Abbott Vascular Coding uye Coverage Zviwanikwa
Product Information
Zvinotsanangurwa
- Zita reChigadzirwa: Hutano Economics & Reimbursement 2024 Reimbursement Guide
- Category: Healthcare Economics
- Mugadziri: Abbott
- Gore: 2024
Mirayiridzo Yekushandiswa Kwechigadzirwa
Overview
Iyo Health Economics & Reimbursement 2024 Reimbursement Guide naAbbott inopa ruzivo rwekudzosera tarisiro yeakasiyana siyana ehutano matekinoroji uye maitiro pasi peCMS Hospital Outpatient Prospective Payment System (OPPS) uye Ambulatory Surgical Center (ASC) yekupedzisira Rule yegore ra2024.
Maitiro Guidelines
Gwaro iri rinosanganisira matafura ane akajairwa kubhadharisa mamiriro etekinoroji uye maitiro akadai seCardiac Rhythm Management (CRM), Electrophysiology (EP), uye mamwe maitiro ane hukama. Izvo zvakakosha kuti utaure kune chaiyo Yakakwana Ambulatory Payment Classification (APC) yakapihwa neCMS yeruzivo rwekudzoreredza rwakakwana.
Reimbursement Analysis
Abbott akaongorora zvingangoita shanduko yekubhadhara pamatanho emunhu mukati meDhipatimendi Revarwere Vepachipatara (HOPD) uye ASC kuchengetedza marongero. Gwaro iri rinoshanda sereferensi yekunzwisisa mazinga ekubhadhara uye kuvharika zvichibva pamitemo yeCY2024.
Contact Information
Kuti uwane rumwe ruzivo kana kubvunza, shanya Abbott.com kana kubata timu yeAbbott Health Care Economics pa 855-569-6430 kana email AbbottEconomics@Abbott.com.
FAQ
- Q: Kangani gidhi rekubhadhara rinovandudzwa?
- A: Abbott acharamba achiongorora nekuvandudza gwara rekudzoreredza sezvinodiwa zvichienderana neshanduko kumitemo yekubhadhara yeCMS.
- Mubvunzo: Ko gwara rinogona kuvimbisa mazinga ekubhadhara chaiwo?
- A: Gwaro rinopa zvibodzwa zvemifananidzo chete uye harivimbisi mazinga emubhadharo kana kuvharwa nekuda kwekusiyana kwemaitiro uye kupatsanurwa kweAPC.
Product Information
CMS Hospital Outpatient (OPPS) uye Ambulatory Surgical Center (ASC) Reimbursement Prospectus
Iyo Centers for Medicare & Medicaid Services (CMS) yakaita shanduko huru kune rekarenda gore 2024 (CY2024) marongero uye mazinga ekubhadhara ayo anokanganisa maitiro akati wandei achishandisa Abbott tekinoroji uye kurapa mhinduro muHospital Outpatient department (HOPD) uye Ambulatory Surgical Center (ASC) zvirongwa zvekuchengeta. Shanduko idzi dzinowedzerwa nekufambira mberi kwematanho matsva uye arikuenderera mberi ekugadzirisa mubhadharo anokanganisa ruzhinji rwezvipatara zveUS. Mune ino prospectus gwaro, Abbott anonongedza mamwe marongero ekubhadhara uye mareti matsva ekubhadhara kune vanopa hutano vanoita masevhisi ari kubhadharwa zvakasiyana kupfuura mumakore apfuura. Musi waNovember 2, 2023, CMS yakaburitsa CY2024 Hospital Outpatient Prospective Payment System (OPPS)/Ambulatory Surgical Center (ASC) Final Rule, inoshanda kumasevhisi muna Ndira 1, 2024.3,4 Ya2024, CMS mapurojekiti:
- 3.1% kuwedzera kweiyo yakazara OPPS kubhadhara3
- 3.1% kuwedzera kweiyo ASC kubhadhara4
Isu takapa matafura anotevera zvichienderana neakajairwa mabhiri emhando dzakasiyana dzetekinoroji uye maitiro. Izvi zvinoitirwa zviratidziro chete uye haisi vimbiso yekudzosera mazinga kana kuvharwa. Kudzorera kunogona kusiyana zvichienderana nemaitiro ari kuitwa, uye paComprehensive Ambulatory Payment Classification (APC) iyo CMS yakagadzira muHOPD. Achishandisa iyo CY2024 mitemo sereferensi, Abbott akaongorora zvingangoitika pakubhadhara kune ega maitiro anoitwa mukati meHOPD, uye mune ASC yekutarisisa marongero, ayo anosanganisira edu matekinoroji kana kurapwa mhinduro. Ticharamba tichiongorora zvingangoitika zvekuchinja kuCMS kubhadhara marongero uye kugadzirisa gwaro iri pazvinenge zvichidikanwa. Kuti uwane rumwe ruzivo ndapota shanya Abbott.com, kana kubata veAbbott Health Care Economics timu pa 855-569-6430 or AbbottEconomics@Abbott.com.
