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Abbott Vascular Coding ma le Coverage Resources

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Fa'amatalaga o oloa

Fa'amatalaga

  • Igoa Oloa: Soifua Maloloina Tamaoaiga & Toe totogiina 2024 Taʻiala Toe Faʻaleleia
  • Vaega: Soifua Maloloina Tamaoaiga
  • Tufuga: Abbott
  • Tausaga: 2024

Fa'atonuga o le Fa'aaogaina o Mea

Ua umaview

O le Health Economics & Reimbursement 2024 Reimbursement Guide a Abbott o loʻo tuʻuina mai ai faʻamatalaga e uiga i le toe totogiina o tupe mo tekinolosi ma faiga faʻalesoifua maloloina i lalo o le CMS Hospital Outpatient Prospective Payment System (OPPS) ma le Ambulatory Surgical Center (ASC) Tulafono Mulimuli mo le tausaga 2024.

Taiala o Taualumaga

O le taʻiala e aofia ai laulau faʻatasi ai ma faʻataʻitaʻiga masani tau pili mo tekinolosi ma faʻagasologa e pei ole Cardiac Rhythm Management (CRM), Electrophysiology (EP), ma isi faiga faʻatatau. E mana'omia le fa'asino i le Fa'avasegaina o Totogi Fa'atosina atoa (APC) ua saunia e le CMS mo fa'amatalaga sa'o o le toe totogiina.

Iloiloga o le toe totogiina

Ua su'esu'eina e Abbott le a'afiaga o suiga o totogi i taualumaga ta'ito'atasi i totonu o le Falema'i Falema'i i fafo (HOPD) ma le ASC tausiga. O le ta'iala e fai ma fa'asinomaga mo le malamalama i le maualuga o le toe totogiina ma le inisiua e fa'atatau i tulafono CY2024.

Fa'amatalaga Fa'afeso'ota'i

Mo nisi fa'amatalaga po'o fa'amatalaga, asiasi Abbott.com pe fa'afeso'ota'i le vaega a le Abbott Health Care Economics i 855-569-6430 po'o imeli AbbottEconomics@Abbott.com.

FAQ

  • F: E fa'afia ona fa'afou le ta'iala mo le toe totogiina?
    • A: Abbott o le a faʻaauau ona suʻesuʻeina ma faʻafouina le taʻiala o le toe totogiina pe a manaʻomia e faʻatatau i suiga i faiga faʻavae CMS.
  • F: E mafai e le taʻiala ona faʻamaonia tulaga faʻapitoa o le toe totogiina?
    • A: O le ta'iala o lo'o tu'uina atu ai na'o fa'ata'ita'iga fa'amoemoega ma e le fa'amaonia le maualuga o le toe totogiina po'o le inisiua ona o suiga i taualumaga ma fa'avasegaga APC.

 

Fa'amatalaga o oloa

CMS Hospital Outpatient (OPPS) ma Ambulatory Surgical Center (ASC) Reimbursement Prospectus

O le Centers for Medicare & Medicaid Services (CMS) na faia suiga tetele i le kalena tausaga 2024 (CY2024) faiga faʻavae ma tulaga totogi lea e aʻafia ai le tele o taualumaga e faʻaogaina ai tekinolosi ma fofo togafitiga a Abbott i le Falemaʻi Outpatient Department (HOPD) ma le Ambulatory Surgical Center (ASC) faatulagaga o le tausiga. O nei suiga ua fa'aopoopoina e ala i le aga'i atu i luma o faiga fou ma le fa'aauauina o le toe fuata'iina o tupe e a'afia ai le tele o fale tausi soifua maloloina a Amerika. I totonu o lenei pepa fa'ata'ita'iga, o lo'o fa'amamafaina ai e Abbott nisi o faiga fa'avae totogi ma fua faatatau fou o totogi i 'au'aunaga fa'alesoifua maloloina o lo'o fa'atinoina auaunaga ua ese nei totogi nai lo tausaga ua mavae. I le aso 2 o Novema, 2023, na tatalaina ai e le CMS le CY2024 Hospital Outpatient Prospective Payment System (OPPS)/Ambulatory Surgical Center (ASC) Tulafono Fa'ai'u, fa'amanaia mo auaunaga i le aso 1 o Ianuari, 2024.3,4 Mo le 2024, CMS poloketi a:

