Abbott Vascular Coding and Coverage Resources
Tlhahisoleseding ya Sehlahiswa
Litlhaloso
- Lebitso la Sehlahisoa: Moruo oa Bophelo bo Botle le Puseletso ea 2024 Tataiso ea Puseletso
- Sehlopha: Moruo oa Tlhokomelo ea Bophelo
- Moetsi: Abbott
- Selemo: 2024
Litaelo tsa Tšebeliso ea Sehlahisoa
Fetileview
The Health Economics & Reimbursement 2024 Reimbursement Guide ka Abbott e fana ka leseli mabapi le tebello ea puseletso bakeng sa mahlale a fapaneng a tlhokomelo ea bophelo bo botle le lits'ebetso tlasa CMS Hospital Outpatient Prospective Payment System (OPPS) le Ambulatory Surgical Center (ASC) Molao oa ho qetela oa selemo sa 2024.
Tataiso ea Tsamaiso
Tataiso e kenyelletsa litafole tse nang le maemo a tloaelehileng a tefiso bakeng sa mahlale le lits'ebetso tse joalo ka Cardiac Rhythm Management (CRM), Electrophysiology (EP), le mekhoa e meng e amanang le eona. Ho bohlokoa ho bua ka Phatlalatso e Felletseng ea Tefo ea Ambulatory (APC) e fanoeng ke CMS bakeng sa tlhaiso-leseling e nepahetseng ea puseletso.
Puseletso Tlhahlobo
Abbott o hlahlobile tšusumetso e ka bang teng ea liphetoho tsa tefo lits'ebetsong tsa motho ka mong ka har'a Lefapha la Bakuli ba Kantle ho Sepetlele (HOPD) le litlhophiso tsa tlhokomelo ea ASC. Tataiso e sebetsa e le sesupo sa ho utloisisa maemo a puseletso le tšireletso ho latela melao ea CY2024.
Mokhoa oa puisano
Bakeng sa lintlha tse ling kapa lipotso, etela Abbott.com kapa ikopanye le sehlopha sa Abbott Health Care Economics ho 855-569-6430 kapa imeile AbbottEconomics@Abbott.com.
LBH
- P: Tataiso ea litefello e nchafatsoa hangata hakae?
- A: Abbott e tla tsoelapele ho sekaseka le ho ntlafatsa tataiso ea puseletso ha ho hlokahala ho ipapisitse le liphetoho ho melaoana ea tefo ea CMS.
- P: Na tataiso e ka netefatsa maemo a itseng a puseletso?
- K: Tataiso e fana ka lipapiso feela 'me ha e fane ka tiisetso ea maemo a puseletso kapa ts'ireletso ka lebaka la ho fapana ha mekhoa le likarolo tsa APC.