Tsanangudzo
Hospital Outpatient (OPPS) | Ambulatory Surgery Center (ASC) | ||||||||||
Franchise |
Vadivelu Comedy Technology |
Maitiro |
Primary APC |
CPT‡ Code |
ASC
Complexity Adj. CPT‡ Kodhi |
2023 Reimbursement |
2024 Reimbursement |
% Change |
2023 Reimbursement |
2024 Reimbursement |
% Change |
Electrophysiology (EP) |
EP Ablation |
Catheter ablation, AV node | 5212 | 93650 | $6,733 | $7,123 | 5.8% | ||||
EP kudzidza necatheter ablation, SVT | 5213 | 93653 | $23,481 | $22,653 | -3.5% | ||||||
EP kudzidza uye catheter ablation, VT | 5213 | 93654 | $23,481 | $22,653 | -3.5% | ||||||
EP kudzidza uye catheter ablation, kurapwa kweAF nePVI | 5213 | 93656 | $23,481 | $22,653 | -3.5% | ||||||
EP Zvidzidzo | Yakazara EP kudzidza pasina induction | 5212 | 93619 | $6,733 | $7,123 | 5.8% | |||||
Cardiac Rhythm Management (CRM) |
Implantable Cardiac Monitor (ICM) | ICM kuiswa | 33282 | $8,163 | |||||||
5222 | 33285 | $8,163 | $8,103 | -0.7% | $7,048 | $6,904 | -2.0% | ||||
ICM Kubviswa | 5071 | 33286 | $649 | $671 | 3.4% | $338 | $365 | 8.0% | |||
Pacemaker |
Sisitimu Kudyara kana Kutsiva - Single Chamber (Ventricular) |
5223 |
33207 |
$10,329 |
$10,185 |
-1.4% |
$7,557 |
$7,223 |
-4.4% |
||
System Kudyara kana Kutsiva - Dual Chamber | 5223 | 33208 | $10,329 | $10,185 | -1.4% | $7,722 | $7,639 | -1.1% | |||
Leadless Pacemaker Kubviswa | 5183 | 33275 | $2,979 | $3,040 | 2.0% | $2,491 | $2,310 | -7.3% | |||
Inotungamira Pacemaker Implant | 5224 | 33274 | $17,178 | $18,585 | 8.2% | $12,491 | $13,171 | 5.4% | |||
Kutsiviwa kwebhatiri – Single Chamber | 5222 | 33227 | $8,163 | $8,103 | -0.7% | $6,410 | $6,297 | -1.8% | |||
Kutsiviwa kwebhatiri – Dual Chamber | 5223 | 33228 | $10,329 | $10,185 | -1.4% | $7,547 | $7,465 | -1.1% | |||
Implantable Cardioverter Defibrillator (ICD) |
System Implant kana Replacement | 5232 | 33249 | $32,076 | $31,379 | -2.2% | $25,547 | $24,843 | -2.8% | ||
Kutsiviwa kwebhatiri – Single Chamber | 5231 | 33262 | $22,818 | $22,482 | -1.5% | $19,382 | $19,146 | -1.2% | |||
Kutsiviwa kwebhatiri – Dual Chamber | 5231 | 33263 | $22,818 | $22,482 | -1.5% | $19,333 | $19,129 | -1.1% | |||
Sub-Q ICD | Kuiswa kwe Subcutaneous ICD system | 5232 | 33270 | $32,076 | $31,379 | -2.2% | $25,478 | $25,172 | -1.2% | ||
Inotungamira Chete - Pace-maker, ICD, SICD, CRT | Kutungamira mumwechete, Pacemaker, ICD, kana 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% | |||
Device Monitoring | Programming uye Remote Monitoring | 5741 | 0650T | $35 | $36 | 2.9% | |||||
5741 | 93279 | $35 | $36 | 2.9% | |||||||
CRT-P |
System Implant kana Replacement | 5224 | 33208
+ 33225 |
C7539 | $18,672 | $18,585 | -0.5% | $10,262 | $10,985 | 7.0% | |
Kutsiviwa kwebhatiri | 5224 | 33229 | $18,672 | $18,585 | -0.5% | $11,850 | $12,867 | 8.6% | |||
CRT-D |
System Implant kana Replacement | 5232 | 33249
+ 33225 |
