Abbott Cardiac Rhythm Management Coding and Coverage Resources

Fa'amatalaga:

• Oloa: Faiga Fa'afoega o le Fa'ata'oto
• Aso Fa'amamaluina: Ianuari 1, 2024
• Tufuga: Abbott

Fa'atonuga o le Fa'aaogaina o Mea

Folasaga:

O le Cardiac Rhythm Management System ua mamanuina e tuʻuina atu ai le faʻaogaina o le faʻaogaina o le fatu mo tagata mamaʻi e iai tulaga faʻapitoa o le fatu. E fesoasoani i le saosaoa o le fatu ma le puleaina o faaletonu o le fatu.

Fa'ailoga:

E taua le maitauina o faʻamatalaga o loʻo tuʻuina atu i lenei tusi lesona e mo naʻo faʻamatalaga. Fa'afeso'ota'i i taimi uma fa'apolofesa fa'alesoifua maloloina mo ta'iala fa'apitoa ile fa'aogaina ole oloa.

Biventricular Pacing / Togafiti Toe Fa'atonuina o le Loto (CRT):

I nisi tulaga, e ono mana'omia se ta'ita'i fa'aopoopo e ausia ai le saoasaoa o le biventricular. Afai e mana'omia le fa'aopoopoina o le fa'atūina o le ta'ita'i, e tatau ona tu'u ese'ese le lipoti e fa'aaoga ai le CPT code 33224 po'o le 33225. Code 33226 e fa'aoga mo le toe fa'atulagaina. Va'ai ile vaega ole Togafitiga ole Fa'atonuina ole Loto mo fa'amatalaga auiliili.

FAQ:

• F: E fa'afia ona siaki le Cardiac Rhythm Management System?
  • A: O siaki masani ma le mataʻituina e fomaʻi soifua maloloina e fautuaina ina ia mautinoa le lelei o le faʻaogaina o le tino ma ia faia soʻo se fetuunaiga talafeagai.
• Q: E mafai e tagata mama'i ma pacemakers ona fa'aogaina lenei faiga?
  • A: O tagata mama'i o lo'o iai le pacemakers e tatau ona fa'afeso'ota'i a latou 'au'aunaga fa'alesoifua maloloina e va'ai pe talafeagai le Cardiac Rhythm Management System mo o latou tulaga patino.

TU'UGA MA TU'UGA

O mea uma o lo'o i totonu e mafai ona fa'avae i luga o le tele o fa'apogai, e aofia ai ae le fa'atapula'aina i fa'apogai muamua, tusitusiga fa'asaienisi, fa'amaumauga o fa'amatalaga avanoa fa'apisinisi, fa'amatalaga e tu'uina atu e tagata fa'atau, ma puna mai fafo.
O tala fa'atatau o lo'o fa'aalia e mo na'o fa'ata'ita'iga. O lenei anotusi e le o fa'amoemoeina mo se isi lava fa'amoemoega.

E tatau ona maitauina e masani lava ona i ai le eseesega i le va o le faʻataʻitaʻiga o le tamaoaiga iʻuga moni. E le nafa ia Abbott mo so'o se eseesega.

E leai se fa'amaoniga o so'o se taunu'uga tau tamaoaiga, e aofia ai le totogiina, fa'asaoina o tau, po'o le tele o fa'atinoga. O taunu'uga tau tamaoaiga e fa'alagolago i le tele o mea ma e eseese.

O nisi o falema'i a Maryland na totogiina i lalo o aiaiga a Maryland Waiver e fa'aaoga ai le All Patient Refined Diagnosis Related Group (APR-DRG) e le aofia mai le totogiina i lalo o le Medicare Inpatient Prospective Payment System (IPPS).

E le tatau ona tu'uina atu fua fa'atatau o tupe toe totogi i Foma'i Fa'alesoifua maloloina (HCPs) ua laiseneina e masani ona fa'atino i Vermont.

O lenei faʻamatalaga e le tatau ona tufatufaina atu i isi vaega

Folasaga

O lenei anotusi ua faʻamoemoe e tuʻuina atu mea faʻasino e fesoʻotaʻi ma taʻiala lautele mo le toe totogiina pe a faʻaaogaina faʻatasi ma le faʻailoga o oloa. O lenei mea e aofia ai faʻamatalaga e uiga i le inisiua, faʻasologa ma le toe totogiina. E mafai ona maua isi punaoa i
www.cardiovascular.abbott/us/en/hcp/reimbursement.html

Biventricular Pacing / Fa'ata'ita'i Toe Fa'atasiina o le Loto (CRT)

I nisi tulaga, e ono mana'omia se ta'i fa'aopoopo e ausia ai le saosaoa o le ventricle agavale (biventricular pacing). I lenei mea, o le fa'aopoopoina o le tu'uina o le ta'ita'i e tatau ona tu'u ese'ese e fa'aaoga ai le CPT‡ 33224 po'o le 33225. 33226 ua lipotia mo le toe fa'atulagaina. Va'ai i le Fa'atonuina o le Loto

Vaega o Togafitiga mo nisi faamatalaga.