Tlhahisoleseding ya Sehlahiswa
CMS Hospital Outpatient (OPPS) le Ambulatory Surgical Center (ASC) Reimbursement Prospectus
Litsi tsa Medicare & Medicaid Services (CMS) li entse liphetoho tse kholo ho melaoana ea selemo sa 2024 (CY2024) le maemo a litefo tse amang lits'ebetso tse 'maloa tse sebelisang mahlale a Abbott le tharollo ea kalafo Lefapheng la Bakuli ba Sepetlele (HOPD) le Setsi sa Ambulatory Surgical (ASC) litlhophiso tsa tlhokomelo. Liphetoho tsena li eketsoa ke tsoelopele ea mehato e mecha le e tsoelang pele ea ntlafatso ea litefo e amang boholo ba lits'ebeletso tsa bophelo bo botle tsa US. Tokomaneng ena ea prospectus, Abbott o totobatsa maano a itseng a tefo le litefiso tse ncha tsa tefo ho bafani ba tlhokomelo ea bophelo bo botle ba etsang litšebeletso tseo hona joale li lefshoang ka tsela e fapaneng le ea lilemong tse fetileng. Ka la 2 Pulungoana 2023, CMS e ile ea lokolla CY2024 Hospital Outpatient Prospective Payment System (OPPS)/Ambulatory Surgical Center (ASC) Molao oa ho qetela, o sebetsang bakeng sa lits'ebeletso ka la 1 Pherekhong 2024.3,4 Bakeng sa 2024, merero ea CMS ka:
- Keketseho ea 3.1% ea litefiso tsohle tsa OPPS3
- Keketseho ea 3.1% ea litefiso tsohle tsa ASC4
Re fane ka litafole tse latelang tse ipapisitseng le maemo a tloaelehileng a tefiso bakeng sa mekhoa le mekhoa e fapaneng. Sena se reretsoe merero ea litšoantšo feela 'me ha se tiisetso ea maemo a puseletso kapa tšireletso. Puseletso e ka fapana ho latela mekhoa e itseng e etsoang, le ho Comprehensive Ambulatory Payment Classification (APC) eo CMS e e entseng ho HOPD. A sebelisa melao ea CY2024 e le setšupiso, Abbott o hlahlobile tšusumetso e ka bang teng mabapi le tefo ho lits'ebetso tsa motho ka mong tse entsoeng ka har'a HOPD, le maemong a tlhokomelo ea ASC, a kenyelletsang mahlale a rona kapa tharollo ea kalafo. Re tla tsoelapele ho sekaseka tšusumetso e ka bang teng ea liphetoho ho maano a tefo a CMS le ho nchafatsa tokomane ena ha ho hlokahala. Ho fumana lintlha tse ling ka kopo etela Abbott.com, kapa ikopanye le sehlopha sa Abbott Health Care Economics ho 855-569-6430 or AbbottEconomics@Abbott.com.
Tlhaloso
| Mokuli oa ka ntle ho sepetlele (OPPS) | Setsi sa Karo ea Ambulatory (ASC) | ||||||||||
|
Franchise |
Thekenoloji |
Tsamaiso |
APC ea mantlha |
CPT‡ Khoutu |
ASC
Complexity Adj. CPT‡ Khoutu |
2023 Puseletso |
2024 Puseletso |
% Fetola |
2023 Puseletso |
2024 Puseletso |
% Fetola |
|
Electrophysiology (EP) |
EP Ablation |
Catheter ablation, node ea AV | 5212 | 93650 | $6,733 | $7,123 | 5.8% | ||||
| Thuto ea EP le catheter ablation, SVT | 5213 | 93653 | $23,481 | $22,653 | -3.5% | ||||||
| Thuto ea EP le catheter ablation, VT | 5213 | 93654 | $23,481 | $22,653 | -3.5% | ||||||
| Thuto ea EP le catheter ablation, phekolo ea AF ka PVI | 5213 | 93656 | $23,481 | $22,653 | -3.5% | ||||||
| Lithuto tsa EP | Boithuto bo felletseng ba EP ntle le induction | 5212 | 93619 | $6,733 | $7,123 | 5.8% | |||||
|
Taolo ea Rhythm ea pelo (CRM) |
Monitor ea pelo e kentsoeng (ICM) | Ho kenngoa ha ICM | 33282 | $8,163 | |||||||
| 5222 | 33285 | $8,163 | $8,103 | -0.7% | $7,048 | $6,904 | -2.0% | ||||
| Ho tlosoa ha ICM | 5071 | 33286 | $649 | $671 | 3.4% | $338 | $365 | 8.0% | |||