  • 3.1% si'itaga i le aofa'i o totogi OPPS3
  • 3.1% si'itaga i le aofa'i o totogi ASC4

Ua matou tu'uina atu siata nei e fa'atatau i fa'ata'ita'iga masani tau pili mo tekinolosi ma fa'agaioiga eseese. Ua fa'amoemoeina mo na'o fa'ata'ita'iga ma e le o se fa'amaoniga o tulaga toe totogiina po'o le fa'asoa. E mafai ona fesuia'i le toe totogiina e fa'atatau i faiga fa'apitoa o lo'o fa'atinoina, ma luga ole fa'avasegaina o totogi o le Ambulatory Ambulatory (APC) na faia e le CMS ile HOPD. I le fa'aaogaina o tulafono a le CY2024 e fai ma fa'amatalaga, ua iloilo ai e Abbott le a'afiaga o le totogiina o fa'atonuga ta'ito'atasi o lo'o faia i totonu o le HOPD, ma le tulaga o le tausiga o le ASC, lea e aofia ai a tatou tekinolosi po'o fofo o togafitiga. O le a fa'aauau pea ona matou su'esu'eina le a'afiaga o suiga i faiga fa'avae o le totogiina o le CMS ma fa'afouina lenei pepa pe a mana'omia. Mo nisi fa'amatalaga fa'amolemole asiasi mai Abbott.com, pe fa'afeso'ota'i le vaega a le Abbott Health Care Economics i 855-569-6430 or AbbottEconomics@Abbott.com.

Fa'amatalaga

  Falema'i i fafo (OPPS) Fale Ta'otoga Falema'i (ASC)
 

Fa'atauva'a

 

Tekinolosi

 

Taualumaga

 

Primary APC

 

CPT‡

Code

ASC

Lavelave Adj.

CPT‡ Code

 

2023

Toe totogi

 

2024

Toe totogi

 

%

Suiga

 

2023

Toe totogi

 

2024

Toe totogi

 

%

Suiga

 

Electrophysiology (EP)

 

 

EP Aveesea

Fa'ato'a fa'a'ese'ese, pona AV 5212 93650   $6,733 $7,123 5.8%      
EP su'esu'ega fa'atasi ai ma le fa'amama o le catheter, SVT 5213 93653   $23,481 $22,653 -3.5%      
EP su'esu'ega ma le fa'amama fa'amama, VT 5213 93654   $23,481 $22,653 -3.5%      
Su'esu'ega a le EP ma le fa'amama o le catheter, togafitiga o le AF e le PVI 5213 93656   $23,481 $22,653 -3.5%      
EP Suesuega Su'esu'ega EP atoatoa e aunoa ma le fa'auluina 5212 93619   $6,733 $7,123 5.8%      
 

Fa'atonuga o le Fa'ata'oto (CRM)

Mata'itu le Fa'ato'a Fa'atosina (ICM) ICM fa'atosina   33282   $8,163          
5222 33285   $8,163 $8,103 -0.7% $7,048 $6,904 -2.0%
Aveesea ICM 5071 33286   $649 $671 3.4% $338 $365 8.0%
 

 

 

 

Pacemaker

Fa'apipi'i po'o le Suiga - Potu Tasi (Ventricular)  

5223

 

33207

   

$10,329

 

$10,185

 

-1.4%

 

$7,557

 

$7,223

 

-4.4%

Faiga Fa'apipi'i po'o Suiga - Lua Chamber 5223 33208   $10,329 $10,185 -1.4% $7,722 $7,639 -1.1%
Ave'esea le Pacemaker Leadless 5183 33275   $2,979 $3,040 2.0% $2,491 $2,310 -7.3%
Fa'ato'a Fa'ato'a Fa'asa'o E Le'i Ta'ita'i 5224 33274   $17,178 $18,585 8.2% $12,491 $13,171 5.4%
Suiga maa – Potu Tasi 5222 33227   $8,163 $8,103 -0.7% $6,410 $6,297 -1.8%
Suiga maa - Lua Chamber 5223 33228   $10,329 $10,185 -1.4% $7,547 $7,465 -1.1%
 

Fa'ato'a Fa'ato'a Fa'agata Fa'ama'i (ICD)