$18,672 | $31,379 | -2.2% | $25,547 | $24,843 | -2.8% | ||
Kutsiviwa kwebhatiri | 5232 | 33264 | $32,076 | $31,379 | -2.2% | $25,557 | $25,027 | -2.1% | |||
Kutadza Kwemoyo |
CardioMEMS | Sensor Implant | C2624 | ||||||||
5200 | 33289 | $27,305 | $27,721 | 1.5% | $24,713 | ||||||
LVAD | Kubvunzurudzwa, mumunhu | 5742 | 93750 | $100 | $92 | -8.0% | |||||
Kuronga mberi kwekutarisira | 5822 | 99497 | $76 | $85 | 11.8% | ||||||
Hypertension |
Renal Denervation |
Renal denervation, unilateral |
5192 |
0338T |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
|
Renal denervation, bilateral |
5192 |
0339T |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$3,834 |
64.8% |
Hospital Outpatient (OPPS) | Ambulatory Surgery Center (ASC) | ||||||||||
Franchise |
Vadivelu Comedy Technology |
Maitiro |
Primary APC |
CPT‡ Code |
ASC
Complexity Adj. CPT‡ Kodhi |
2023 Reimbursement |
2024 Reimbursement |
% Change |
2023 Reimbursement |
2024 Reimbursement |
% Change |
Coronary |
PCI Drug Eluting Stents (kusanganisira FFR/OCT) |
DES, ne angioplasty; mudziyo mumwe, une kana usina FFR uye/kana OCT | 5193 | C9600 | $10,615 | $10,493 | -1.1% | $6,489 | $6,706 | 3.3% | |
DES mbiri, ine angioplasty; midziyo miviri, ine kana isina FFR uye/ kana OCT. |
5193 |
C9600 |
$10,615 |
$10,493 |
-1.1% |
$6,489 |
$6,706 |
3.3% |
|||
DES mbiri, ine angioplasty; mudziyo mumwe, une kana usina FFR uye/ kana OCT |
5193 |
C9600 |
$10,615 |
$10,493 |
-1.1% |
$6,489 |
$6,706 |
3.3% |
|||
DES mbiri, ine angioplasty; maviri makuru coronary arteries, ane kana asina FFR uye/kana OCT. |
5194 |
C9600 |
$10,615 |
$16,725 |
57.6% |
$9,734 |
$10,059 |
3.3% |
|||
BMS neatherectomy | BMS neatherectomy | 5194 | 92933 | $17,178 | $16,725 | -2.6% | |||||
DES neatherectomy | DES neatherectomy | 5194 | C9602 | $17,178 | $16,725 | -2.6% | |||||
DES uye AMI | DES uye AMI | C9606 | $0 | ||||||||
DES uye CTO | DES uye CTO | 5194 | C9607 | $17,178 | $16,725 | -2.6% | |||||
Coronary Angiography uye Coronary Physiology (FFR/ CFR) kana 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 mugraft | 5191 | 93455 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
Coronary angiography mugraft
+ OCT |
5191 | 93455
+ 92978 |
C7518 | $5,215 | $3,108 | -40.4% | $2,327 | ||||
Coronary angiography mugraft + FFR/CFR | 5191 | 93455
+ 93571 |
C7519 | $5,215 | $3,108 | -40.4% | $2,327 | ||||
Coronary angiography ine right heart catherterization | 5191 | 93456 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
Coronary angiography ine moyo wekurudyi catherterization + OCT | 5192 | 93456
+ 92978 |
C7521 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
Coronary angiography ine moyo wekurudyi catherterization + FFR/CFR | 5192 | 93456
+ 93571 |
C7522 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