|
Pacemaker |
Ho kenngoa ha Sisteme kapa Phetoho - Kamore e le 'ngoe (Ventricular) |
5223 |
33207 |
$10,329 |
$10,185 |
-1.4% |
$7,557 |
$7,223 |
-4.4% |
||
| Ho kenngoa ha Sisteme kapa Phetoho - Kamore e 'meli | 5223 | 33208 | $10,329 | $10,185 | -1.4% | $7,722 | $7,639 | -1.1% | |||
| Ho Tlosa Pacemaker e sa Lebelloang | 5183 | 33275 | $2,979 | $3,040 | 2.0% | $2,491 | $2,310 | -7.3% | |||
| Ho kenyeletsoa ha Pacemaker e se nang moetapele | 5224 | 33274 | $17,178 | $18,585 | 8.2% | $12,491 | $13,171 | 5.4% | |||
| Phetoho ea Battery - Kamore e le 'ngoe | 5222 | 33227 | $8,163 | $8,103 | -0.7% | $6,410 | $6,297 | -1.8% | |||
| Phetoho ea Battery - Dual Chamber | 5223 | 33228 | $10,329 | $10,185 | -1.4% | $7,547 | $7,465 | -1.1% | |||
|
E kentsoeng ka Cardioverter Defibrillator (ICD) |
Ho kenngoa ha Sisteme kapa Phetoho | 5232 | 33249 | $32,076 | $31,379 | -2.2% | $25,547 | $24,843 | -2.8% | ||
| Phetoho ea Battery - Kamore e le 'ngoe | 5231 | 33262 | $22,818 | $22,482 | -1.5% | $19,382 | $19,146 | -1.2% | |||
| Phetoho ea Battery - Dual Chamber | 5231 | 33263 | $22,818 | $22,482 | -1.5% | $19,333 | $19,129 | -1.1% | |||
| Sub-Q ICD | Ho kenngoa ha subcutaneous ICD system | 5232 | 33270 | $32,076 | $31,379 | -2.2% | $25,478 | $25,172 | -1.2% | ||
| E etellang pele feela - Moetsi oa lebelo, ICD, SICD, CRT | Moetapele o le mong, Pacemaker, ICD, kapa 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% | |||
| Tlhokomelo ea Sesebelisoa | Lenaneo le Tlhokomelo ea Remote | 5741 | 0650T | $35 | $36 | 2.9% | |||||
| 5741 | 93279 | $35 | $36 | 2.9% | |||||||
|
CRT-P |
Ho kenngoa ha Sisteme kapa Phetoho | 5224 | 33208
+ 33225 |
C7539 | $18,672 | $18,585 | -0.5% | $10,262 | $10,985 | 7.0% | |
| Phetoho ea Battery | 5224 | 33229 | $18,672 | $18,585 | -0.5% | $11,850 | $12,867 | 8.6% | |||
|
CRT-D |
Ho kenngoa ha Sisteme kapa Phetoho | 5232 | 33249
+ 33225 |
$18,672 | $31,379 | -2.2% | $25,547 | $24,843 | -2.8% | ||
| Phetoho ea Battery | 5232 | 33264 | $32,076 | $31,379 | -2.2% | $25,557 | $25,027 | -2.1% | |||
|
Ho hloleha ha Pelo |
CardioMEMS | Sensor Implant | C2624 | ||||||||
| 5200 | 33289 | $27,305 | $27,721 | 1.5% | $24,713 | ||||||
| LVAD | Ho hlongoa lipotso, ka motho | 5742 | 93750 | $100 | $92 | -8.0% | |||||
| Ho rera esale pele ka tlhokomelo | 5822 | 99497 | $76 | $85 | 11.8% | ||||||
|
Khatello ea mali |
Ho thijoa ke Renal |
Ho fokotseha ha renal, ka lehlakoreng le leng |
5192 |
0338T |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
|
|
Ho fokotseha ha renal, linaha tse peli |
5192 |
0339T |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$3,834 |
64.8% |
|||
| Mokuli oa ka ntle ho sepetlele (OPPS) | Setsi sa Karo ea Ambulatory (ASC) | ||||||||||
|
Franchise |
Thekenoloji |
Tsamaiso |
APC ea mantlha |
CPT‡ Khoutu |
ASC
Complexity Adj. CPT‡ Khoutu |
2023 Puseletso |
2024 Puseletso |
% Fetola |
2023 Puseletso |
2024 Puseletso |
% Fetola |
|
Coronary |
PCI Drug Eluting Stents (ho kenyeletsoa FFR/OCT) |
DES, ka angioplasty; sekepe se le seng, se nang le FFR kapa ntle le / kapa OCT | 5193 | C9600 | $10,615 | $10,493 | -1.1% | $6,489 | $6,706 | 3.3% | |