Toe fa'afo'i tupe Hotline

Ua ofoina atu e Abbott se laina telefoni mo le toe totogiina, lea e maua ai faʻamatalaga ola ma faʻamatalaga toe totogiina mai tagata tomai faapitoa mo le toe totogiina. O lo'o avanoa le Coding ma le toe totogiina o tupe i le Aso Gafua i le Aso Faraile 855-569-6430. O le fa'ailoga ma le toe totogiina o fesoasoani e tu'uina atu i lalo o le fa'afitiga o lo'o tu'uina atu i lenei anotusi.

Fa'ailoga

O nei mea ma faʻamatalaga o loʻo i totonu e mo naʻo faʻamatalaga lautele ma e le o faʻamoemoeina, ma e le o aofia ai tulafono, toe totogiina, pisinisi, falemaʻi, poʻo isi fautuaga. E le gata i lea, e le o faʻamoemoeina ma e le o se faʻataʻitaʻiga poʻo se faʻamaoniga o le toe totogiina, totogi, poʻo le totogi, poʻo le toe totogiina poʻo isi totogi o le a maua. E le o fa'amoemoe e fa'ateleina pe fa'ateleina le totogiina e so'o se tagata totogi. E le faia e Abbott se fa'amaoniga fa'aalia po'o le fa'amaonia po'o le fa'amautinoaina o le lisi o tulafono ma fa'amatalaga i totonu o lenei pepa e atoatoa pe leai se mea sese. E faapena foi, e leai se mea i totonu o lenei pepa e tatau ona i ai viewed e fai ma fa'atonuga mo le filifilia o so'o se tulafono fa'apitoa, ma e le fautuaina e Abbott le fa'amaoniaina o le talafeagai o le fa'aogaina o so'o se tulafono fa'apitoa. O le matafaioi tupito mo le fa'avasegaina ma le mauaina o totogi/totogi e tumau pea ile tagata fa'atau. E aofia ai le matafaioi mo le sa'o ma le sa'o o fa'amatalaga uma ma tagi na tu'uina atu i tagata totogi isi vaega. E le gata i lea, e tatau i le tagata faatau ona matauina o tulafono, tulafono faatonutonu, ma faiga faavae o le inisiua e lavelave ma e faafou soo, ma, o le mea lea, e tatau i le tagata faatau ona siaki soo i ana tagata faasalalau i le lotoifale ma e tatau ona feutagai ma loia po o se tupe, coding, po o. fa'apitoa tau tupe toe totogi mo so'o se fesili e feso'ota'i ma coding, pili, toe totogiina, po'o so'o se mataupu e feso'ota'i. O nei meafaitino e toe faia fa'amatalaga mo na'o fa'amatalaga. E le tu'uina atu pe fa'atagaina mo le fa'atauga fa'atau.

TAGATA FAASAO

Fomai

• NA: E le'i fa'amauina e le Medicare se aofa'iga totogi mo lenei tulafono. Siaki i lou lotoifale Medicare Administrative Contractor (MAC) e faʻamaonia le aofaʻi o tupe totogi. E tatau i le foma'i ona fa'atonu po'o fea, pe a iai, e tatau ona fa'aoga muamua mea fa'aopoopo

• NA: E le'i fa'amauina e le Medicare se aofa'iga totogi mo lenei tulafono. Siaki i lou lotoifale Medicare Administrative Contractor (MAC) e faʻamaonia le aofaʻi o tupe totogi. O le tiute o le foma'i e fuafua po'o fea, pe afai ei ai, e tatau ona fa'aoga muamua mea fa'aoga.

• J1: Falema'i Vaega B auaunaga totogi e ala i se APC atoatoa
• Q2: T Fa'ailoga fa'apipi'i

• J1: Falema'i Vaega B auaunaga totogi e ala i se APC atoatoa
• Q2: T Fa'ailoga fa'apipi'i
• T = Fa'asologa taua, fa'aitiitiga tele e fa'aaoga

Fale Ta'otoga Falema'i (ASC) 

• A2: Ta'aloga ta'otoga ile lisi ASC ile CY 2007; totogi fa'atatau ile mamafa ole totogi ole OPPS.
• G2: Ta'otoga e le fa'atatau ile ofisa fa'aopoopo ile CY 2008 pe mulimuli ane; totogi fa'atatau ile mamafa ole totogi ole OPPS
• J8: Fa'asologa o masini; totogi i se fua faatatau fetuutuunai

