Abbott Cardiac Rhythm Management Coding uye Coverage Zviwanikwa
Zvinodiwa:
- Product: Cardiac Rhythm Management System
- Effective Date: Ndira 1, 2024
- Mugadziri: Abbott
Mirayiridzo Yekushandiswa Kwechigadzirwa
Nhanganyaya:
Iyo Cardiac Rhythm Management System yakagadzirirwa kupa cardiac resynchronization kurapa kune varwere vane chaiwo mamiriro emoyo. Inobatsira mukumhanyisa moyo uye kugadzirisa cardiac rhythm kusagadzikana.
Disclaimer:
Zvakakosha kuziva kuti ruzivo rwakapihwa mubhuku rino nderwechinangwa chete. Gara uchibvunza nyanzvi dzehutano kuti uwane nhungamiro pakushandisa chigadzirwa.
Biventricular Pacing / Cardiac Resynchronization Therapy (CRT):
Mune mamwe mamiriro ezvinhu, kumwe kutungamira kunogona kudikanwa kuti uwane biventricular pacing. Kana imwe transvenous lead placement ichidikanwa, inofanirwa kutaurwa zvakasiyana uchishandisa CPT macode 33224 kana 33225. Code 33226 inoshandiswa pakuisazve. Tarisa kuCardiac Resynchronization Therapy chikamu kuti uwane ruzivo rwakadzama.
FAQ:
- Q: Kangani iyo Cardiac Rhythm Management System inofanirwa kuongororwa?
- A: Kugara uchiongororwa uye kutariswa nevashandi vehutano zvinokurudzirwa kuti ive nechokwadi chekushanda kwakanaka kwehurongwa uye kuita chero shanduko dzinodiwa.
- Mubvunzo: Varwere vane pacemaker vanogona kushandisa iyi system?
- A: Varwere vane pacemakers vanofanirwa kubvunza vanovapa hutano kuti vaone kana iyo Cardiac Rhythm Management System inokodzera mamiriro avo chaiwo.
TERMS AND CONDITIONS
Zvese zvirimo zvinogona kunge zvichibva pane zvakati wandei, zvinosanganisira asi zvisingapereri kune zvekutanga zvinyorwa, zvinyorwa zvesainzi, seti yedata inotengeswa, ruzivo rwunopihwa nevatengi, uye zvekunze.
Kufungidzira kunoratidzwa ndekwezvinangwa zvemifananidzo chete. Izvi zvirimo hazvina kuitirwa chero chimwe chinangwa.
Izvo zvinofanirwa kucherechedzwa kuti pane kazhinji misiyano pakati peeconomic modeling chaiyo mhedzisiro. Abbott haatore mutoro kune chero kusawirirana kwakadaro.
Iko hakuna vimbiso yechero mhedzisiro inogona kuitika mune zvehupfumi, kusanganisira kubhadhara, mari yekuchengetedza, kana huwandu hwemaitiro. Migumisiro yehupfumi inotsamira pazvinhu zvakawanda uye inosiyana.
Zvimwe zvipatara zveMaryland zvakabhadharwa pasi peMaryland Waiver zviga uchishandisa All Patient Refined Diagnosis Related Group (APR-DRG) hazvibatanidzwe mukubhadhara pasi peMedicare Inpatient Prospective Payment System (IPPS).
Reimbursement Calculator haifanirwe kupihwa pasina muripo kune vane marezinesi eHealthcare Professionals (HCPs) vanogara vachidzidzira muVermont.
Ruzivo urwu harufanirwe kugoverwa kune vechitatu mapato
Nhanganyaya
Izvi zvirimo zvakaitirwa kuti zvipe zvinongedzo zvine chekuita negwara rekudzoreredza kana richishandiswa zvinoenderana nekunyorwa kwechigadzirwa. Izvi zvinosanganisira ruzivo maererano nekuvhara, kukodha uye kubhadhara. Zvimwe zviwanikwa zvinogona kuwanikwa pa
www.cardiovascular.abbott/us/en/hcp/reimbursement.html
Biventricular Pacing / Cardiac Resynchronization Therapy (CRT)
Mune mamwe mamiriro ezvinhu, kumwe kutungamira kunogona kudikanwa kuti uwane kufamba kweiyo kuruboshwe ventricle (biventricular pacing). Muchiitiko ichi, iyo yekuwedzera transvenous lead placement inofanirwa kutaurwa zvakasiyana uchishandisa CPT ‡ 33224 kana 33225. 33226 inoshumwa kuti igadziriswe. Ona iyo Cardiac Resynchronization
Therapy chikamu kuti uwane rumwe ruzivo.
