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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

  1. Chipatara Chekubuda Kwepanze Anotarisira Kubhadhara-Yekupedzisira Rule neKutaura CY2024:
  2. Ambulatory Surgical Center Payment-Final Rule CY2024 Payment Rates:
  3. Chipatara Chekubuda Kwepanze Anotarisira Kubhadhara-Yekupedzisira Rule neKutaura CY2023:
  4. 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

References

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