Falemai Falemai 

Manatua: lipoti le tu'ufa'atasiga o le fa'aofiina o masini ma/po'o ta'ita'i(s) code e sili ona fa'amatala ai le fa'agasologa na faia

• CC: fa'alavelave po'o fa'alavelave. MCC: o se faʻalavelave tele poʻo se faʻalavelave faʻapitoa pe a faʻaaogaina e fai ma suʻesuʻega lona lua

Falemai Falemai 

Fa'aaliga: lipoti le tu'ufa'atasiga o le fa'aofiina o masini ma/po'o ta'ita'i(s) code e sili ona fa'amatala ai le fa'agasologa na faia

Falemai Falemai 

Manatua: lipoti le tu'ufa'atasiga o le fa'aofiina o masini ma/po'o ta'ita'i(s) code e sili ona fa'amatala ai le fa'agasologa na faia

• CC: fa'alavelave po'o fa'alavelave. MCC: o se faʻalavelave tele poʻo se faʻalavelave faʻapitoa pe a faʻaaogaina e fai ma suʻesuʻega lona lua

HCPCS Device Categodes C-Codes 

ICD-10-CM Fa'ailoga Fa'ailoga

Fa'ailoga fa'ailoga e fa'aogaina e falema'i ma foma'i e fa'amaumau ai fa'ailoga mo le fa'agasologa. Mo le fa'aosoina o le Cardiac, Implantable cardioverter defibrillators (ICD) ma le Implantable/Insertable Cardiac Monitors (ICM), o lo'o i ai le tele o fa'asologa o fa'ailoga fa'ailoga ma le tele o tu'ufa'atasiga e mafai. O fa'ata'ita'iga ma tu'ufa'atasiga e mafai ona anoanoa'i e pu'eina i lenei pepa. E tatau i le tagata fa'atau ona siaki ma latou tagata fa'apitonu'u po'o tagata faufautua ma e tatau ona fa'afeso'ota'i ma loia po'o se tagata tomai fa'apitoa tau tupe, coding po'o le toe totogiina mo le fa'avasegaina, toe totogi po'o le pili o fesili e feso'ota'i ma tulafono ole su'esu'ega ICD-10-CM.

FAAMATALAGA

1. FY2024 IPPS Tulafono Mulimuli Itulau Aiga. US Centers for Medicare ma Medicaid Services. [sii mai: Setema 2023].
   https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/fy-2024-ipps-final-rule-home-page
2. CY2024 ASC Faasilasilaga Mulimuli Itulau Aiga. US Centers for Medicare ma Medicaid Services. [sii mai: Novema 2023].
   https://www.cms.gov/medicare/payment/prospective-payment-systems/ambulatory-surgical-center-asc/asc-regulations-and-notices
3. CY2024 MPFS Tulafono Mulimuli Itulau Aiga. US Centers for Medicare ma Medicaid Services. [sii mai: Novema 2023].
   https://www.cms.gov/medicare/payment/fee-schedules/physician/federal-regulation-notices
4. CY2024 OPPS Tulafono Mulimuli Itulau Aiga. US Centers for Medicare ma Medicaid Services. [sii mai: Novema 2023].
   https://www.cms.gov/medicare/payment/prospective-payment-systems/hospital-outpatient/regulations-notices
5. FY2023 IPPS Tulafono Mulimuli Itulau Aiga. US Centers for Medicare ma Medicaid Services. [sii mai: Aokuso 2022].
   https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/fy-2023-ipps-final-rule-home-page
6. CY2023 OPPS Tulafono Fa'ai'u ma Fa'asilasilaga Fa'asa'oga. US Centers for Medicare ma Medicaid Services. [sii mai: Novema 2023].
   https://www.cms.gov/medicare/payment/prospective-payment-systems/hospital-outpatient/regulations-notices
7. Tu'uina atu Fa'amatalaga Totogi Falema'i i fafo e le APC, CY2021. [sii mai: Novema 2023].
   https://data.cms.gov/provider-summary-by-type-of-service/medicare-outpatient-hospitals/medicare-outpatient-hospitals-by-provider-and-service
8. Falema'i Falema'i Medicare - e le Fa'atonu ma Au'aunaga - FY2021 [fa'asino: Sete 2023].
   https://data.cms.gov/provider-summary-by-type-of-service/medicare-inpatient-hospitals/medicare-inpatient-hospitals-by-provider-and-service
9. FUAFUAGA TOTOGI A LE FALEMA'I TOTOGI - FA'AVAE TOTOGI [si'i: Setema 2023] https://www.medpac.gov/wp-content/uploads/2021/11/MedPAC_Payment_Basics_22_hospital_FINAL_SEC.pdf
10. Totogifuapauina CGS Medicare Vaega B [fa'asino: Ianuari 2021].
    https://www.cgsmedicare.com/partb/fees/index.html
11. First Coast Service Options (FCSO) Medicare Vaega B Totogi [fa'asino: Ianuari 2021].
    https://medicare.fcso.com/SharedTools/faces/FeeSchedule_en.jspx?lob=&state=
12. National Government Services (NGS) Su'esu'ega Fa'asologa o Totogifuapauina Medicare [fa'asino: Setema 2023].
    https://www.ngsmedicare.com/web/ngs/fee-schedules-and-pricers?lob=93617&state=97256&region=93623
13. Noridian Healthcare Solutions Medicare Contractor Status Codes (C-Status) [sii mai: Ianuari 2021].
    https://med.noridianmedicare.com/web/jeb/fees-news/fee-schedules/contractor-status-codes-c-status
14. Novitas Solutions Fa'asologa o Totogifuapauina a Foma'i Foma'i [fa'asino: Setema 2023].
    https://www.novitas-solutions.com/webcenter/portal/MedicareJH/FeeLookup
15. Palmetto GBA Medicare Foma'i Totogi Fa'asologa Vaega B [fa'asino: Ianuari 2021].
    https://www.palmettogba.com/palmetto/fees_front.nsf/fee_main?OpenForm
16. WPS Medicare Foma'i Totogi Fa'asologa [fa'asino: Ianuari 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!!/