Reimbursement Hotline
Abbott inopa hotline yekudzoreredza, iyo inopa live coding uye ruzivo rwekudzoreredza kubva kune vakazvitsaurira vanodzosera nyanzvi. Coding uye reimbursement rutsigiro inowanikwa Muvhuro kusvika Chishanu pa 855-569-6430. Rubatsiro rwekodha uye kudzoreredza rwunopihwa pasi pezvirambidzo zviri muzvinyorwa izvi.
Disclaimer
Ichi chinyorwa neruzivo rwurimo nderweruzivo rwezvakawanda chete uye haruna kuitirwa, uye haruunze zviri pamutemo, kudzosera, bhizinesi, kiriniki, kana rimwe zano. Pamusoro pezvo, haina kuitirwa uye haiumbe chinomiririra kana vimbiso yekudzosera, kubhadhara, kana kubhadharisa, kana kuti kudzoserwa kana kumwe kubhadhara kuchagamuchirwa. Izvo hazvina kuitirwa kuwedzera kana kuwedzera mubhadharo chero mubhadhari. Abbott haaite waranti yekutaura kana yekurevesa kana vimbiso yekuti runyorwa rwemakodhi uye rondedzero mugwaro iri rakazara kana risina kukanganisa. Saizvozvo, hapana chinhu mugwaro iri chinofanira kuva viewed semirayiridzo yekusarudza chero kodhi, uye Abbott haakurudzire ikodzera kwekushandiswa kwechero kodhi. Basa rekupedzisira rekodhi uye kuwana mubhadharo / kudzoreredza rinoramba riri mutengi. Izvi zvinosanganisira basa rekurongeka uye huchokwadi hwese coding uye zvichemo zvinotumirwa kune vechitatu-bato vanobhadhara. Pamusoro pezvo, mutengi anofanirwa kuona kuti mitemo, mirau, uye marongero ekuvhara zvakaoma uye anogadziridzwa nguva nenguva, uye, nokudaro, mutengi anofanirwa kutarisa nevamiriri vevanotakura vemunharaunda nguva zhinji uye anofanirwa kubvunzana nezano remutemo kana mari, kukodha, kana. yekudzorera nyanzvi kune chero mibvunzo ine chekuita nekukodha, kubhadharisa, kudzosera, kana chero nyaya dzine chekuita. Ichi chinyorwa chinoburitsa ruzivo rwezvinangwa chete. Haina kupihwa kana kubvumidzwa kushandiswa kwekushambadzira.
VAGadziri
Chiremba
- NA: Medicare haisati yagadzira mari yekubhadhara yekodhi iyi. Tarisa kune yako yemunharaunda Medicare Administrative Contractor (MAC) kuti uone mari yekubhadhara. Izvo zvine basa kuna chiremba kuti aone kuti ndeipi, kana iripo, modifiers inofanira kutanga kushandiswa
- NA: Medicare haisati yagadzira mari yekubhadhara yekodhi iyi. Tarisa kune yako yemunharaunda Medicare Administrative Contractor (MAC) kuti uone mari yekubhadhara. Izvo zvine basa kuna chiremba kuti aone kuti ndeipi, kana iripo, modifiers inofanira kutanga kushandiswa.
- J1: Chipatara Chikamu B masevhisi anobhadharwa kuburikidza neAPC yakazara
- Q2: T Packaged makodhi
- J1: Chipatara Chikamu B masevhisi anobhadharwa kuburikidza neAPC yakazara
- Q2: T Packaged codes
- T = Yakakosha maitiro, kuderedzwa kwakawanda kunoshanda
Ambulatory Surgery Center (ASC)
- A2: Kuvhiya maitiro pane ASC runyorwa muCY 2007; kubhadhara kunoenderana neOPPS huremu hwekubhadhara.