Fa'apipi'i po'o le Suiga 5232 33249   $32,076 $31,379 -2.2% $25,547 $24,843 -2.8%
Suiga maa – Potu Tasi 5231 33262   $22,818 $22,482 -1.5% $19,382 $19,146 -1.2%
Suiga maa - Lua Chamber 5231 33263   $22,818 $22,482 -1.5% $19,333 $19,129 -1.1%
Sub-Q ICD Fa'aofiina ole faiga ole ICD ole subcutaneous 5232 33270   $32,076 $31,379 -2.2% $25,478 $25,172 -1.2%
Na'o Ta'ita'i – Pace-maker, ICD, SICD, CRT Ta'ita'i tasi, Pacemaker, ICD, po'o le 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%
Mataituina o masini Polokalama ma Mata'ituina Mamao 5741 0650T   $35 $36 2.9%      
5741 93279   $35 $36 2.9%      
 

CRT-P

Fa'apipi'i po'o le Suiga 5224 33208

+ 33225

C7539 $18,672 $18,585 -0.5% $10,262 $10,985 7.0%
Suiga maa 5224 33229   $18,672 $18,585 -0.5% $11,850 $12,867 8.6%
 

CRT-D

Fa'apipi'i po'o le Suiga 5232 33249

+ 33225

  $18,672 $31,379 -2.2% $25,547 $24,843 -2.8%
Suiga maa 5232 33264   $32,076 $31,379 -2.2% $25,557 $25,027 -2.1%
 

Fa'aletonu le fatu

CardioMEMS Fa'apipi'i Fa'amau   C2624              
5200 33289   $27,305 $27,721 1.5%   $24,713  
LVAD Su'esu'ega, i le tagata lava ia 5742 93750   $100 $92 -8.0%      
Fuafuaga mo le tausiga 5822 99497   $76 $85 11.8%      
 

toto maualuga

 

 

Fa'ato'a Fa'aleaga

 

Fa'alēga o fatuga'o, fa'atasi

 

5192

 

0338T

   

$5,215

 

$5,452

 

4.5%

 

$2,327

 

$2,526

 

8.6%

 

Fa'alēga o fatuga'o, lua itu

 

5192

 

0339T

   

$5,215

 

$5,452

 

4.5%

 

$2,327

 

$3,834

 

64.8%

  Falema'i i fafo (OPPS) Fale Ta'otoga Falema'i (ASC)
 

Fa'atauva'a

 

Tekinolosi

 

Taualumaga

 

Primary APC

 

CPT‡

Code

ASC

Lavelave Adj.

CPT‡ Code

 

2023

Toe totogi

 

2024

Toe totogi

 

%

Suiga

 

2023

Toe totogi

 

2024

Toe totogi

 

%

Suiga

 

Fa'atoto

 

 

 

PCI Drug Eluting Stents (e aofia ai le FFR/OCT)

DES, faʻatasi ma le angioplasty; tasi le va'a, fa'atasi pe leai FFR ma/po'o OCT 5193 C9600   $10,615 $10,493 -1.1% $6,489 $6,706 3.3%
Lua DES, faʻatasi ma le angioplasty; lua va'a, fa'atasi pe leai fo'i le FFR ma/po'o le OCT.  

5193

 

C9600

   

$10,615

 

$10,493

 

-1.1%

 

$6,489

 

$6,706

 

3.3%

Lua DES, faʻatasi ma le angioplasty; tasi le va'a, fa'atasi pe leai fo'i le FFR ma/po'o le OCT  

5193

 

C9600

   

$10,615

 

$10,493

 

-1.1%

 

$6,489

 

$6,706

 

3.3%

Lua DES, faʻatasi ma le angioplasty; lua alatoto tetele, fa'atasi pe leai fo'i le FFR ma/po'o le OCT.  