Coronary angiography mugraft ine moyo wekurudyi catheterization | 5191 | 93457 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
Coronary angiography mugraft ine moyo wekurudyi catheterization
+ FFR/CFR |
5191 |
93457
+ 93571 |
$5,215 |
$3,108 |
-40.4% |
$0 |
$0 |
||||
Coronary angiography ine kuruboshwe rwemoyo catherization | 5191 | 93458 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
Coronary angiography ine kuruboshwe mwoyo catherization + OCT | 5192 | 93458
+ 92978 |
C7523 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
Coronary angiography ine yekuruboshwe moyo catherization + FFR/CFR | 5192 | 93458
+ 93571 |
C7524 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
Coronary angiography mugraft nekuruboshwe mwoyo catherization | 5191 | 93459 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
Coronary angiography mugraft nekuruboshwe mwoyo catherization + OCT | 5192 | 93459
+ 92978 |
C7525 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
Coronary angiography mugraft neruboshwe mwoyo catherization + FFR/CFR |
5192 |
93459
+ 93571 |
C7526 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
Cornary angiography ine kurudyi uye kuruboshwe mwoyo catheterization | 5191 | 93460 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
Cornary angiography ine kurudyi uye kuruboshwe mwoyo catheterization
+ OCT |
5192 |
93460
+ 92978 |
C7527 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
Cornary angiography ine kurudyi uye kuruboshwe mwoyo catheterization + FFR/CFR |
5192 |
93460
+ 93571 |
C7528 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
Hospital Outpatient (OPPS) | Ambulatory Surgery Center (ASC) | ||||||||||
Franchise |
Vadivelu Comedy Technology |
Maitiro |
Primary APC |
CPT‡ Code |
ASC
Complexity Adj. CPT‡ Kodhi |
2023 Reimbursement |
2024 Reimbursement |
% Change |
2023 Reimbursement |
2024 Reimbursement |
% Change |
Coronary |
Coronary Angiography uye Coronary Physiology (FFR/ CFR) kana OCT |
Coronary angiography mugraft ine kurudyi uye kuruboshwe mwoyo catheterization |
5191 |
93461 |
$2,958 |
$3,108 |
5.1% |
$1,489 |
$1,633 |
9.7% |
|
Coronary angiography mugraft ine kurudyi uye kuruboshwe mwoyo 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 uye Stenting |
Atherectomy uye stenting (Fem / Pop) | 5194 | 37227 | $17,178 | $16,725 | -2.6% | $11,792 | $11,873 | 0.7% | ||
Atherectomy uye stenting (Tibial / Peroneal) | 5194 | 37231 | $17,178 | $16,725 | -2.6% | $11,322 | $11,981 | 5.8% | |||
Vascular Plugs |
Venous embolization kana kuvhara | 5193 | 37241 | $10,615 | $10,493 | -1.1% | $5,889 | $6,108 | 3.7% | ||
Arterial embolization kana occlusion | 5194 | 37242 | $10,615 | $16,725 | 57.6% | $6,720 | $11,286 | 67.9% | |||
Embolization kana kuvharirwa kwemamota, organ ischemia, kana infarction |
5193 |
37243 |
$10,615 |
$10,493 |
-1.1% |
$4,579 |
$4,848 |
5.9% |
|||