O fa'amatalaga o lo'o iai i totonu e mo le FA'AVAE I LE US NA'O.

Abbott

• One St. Jude Medical Dr., St. Paul, MN 55117, ISA,
• Telefoni: 1 651 756 2000
• ™ o lo'o fa'ailoa mai ai se fa'ailoga fa'ailoga a le Abbott Group of Companies Fa'ailoa se fa'ailoga fa'ailoga lona tolu, o le meatotino a le tagata e ona.
• www.cardiovascular.abbott

2024 CRM Medicare Reimbursement Guide

Fa'amatalaga o lo'o iai i totonu mo FA'ALI'I ile US NA'O. E le tatau ona toe faia, tufatufaina pe fa'atau.

©2023 Abbott. Ua taofia aia tatau uma. MAT-1901316 v17.0

E fa'amaonia le HE&R mo na'o le fa'aoga e le fa'alauiloa.

Fa'amatalaga o lo'o iai i totonu mo FA'ATA'IGA i US NA'O.

Pepa / Punaoa

	Abbott Cardiac Rhythm Management Coding and Coverage Resources [pdf] Faatonuga Fa'atonuga o le Fa'atonuina o le Fa'alotoifale ma Punaoa Fa'asalalauina, Fa'asinomaga Fa'atonu ma Fa'amatalaga Fa'amatalaga Fa'atonu, Punaoa Fa'atonu Fa'atonu ma Kava, Punaoa Fa'ailoga ma Kava, Punaoa Fa'asalalau, Punaoa.
	Abbott Cardiac Rhythm Management Coding and Coverage Resources [pdf] Faatonuga Fa'atonuga o le Fa'atonuina o le Fa'alotoifale ma Punaoa Fa'asalalauina, Fa'asinomaga Fa'atonu ma Fa'amatalaga Fa'amatalaga Fa'atonu, Punaoa Fa'atonu Fa'atonu ma Kava, Punaoa Fa'ailoga ma Kava, Punaoa Fa'asalalau, Punaoa.
	Abbott Cardiac Rhythm Management Coding and Coverage Resources [pdf] Faatonuga Fa'atonuga o le Fa'atonuina o le Fa'alotoifale ma Punaoa Fa'asalalauina, Fa'asinomaga Fa'atonu ma Fa'amatalaga Fa'amatalaga Fa'atonu, Punaoa Fa'atonu Fa'atonu ma Kava, Punaoa Fa'ailoga ma Kava, Punaoa Fa'asalalau, Punaoa.
	Abbott Cardiac Rhythm Management Coding and Coverage Resources [pdf] Faatonuga VR, DR, Cardiac Rhythm Management Coding and Coverage Resources, Rhythm Management Coding and Coverage Resources, Management Coding and Coverage Resources, Coding and Coverage Resources, Coverage Resources, Resources
	Abbott Cardiac Rhythm Management Coding and Coverage Resources [pdf] Faatonuga Fa'atonuga o le Fa'atonuina o le Fa'alotoifale ma Punaoa Fa'asalalauina, Fa'asinomaga Fa'atonu ma Fa'amatalaga Fa'amatalaga Fa'atonu, Punaoa Fa'atonu Fa'atonu ma Kava, Punaoa Fa'ailoga ma Kava, Punaoa Fa'asalalau, Punaoa.

Fa'asinomaga

• Tusi Taiala