5194

 

C9600

   

$10,615

 

$16,725

 

57.6%

 

$9,734

 

$10,059

 

3.3%

BMS ma atherectomy BMS ma atherectomy 5194 92933   $17,178 $16,725 -2.6%      
DES ma le atherectomy DES ma le atherectomy 5194 C9602   $17,178 $16,725 -2.6%      
DES ma le AMI DES ma le AMI   C9606   $0          
DES ma CTO DES ma CTO 5194 C9607   $17,178 $16,725 -2.6%      
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Coronary Angiography and Coronary Physiology (FFR/CFR) poʻo OCT

Angiography coronary 5191 93454   $2,958 $3,108 5.1% $1,489 $1,633 9.7%
Angiography coronary + OCT 5192 93454

+ 92978

C7516 $5,215 $5,452 4.5% $2,327 $2,526 8.6%
Coronary angiography i le sulu 5191 93455   $2,958 $3,108 5.1% $1,489 $1,633 9.7%
Coronary angiography i le sulu

+ OKT

5191 93455

+ 92978

C7518 $5,215 $3,108 -40.4% $2,327    
Angiography coronary ile sulu + FFR/CFR 5191 93455

+ 93571

C7519 $5,215 $3,108 -40.4% $2,327    
Angiography coronary fa'atasi ai ma le fa'asa'o o le fatu taumatau 5191 93456   $2,958 $3,108 5.1% $1,489 $1,633 9.7%
Angiography coronary fa'atasi ai ma le fa'asa'o o le fatu taumatau + OCT 5192 93456

+ 92978

C7521 $5,215 $5,452 4.5% $2,327 $2,526 8.6%
Angiography coronary fa'atasi ai ma le fa'asa'o o le fatu taumatau + FFR/CFR 5192 93456

+ 93571

C7522 $5,215 $5,452 4.5% $2,327 $2,526 8.6%
O le coronary angiography i le sulu ma le fatu sa'o catheterization 5191 93457   $2,958 $3,108 5.1% $1,489 $1,633 9.7%
O le coronary angiography i le sulu ma le fatu sa'o catheterization

+ FFR/CFR

 

5191

93457

+ 93571

   

$5,215

 

$3,108

 

-40.4%

 

$0

 

$0

 
Angiography coronary fa'atasi ai ma le fa'asaoina o le fatu agavale 5191 93458   $2,958 $3,108 5.1% $1,489 $1,633 9.7%
Angiography coronary fa'atasi ai ma le fa'asaoina o le fatu agavale + OCT 5192 93458

+ 92978

C7523 $5,215 $5,452 4.5% $2,327 $2,526 8.6%
Angiography coronary fa'atasi ai ma le fa'asaoina o le fatu agavale + FFR/CFR 5192 93458

+ 93571

C7524 $5,215 $5,452 4.5% $2,327 $2,526 8.6%
O le coronary angiography i le sulu ma le fatu agavale faʻasaʻo 5191 93459   $2,958 $3,108 5.1% $1,489 $1,633 9.7%
O le coronary angiography i le sulu ma le fatu agavale catherization + OCT 5192 93459

+ 92978

C7525 $5,215 $5,452 4.5% $2,327 $2,526 8.6%
O le coronary angiography i le sulu ma le fatu agavale fa'asao + FFR/CFR  

5192

93459

+ 93571

 

C7526

 

$5,215

 

$5,452

 

4.5%

 

$2,327

 

$2,526

 

8.6%

Cornary angiography fa'atasi ai ma catheterization fatu taumatau ma agavale 5191 93460   $2,958 $3,108 5.1% $1,489 $1,633 9.7%
Cornary angiography fa'atasi ai ma catheterization fatu taumatau ma agavale

+ OKT

 

5192

93460

+ 92978

 

C7527

 

$5,215

 

$5,452

 

4.5%

 

$2,327

 

$2,526

 

8.6%

Cornary angiography faʻatasi ai ma le faʻamaʻiina o le fatu taumatau ma le agavale + FFR/CFR  

5192

93460

+ 93571

 

C7528

 

$5,215

 

$5,452

 

4.5%

 

$2,327

 

$2,526

 

8.6%

  Falema'i i fafo (OPPS) Fale Ta'otoga Falema'i (ASC)
 

Fa'atauva'a

 

Tekinolosi

 

Taualumaga

 

Primary APC

 

CPT‡

Code

ASC

Lavelave Adj.