Embolization kana kuvhara kwe arterial kana venous hemorrhage kana lymphatic extravasation |
5193 |
37244 |
$10,615 |
$10,493 |
-1.1% |
||||||
Arterial Mechanical Thrombectomy |
Primary arterial percutaneous mechanical thrombectomy; mudziyo wekutanga |
5194 |
37184 |
$10,615 |
$16,725 |
57.6% |
$6,563 |
$10,116 |
54.1% |
||
Peripheral Vascular |
Primary arterial percutaneous mechanical thrombectomy; yechipiri uye yese ngarava (s) inotevera |
37185 |
Packaged |
Packaged |
NA |
NA |
|||||
Secondary arterial percutaneous mechanical thrombectomy | 37186 | Packaged | Packaged | NA | NA | ||||||
Arterial Mechanical Thrombectomy neAngioplasty |
Primary arterial percutaneous mechanical thrombectomy; yekutanga mudziyo ne angioplasty Iliac |
NA |
37184
+37220 |
$8,100 |
$11,754 |
45.1% |
|||||
Primary arterial percutaneous mechanical thrombectomy; mudziyo wekutanga une angioplasty fem/pop |
NA |
37184
+37224 |
$8,178 |
$11,842 |
44.8% |
||||||
Primary arterial percutaneous mechanical thrombectomy; chikepe chekutanga chine angioplasty tib/pero |
NA |
37184
+37228 |
$9,606 |
$13,283 |
38.3% |
||||||
Arterial Mechanical Thrombectomy neStenting |
Primary arterial percutaneous mechanical thrombectomy; ngarava yekutanga ine stenting Iliac |
NA |
37184
+37221 |
$9,881 |
$13,502 |
36.7% |
|||||
Primary arterial percutaneous mechanical thrombectomy; mudziyo wekutanga une stenting fem/pop |
NA |
37184
+37226 |
$10,251 |
$13,631 |
33.0% |
||||||
Primary arterial percutaneous mechanical thrombectomy; mudziyo wekutanga une stenting tib/pero |
NA |
37184
+37230 |
$14,634 |
$15,793 |
7.9% |
Hospital Outpatient (OPPS) | Ambulatory Surgery Center (ASC) | ||||||||||
Franchise |
Vadivelu Comedy Technology |
Maitiro |
Primary APC |
CPT‡ Code |
ASC
Complexity Adj. CPT‡ Kodhi |
2023 Reimbursement |
2024 Reimbursement |
% Change |
2023 Reimbursement |
2024 Reimbursement |
% Change |
Peripheral Vascular |
Venous Mechanical Thrombectomy |
Venous percutaneous mechanical thrombectomy, kurapwa kwekutanga | 5193 | 37187 | $10,615 | $10,493 | -1.1% | $7,321 | $7,269 | -0.7% | |
Venous percutaneous mechanical thrombectomy, dzokorora kurapwa pazuva rinotevera |
5183 |
37188 |
$2,979 |
$3,040 |
2.0% |
$2,488 |
$2,568 |
3.2% |
|||
Venous Mechanical Thrombectomy neAngioplasty | Venous percutaneous mechanical thrombectomy, kurapwa kwekutanga ne angioplasty |
NA |
37187 + 37248 |
$8,485 |
$8,532 |
0.6% |
|||||
Venous Mechanical Thrombectomy neStenting | Venous percutaneous mechanical thrombectomy, kurapwa kwekutanga ne 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, ine angioplasty |
5193 |
36905 |
$10,615 |
$10,493 |
-1.1% |
$5,907 |
$6,106 |
3.4% |
|||
Percutaneous mechanical thrombectomy, dialysis circuit, ine stent |
5194 |
36906 |
$17,178 |
$16,725 |
-2.6% |
$11,245 |
$11,288 |
0.4% |
|||
Thrombolysis |
Transcatheter arterial thrombolysis kurapwa, zuva rekutanga |