- G2: Kwete-office-based surgical procedure yakawedzerwa muCY 2008 kana kuti gare gare; kubhadhara kunoenderana neOPPS huremu hwekubhadhara
- J8: Chigadzirwa-yakanyanya maitiro; inobhadharwa pamwero wakagadziridzwa
Hospital Inpatient
Cherechedza: shuma musanganiswa wekuisa mudziyo uye/kana lead(s) macode anotsanangura zvakanyanya maitiro akaitwa
- CC: kukanganisika kana kusangana. MCC: dambudziko guru kana comorbidity kana inoshandiswa sechipiri chekuongorora
Hospital Inpatient
Cherechedza: taura musanganiswa wekuisa mudziyo uye/kana lead(s) macode anotsanangura zvakanyanya maitiro akaitwa
Hospital Inpatient
Cherechedza: shuma musanganiswa wekuisa mudziyo uye/kana lead(s) macode anotsanangura zvakanyanya maitiro akaitwa
- CC: kukanganisika kana kusangana. MCC: dambudziko guru kana comorbidity kana inoshandiswa sechipiri chekuongorora
HCPCS Device Category C-Codes
ICD-10-CM Diagnostic Codes
Makodhi ekuongorora anoshandiswa nevese zvipatara uye vanachiremba kunyora chiratidzo chemaitiro. Kune varwere veCardiac pacemakers, Implantable cardioverter defibrillators (ICD) uye Implantable/Insertable Cardiac Monitors (ICM) varwere, pane zvakawanda zvinogoneka zvekuongorora kodhi mamiriro uye akasiyana siyana anogona kusanganiswa. Mamiriro anogona kuitika uye masanganiswa akawandisa kuti atore mugwaro iri. Mutengi anofanirwa kutarisa nevatakuri vemunharaunda yavo kana vamiriri uye anofanira kubvunzana nenyanzvi dzezvemitemo kana nyanzvi yezvemari, yekodhi kana yekudzorera yekodha, yekubhadhara kana yekubhadhara mibvunzo ine chekuita neICD-10-CM macode ekuongorora.
REFERENCES
- FY2024 IPPS Yekupedzisira Rule Peji Peji. US Centers yeMedicare uye Medicaid Services. [yakatorwa: Gunyana 2023].
https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/fy-2024-ipps-final-rule-home-page - CY2024 ASC Yekupedzisira Chiziviso Peji Peji. US Centers yeMedicare uye Medicaid Services. [yakatorwa: Mbudzi 2023].
https://www.cms.gov/medicare/payment/prospective-payment-systems/ambulatory-surgical-center-asc/asc-regulations-and-notices - CY2024 MPFS Yekupedzisira Kutonga Peji Peji. US Centers yeMedicare uye Medicaid Services. [yakatorwa: Mbudzi 2023].
https://www.cms.gov/medicare/payment/fee-schedules/physician/federal-regulation-notices - CY2024 OPPS Yekupedzisira Rule Peji Peji. US Centers yeMedicare uye Medicaid Services. [yakatorwa: Mbudzi 2023].
https://www.cms.gov/medicare/payment/prospective-payment-systems/hospital-outpatient/regulations-notices - FY2023 IPPS Yekupedzisira Rule Peji Peji. US Centers yeMedicare uye Medicaid Services. [yakatorwa: Nyamavhuvhu 2022].
https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/fy-2023-ipps-final-rule-home-page - CY2023 OPPS Final Rule neKururamisa Chiziviso. US Centers yeMedicare uye Medicaid Services. [yakatorwa: Mbudzi 2023].
https://www.cms.gov/medicare/payment/prospective-payment-systems/hospital-outpatient/regulations-notices - Provider Outpatient Hospital Charge Data neAPC, CY2021. [yakatorwa: Mbudzi 2023].
https://data.cms.gov/provider-summary-by-type-of-service/medicare-outpatient-hospitals/medicare-outpatient-hospitals-by-provider-and-service - Medicare Inpatient Hospitals - neMupi uye Sevhisi - FY2021 [yakataurwa: 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 PAYMENT SYSTEM - PAYMENT BASICS [yakataurwa: Gunyana 2023] https://www.medpac.gov/wp-content/uploads/2021/11/MedPAC_Payment_Basics_22_hospital_FINAL_SEC.pdf
- CGS Medicare Chikamu B Mari [yakataurwa: Ndira 2021].
https://www.cgsmedicare.com/partb/fees/index.html - Yekutanga Coast Service Options (FCSO) Medicare Chikamu B Mari [yakataurwa: Ndira 2021].
https://medicare.fcso.com/SharedTools/faces/FeeSchedule_en.jspx?lob=&state= - National Government Services (NGS) Medicare Fee Schedule Lookup [yakataurwa: Gunyana 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) [yakataurwa: Ndira 2021].
https://med.noridianmedicare.com/web/jeb/fees-news/fee-schedules/contractor-status-codes-c-status - Novitas Solutions Medicare Chiremba's Fee Schedule [yakataurwa: Gunyana 2023].
https://www.novitas-solutions.com/webcenter/portal/MedicareJH/FeeLookup - Palmetto GBA Medicare Chiremba Mari Yekuronga Chikamu B [yakataurwa: Ndira 2021].
https://www.palmettogba.com/palmetto/fees_front.nsf/fee_main?OpenForm - WPS Medicare Chiremba Fee Mashedhi [akataurwa: Ndira 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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- Tel: 1 651 756 2000
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- www.moyo.abbott
2024 CRM Medicare Reimbursement Guide
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©2023 Abbott. Kodzero dzese dzakachengetwa. MAT-1901316 v17.0
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