CPT‡ Code

 

2023

Toe totogi

 

2024

Toe totogi

 

%

Suiga

 

2023

Toe totogi

 

2024

Toe totogi

 

%

Suiga

 

Fa'atoto

 

Coronary Angiography and Coronary Physiology (FFR/CFR) poʻo OCT

O le coronary angiography i le sulu ma le itu taumatau ma le agavale fatu catheterization  

5191

 

93461

   

$2,958

 

$3,108

 

5.1%

 

$1,489

 

$1,633

 

9.7%

Angiography coronary i le sulu ma le fatu taumatau ma le agavale catheterization + FFR/CFR  

5192

93461

+ 93571

 

C7529

 

$5,215

 

$5,452

 

4.5%

 

$2,327

 

$2,526

 

8.6%

 

Vascular Peripheral

 

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 ma Stenting

Atherectomy ma stenting (Fem/ Pop) 5194 37227   $17,178 $16,725 -2.6% $11,792 $11,873 0.7%
Atherectomy ma stenting (Tibial/Peroneal) 5194 37231   $17,178 $16,725 -2.6% $11,322 $11,981 5.8%
 

 

 

Fa'apalapala

Venous embolization po'o occlusion 5193 37241   $10,615 $10,493 -1.1% $5,889 $6,108 3.7%
Fa'aola toto po'o fa'alavelave 5194 37242   $10,615 $16,725 57.6% $6,720 $11,286 67.9%
Embolization po'o occlusion mo tuma, okeni ischemia, poʻo le faʻaleagaina  

5193

 

37243

   

$10,615

 

$10,493

 

-1.1%

 

$4,579

 

$4,848

 

5.9%

Embolization po'o occlusion mo alatoto po'o venous toto po'o lymphatic extravasation  

5193

 

37244

   

$10,615

 

$10,493

 

-1.1%

     
 

 

Thrombectomy Fa'ainisinia Arteri

O le thrombectomy fa'ainisinia fa'a-a'a muamua; vaa muamua  

5194

 

37184

   

$10,615

 

$16,725

 

57.6%

 

$6,563

 

$10,116

 

54.1%

 

Vascular Peripheral

O le thrombectomy fa'ainisinia fa'aulu ole alatoto muamua; lona lua ma va'a uma mulimuli ane    

37185

   

afifiina

 

afifiina

   

NA

 

NA

 
O le thrombectomy fa'ainisinia alatoto lona lua   37186   afifiina afifiina   NA NA  
 

 

Thrombectomy Mechanical Arterial ma le Angioplasty

O le thrombectomy fa'ainisinia fa'a-a'a muamua; ulua'i va'a ma le angioplasty Iliac  

NA

37184

+37220

         

$8,100

 

$11,754

 

45.1%

O le thrombectomy fa'ainisinia fa'a-a'a muamua; ulua'i va'a na iai le angioplasty fem/pop  

NA

37184

+37224

         

$8,178

 

$11,842

 

44.8%

O le thrombectomy fa'ainisinia fa'a-a'a muamua; ulua'i va'a ma le angioplasty tib/pero  

NA

37184

+37228

         

$9,606

 

$13,283

 

38.3%

 

 

Thrombectomy Mechanical Arterial ma le Stenting

O le thrombectomy fa'ainisinia fa'a-a'a muamua; o le vaa muamua ma le Iliac stenting  

NA

37184

+37221

         

$9,881

 

$13,502

 

36.7%

O le thrombectomy fa'ainisinia fa'a-a'a muamua; ulua'i va'a fa'ama'i fem/pop  

NA

37184

+37226

         

$10,251

 

$13,631

 

33.0%

O le thrombectomy fa'ainisinia fa'a-a'a muamua; ulua'i va'a ma'i tib/pero  

NA

37184

+37230

         

$14,634

 

$15,793

 

7.9%

  Falema'i i fafo (OPPS) Fale Ta'otoga Falema'i (ASC)
 

Fa'atauva'a

 

Tekinolosi

 

Taualumaga

 

Primary APC

 

CPT‡

Code

ASC

Lavelave Adj.