5184 |
37211 |
$5,140 |
$5,241 |
2.0% |
$3,395 |
$3,658 |
7.7% |
||
Transcatheter venous thrombolysis kurapwa, zuva rekutanga |
5183 |
37212 |
$2,979 |
$3,040 |
2.0% |
$1,444 |
$1,964 |
36.0% |
|||
Transcatheter arterial kana venous thrombolysis kurapwa, rinotevera zuva |
5183 |
37213 |
$2,979 |
$3,040 |
2.0% |
||||||
Transcatheter arterial kana venous thrombolysis kurapwa, zuva rekupedzisira | 5183 | 37214 | $2,979 | $3,040 | 2.0% | ||||||
Structural Heart |
PFO Kuvharwa | ASD/PFO kuvharwa | 5194 | 93580 | $17,178 | $16,725 | -2.6% | ||||
ASD | ASD/PFO kuvharwa | 5194 | 93580 | $17,178 | $16,725 | -2.6% | |||||
VSD | VSD kuvharwa | 5194 | 93581 | $17,178 | $16,725 | -2.6% | |||||
PDA | PDA kuvharwa | 5194 | 93582 | $17,178 | $16,725 | -2.6% | |||||
Kurwara Kusingaperi |
Spinal Cord Stimulation uye DRG Kukurudzira |
Single Lead Muedzo: percutaneous | 5462 | 63650 | $6,604 | $6,523 | -1.2% | $4,913 | $4,952 | 0.8% | |
Dual Lead Muedzo: percutaneous | 5462 | 63650 | $6,604 | $6,523 | -1.2% | $9,826 | $9,904 | 0.8% | |||
Kuvhiya Kutungamira Muedzo | 5464 | 63655 | $21,515 | $20,865 | -3.0% | $17,950 | $17,993 | 0.2% | |||
Yakazara Sisitimu - Imwe lead - Percutaneous | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $29,629 | $30,250 | 2.1% | |||
Yakazara System - Dual Lead - Percutaneous | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $34,542 | $35,202 | 1.9% | |||
Yakazara System IPG - Laminectomy | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $42,666 | $43,291 | 1.5% | |||
IPG kudyara kana kutsiva | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $24,716 | $25,298 | 2.4% | |||
Single lead | 5462 | 63650 | Packaged | Packaged | $4,913 | $4,952 | 0.8% | ||||
Dual lead | 5462 | 63650 | Packaged | Packaged | $4,913 | $4,952 | 0.8% | ||||
Ongororo yeIPG, Nyore Kuronga | 5742 | 95971 | $100 | $92 | -8.0% | ||||||
Peripheral Nerve Stimulation |
Yakazara Sisitimu - Imwe 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% | ||||
Yakazara System - 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% | ||||
IPG kutsiva | 5464 | 64590 | $21,515 | $20,865 | -3.0% | $19,333 | $19,007 | -1.7% |
Hospital Outpatient (OPPS) | Ambulatory Surgery Center (ASC) | ||||||||||
Franchise |
Vadivelu Comedy Technology |
Maitiro |
Primary APC |
CPT‡ Code |
ASC
Complexity Adj. CPT‡ Kodhi |
2023 Reimbursement |
2024 Reimbursement |
% Change |
2023 Reimbursement |
2024 Reimbursement |
% Change |
Kurwara Kusingaperi |
RF Ablation |
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% | |||
Dzimwe Peripheral Nurve | 5443 | 64640 | $852 | $869 | 2.0% | $172 | $173 | 0.6% | |||
Radiofrequency Ablation | 5431 | 64625 | $1,798 | $1,842 | 2.4% | $854 | $898 | 5.2% | |||
Movement Disorders |
DBS |
IPG Kuiswa - Single Array | 5464 | 61885 | $21,515 | $20,865 | -3.0% | $19,686 | $19,380 | -1.6% | |
