pachipatala Ndi Ndemanga CY2024:
- Malipiro a Ambulatory Surgical Center-Lamulo Lomaliza CY2024 Malipiro:
- Lamulo Lomaliza Lolipiridwa ndi Odwala Opanda Pachipatala Ndi Ndemanga CY2023:
- Malipiro a Ambulatory Surgical Center-Lamulo Lomaliza CY2023 Malipiro: https://www.cms.gov/medicaremedicare-fee-service-paymentascpaymentasc-regulations-and-notices/cms-1772-fc
CHENJEZO: Izi zidapangidwa kuti zizigwiritsidwa ntchito ndi dokotala kapena motsogozedwa ndi dokotala. Musanagwiritse ntchito, tchulani Malangizo Ogwiritsira Ntchito, mkati mwa katoni yazinthu (zikapezeka) kapena pa vascular.eifu.abbott kapena pa manuals.eifu.abbott kuti mumve zambiri za Zizindikiro, Zotsutsana, Machenjezo, Njira Zopewera ndi Zoyipa. Abbott One St. Jude Medical Dr., St. Paul, MN 55117, USA, Tel: 1 651 756 2000 ™ Akuwonetsa chizindikiro chamakampani a Abbott. ‡ Imawonetsa chizindikiro cha munthu wina, chomwe ndi katundu wa eni ake.
©2024 Abbott. Maumwini onse ndi otetezedwa. MAT-1901573 v6.0. Chinthu chovomerezeka kuti chigwiritsidwe ntchito ku US kokha. HE&R idavomerezedwa kuti igwiritsidwe ntchito mosatsatsa.
Zolemba / Zothandizira
 |
Abbott Vascular Coding and Coverage Resources [pdf] Buku la Mwini Ma Vascular Coding and Coverage Resources, Coding and Coverage Resources, Coverage Resources, Resources |