CPT‡ Code

 

2023

Toe totogi

 

2024

Toe totogi

 

%

Suiga

 

2023

Toe totogi

 

2024

Toe totogi

 

%

Suiga

 

Vascular Peripheral

 

Venous Mechanical Thrombectomy

Venous percutaneous mechanical thrombectomy, togafitiga muamua 5193 37187   $10,615 $10,493 -1.1% $7,321 $7,269 -0.7%
Venous percutaneous mechanical thrombectomy, toe fai togafitiga ile aso mulimuli ane  

5183

 

37188

   

$2,979

 

$3,040

 

2.0%

 

$2,488

 

$2,568

 

3.2%

Venous Mechanical Thrombectomy ma le Angioplasty Venous percutaneous mechanical thrombectomy, togafitiga muamua ile angioplasty  

NA

 

37187

+ 37248

         

$8,485

 

$8,532

 

0.6%

Venous Mechanical Thrombectomy ma Stenting Venous percutaneous mechanical thrombectomy, togafitiga muamua ma le stenting  

NA

 

37187

+ 37238

         

$10,551

 

$10,619

 

0.6%

 

 

Fa'amama toto Thrombectomy

O le thrombectomy masini, fa'amama toto 5192 36904   $5,215 $5,452 4.5% $3,071 $3,223 4.9%
O le thrombectomy masini, fa'amama toto, ma le angioplasty  

5193

 

36905

   

$10,615

 

$10,493

 

-1.1%

 

$5,907

 

$6,106

 

3.4%

O le thrombectomy masini, fa'amama toto, ma stent  

5194

 

36906

   

$17,178

 

$16,725

 

-2.6%

 

$11,245

 

$11,288

 

0.4%

 

 

 

 

Thrombolysis

Transcatheter arterial thrombolysis togafitiga, aso muamua  

5184

 

37211

   

$5,140

 

$5,241

 

2.0%

 

$3,395

 

$3,658

 

7.7%

Transcatheter venous thrombolysis togafitiga, aso muamua  

5183

 

37212

   

$2,979

 

$3,040

 

2.0%

 

$1,444

 

$1,964

 

36.0%

Togafitiga o le thrombolysis o le toto o le toto po'o le toto toto, i le aso mulimuli ane  

5183

 

37213

   

$2,979

 

$3,040

 

2.0%

     
Togafitiga o le thrombolysis o le toto po'o le toto toto o le Transcatheter, aso mulimuli 5183 37214   $2,979 $3,040 2.0%      
 

Loto Fa'atonu

PFO tapunia tapunia ASD/PFO 5194 93580   $17,178 $16,725 -2.6%      
ASD tapunia ASD/PFO 5194 93580   $17,178 $16,725 -2.6%      
VSD VSD tapunia 5194 93581   $17,178 $16,725 -2.6%      
PDA PDA tapunia 5194 93582   $17,178 $16,725 -2.6%      
 

Tiga Tuaga

 

 

 

 

 

Fa'aosoina ole Spinal Cord ma le DRG Stimulation

Su'ega Ta'ita'i Ta'ita'i: fa'ata'oto 5462 63650   $6,604 $6,523 -1.2% $4,913 $4,952 0.8%
Su'ega Ta'ilua Ta'ita'i: percutaneous 5462 63650   $6,604 $6,523 -1.2% $9,826 $9,904 0.8%
Fa'ata'otoga Ta'ita'i Fa'amasinoga 5464 63655   $21,515 $20,865 -3.0% $17,950 $17,993 0.2%
Full System – Ta’ita’i ta’ito’atasi – Percutaneous 5465 63685   $29,358 $29,617 0.9% $29,629 $30,250 2.1%
Faiga atoa - Ta'ilua Ta'ita'i - Percutaneous 5465 63685   $29,358 $29,617 0.9% $34,542 $35,202 1.9%
Full System IPG - Laminectomy 5465 63685   $29,358 $29,617 0.9% $42,666 $43,291 1.5%
IPG implant po'o le sui 5465 63685   $29,358 $29,617 0.9% $24,716 $25,298 2.4%
Ta'ita'i tasi 5462 63650   afifiina afifiina   $4,913 $4,952 0.8%
Ta'i lua 5462 63650   afifiina afifiina   $4,913 $4,952 0.8%
Iloiloga o le IPG, Polokalama Faigofie 5742 95971   $100 $92 -8.0%      
 

 

Fa'asalaina Neura Pi'i

Full System – Ta’ita’i ta’ito’atasi – 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%
Faiga atoa - Ta'ilua Ta'ita'i - 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%
Suiga IPG 5464 64590   $21,515 $20,865 -3.0% $19,333 $19,007 -1.7%
  Falema'i i fafo (OPPS) Fale Ta'otoga Falema'i (ASC)
 

Fa'atauva'a

 

Tekinolosi

 

Taualumaga

 

Primary APC

 

CPT‡

Code

ASC

Lavelave Adj.