IPG Kuiswa - Maviri Single Array IPGs | 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% | ||||
IPG Kuiswa - Dual Array | 5465 | 61886 | $29,358 | $29,617 | 0.9% | $24,824 | $25,340 | 2.1% | |||
Ongororo yeIPG, Hapana Chirongwa | 5734 | 95970 | $116 | $122 | 5.2% | ||||||
Ongororo yeIPG, Nyore Kuronga; kutanga 15 Min | 5742 | 95983 | $100 | $92 | -8.0% | ||||||
Ongororo yeIPG, Nyore Kuronga; kuwedzera 15 Min | 95984 | $0 |
Disclaimer
Ichi chinyorwa neruzivo rwuri pano nderweruzivo rwezvakawanda chete uye haruna kuitirwa, uye hariumbe, zvemutemo, kudzoreredza, 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 kana kubvumidza ikodzera kwekushandiswa kwechero kodhi. Basa rekupedzisira rekodhi uye kuwana mubhadharo / kudzoreredza rinoramba riri mutengi. Izvi zvinosanganisira basa rechokwadi uye chokwadi chese coding uye zvichemo zvinotumirwa kune vechitatu-bato vanobhadhara. Pamusoro pezvo, mutengi anofanirwa kuona kuti mitemo, mirau, uye maratidziro ekuvhara zvakaoma uye anogadziridzwa nguva nenguva uye anogona kuchinja pasina chiziviso. Mutengi anofanirwa kutarisa nevatakuri vemunharaunda kana vamiriri nguva zhinji uye anofanirwa kubvunzana nenyanzvi dzezvemitemo kana nyanzvi yemari, yekodhi, kana yekudzorera chero mibvunzo ine chekuita nekukodha, kubhadharisa, kudzosera, kana chero nyaya dzine chekuita. Ichi chinyorwa chinoburitsa ruzivo rwezvinangwa chete. Izvo hazvina kupihwa kana kubvumidzwa kushandiswa kwekushambadzira.
Sources
- Chipatara Chekubuda Kwepanze Anotarisira Kubhadhara-Yekupedzisira Rule neKutaura CY2024:
- Ambulatory Surgical Center Payment-Final Rule CY2024 Payment Rates:
- Chipatara Chekubuda Kwepanze Anotarisira Kubhadhara-Yekupedzisira Rule neKutaura CY2023:
- Ambulatory Surgical Center Payment-Final Rule CY2023 Payment Rates: https://www.cms.gov/medicaremedicare-fee-service-paymentascpaymentasc-regulations-and-notices/cms-1772-fc
CHENJERERO: Ichi chigadzirwa chakagadzirirwa kushandiswa kana pasi pekutungamirwa nachiremba. Usati washandisa, tarisa Mirayiridzo Yekushandisa, mukati mekatoni yechigadzirwa (kana iripo) kana pavascular.eifu.abbott kana pa manuals.eifu.abbott kuti uwane rumwe ruzivo rwakadzama pamusoro peZviratidzo, Contraindications, Yambiro, Kungwarira uye Zvakaipa Zviitiko. Abbott One St. Jude Medical Dr., St. Paul, MN 55117, USA, Tel: 1 651 756 2000 ™ Inoratidza chiratidzo cheboka reAbbott remakambani. ‡ Inoratidza chiratidzo chebato rechitatu, inova pfuma yemuridzi wayo.
©2024 Abbott. Kodzero dzese dzakachengetwa. MAT-1901573 v6.0. Chinhu chakatenderwa kushandiswa neUS chete. HE&R yakatenderwa kushandiswa kusiri kwekushambadzira chete.
Zvinyorwa / Zvishandiso
![]() |
Abbott Vascular Coding uye Coverage Zviwanikwa [pdf] Bhuku reMuridzi Vascular Coding uye Coverage Resources, Coding uye Coverage Resources, Coverage Resources, Resources |