CPT‡ Code

 

2023

Toe totogi

 

2024

Toe totogi

 

%

Suiga

 

2023

Toe totogi

 

2024

Toe totogi

 

%

Suiga

 

Tiga Tuaga

 

 

RF Aveesea

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%
Isi Neura Peripheral 5443 64640   $852 $869 2.0% $172 $173 0.6%
Ave'esea ole alaleo ole leitio 5431 64625   $1,798 $1,842 2.4% $854 $898 5.2%
 

Fa'aletonu Gaoioiga

 

 

 

 

DBS

Tulaga IPG – Nofo Tasi 5464 61885   $21,515 $20,865 -3.0% $19,686 $19,380 -1.6%
Tulaga IPG – Lua IPG Fa'asologa Ta'itasi 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%
Tulaga IPG – Lua Fa'asologa 5465 61886   $29,358 $29,617 0.9% $24,824 $25,340 2.1%
Iloiloga o le IPG, Leai se Polokalama 5734 95970   $116 $122 5.2%      
Iloiloga o le IPG, Polokalama Faigofie; muamua 15 Min 5742 95983   $100 $92 -8.0%      
Iloiloga o le IPG, Polokalama Faigofie; faaopoopo 15 Min   95984   $0          

Fa'ailoga

O lenei 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 Abbott e le fa'asalaina pe fa'amaonia 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'ailoga uma ma tagi na tu'uina atu i tagata totogi isi vaega. E le gata i lea, e tatau i le tagata faatau ona matau o tulafono, tulafono faatonutonu, ma faiga faavae o le inisiua e lavelave ma e faafou soo ma e mafai ona suia e aunoa ma se faasilasilaga. E tatau i le tagata fa'atau ona fa'afeso'ota'i fa'atasi ma ana tagata fa'apitonu'u po'o fa'auilavea so'o 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 so'o se fesili e feso'ota'i ma coding, pili, toe totogiina, po'o so'o se mataupu fa'atatau. O mea nei e toe gaosia fa'amatalaga mo na'o fa'amatalaga. E le tu'uina atu po'o le fa'atagaina mo le fa'aogaina o maketi.

Punavai

  1. Totogi Fa'amoemoe ole Falema'i i fafo-Tulafono Fa'ai'u ma Fa'amatalaga CY2024:
  2. Totogi Fale Ta'oto'o Ambulatory-Tulafono Fa'ai'u CY2024 Fua Faatatau o Totogi:
  3. Totogi Fa'amoemoe ole Falema'i i fafo-Tulafono Fa'ai'u ma Fa'amatalaga CY2023:
  4. Totogi Fale Ta'oto'o Ambulatory-Tulafono Fa'ai'u CY2023 Fua Faatatau o Totogi: https://www.cms.gov/medicaremedicare-fee-service-paymentascpaymentasc-regulations-and-notices/cms-1772-fc

FAʻAALIGA: O lenei oloa e faʻamoemoe mo le faʻaaogaina e poʻo lalo o le faʻatonuga a se fomaʻi. A'o le'i fa'aogaina, fa'asino le Fa'atonuga mo le Fa'aaogā, i totonu o le pusa oloa (pe a maua) po'o le vascular.eifu.abbott po'o le manuals.eifu.abbott mo nisi fa'amatalaga au'ili'ili i Fa'ailoga, Fa'ailoga, Lapataiga, Puipuiga ma Mea Fa'aletonu. Abbott One St. Jude Medical Dr., St. Paul, MN 55117, ISA, Tel: 1 651 756 2000 ™ Faʻaalia se faʻailoga faʻailoga a le vaega o kamupani a Abbott. ‡ Fa'ailoa mai ai se fa'ailoga fa'ailoga lona tolu, o meatotino a lē e ana.

©2024 Abbott. Ua taofia aia tatau uma. MAT-1901573 v6.0. Fa'amaonia mea mo na'o Amerika. Ua fa'amaonia e le HE&R mo na'o le fa'aoga e le fa'alauiloa.

Pepa / Punaoa

Abbott Vascular Coding ma le Coverage Resources [pdf] Tusi Lesona a le Pule
Vascular Coding and Coverage Resources, Coding and Coverage Resources, Coverage Resources, Resources

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