| DES tse peli, tse nang le angioplasty; likepe tse peli, tse nang le FFR kapa ntle le / kapa OCT. |
5193 |
C9600 |
$10,615 |
$10,493 |
-1.1% |
$6,489 |
$6,706 |
3.3% |
|||
| DES tse peli, tse nang le angioplasty; sekepe se le seng, se nang le FFR kapa ntle le / kapa OCT |
5193 |
C9600 |
$10,615 |
$10,493 |
-1.1% |
$6,489 |
$6,706 |
3.3% |
|||
| DES tse peli, tse nang le angioplasty; methapo e 'meli e meholo ea pelo, e nang le kapa ntle le FFR le/kapa OCT. |
5194 |
C9600 |
$10,615 |
$16,725 |
57.6% |
$9,734 |
$10,059 |
3.3% |
|||
| BMS ka atherectomy | BMS ka atherectomy | 5194 | 92933 | $17,178 | $16,725 | -2.6% | |||||
| DES ka atherectomy | DES ka atherectomy | 5194 | C9602 | $17,178 | $16,725 | -2.6% | |||||
| DES le AMI | DES le AMI | C9606 | $0 | ||||||||
| DES le CTO | DES le CTO | 5194 | C9607 | $17,178 | $16,725 | -2.6% | |||||
|
Coronary Angiography le Coronary Physiology (FFR/ CFR) kapa 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 ho graft | 5191 | 93455 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Coronary angiography ho graft
+ OCT |
5191 | 93455
+ 92978 |
C7518 | $5,215 | $3,108 | -40.4% | $2,327 | ||||
| Coronary angiography ho graft + FFR/CFR | 5191 | 93455
+ 93571 |
C7519 | $5,215 | $3,108 | -40.4% | $2,327 | ||||
| Coronary angiography e nang le catherterization ea pelo e nepahetseng | 5191 | 93456 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Coronary angiography e nang le catherterization ea pelo e nepahetseng + OCT | 5192 | 93456
+ 92978 |
C7521 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Coronary angiography e nang le catherterization ea pelo e nepahetseng + FFR/CFR | 5192 | 93456
+ 93571 |
C7522 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Coronary angiography ho graft e nang le catheterization ea pelo e nepahetseng | 5191 | 93457 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Coronary angiography ho graft e nang le catheterization ea pelo e nepahetseng
+ FFR/CFR |
5191 |
93457
+ 93571 |
$5,215 |
$3,108 |
-40.4% |
$0 |
$0 |
||||
| Coronary angiography e nang le catherization ea pelo e letšehali | 5191 | 93458 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Coronary angiography e nang le catherization ea pelo e letšehali + OCT | 5192 | 93458
+ 92978 |
C7523 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Coronary angiography e nang le catherization ea pelo e letšehali + FFR/CFR | 5192 | 93458
+ 93571 |
C7524 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Coronary angiography ho graft e nang le catherization ea pelo e letšehali | 5191 | 93459 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Coronary angiography ho graft e nang le catherization ea pelo e letšehali + OCT | 5192 | 93459
+ 92978 |
C7525 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Coronary angiography ho graft e nang le catherization ea pelo e letšehali + FFR/CFR |
5192 |
93459
+ 93571 |
C7526 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
| Cornary angiography e nang le catheterization ea pelo e nepahetseng le e letšehali | 5191 | 93460 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Cornary angiography e nang le catheterization ea pelo e nepahetseng le e letšehali
+ OCT |
5192 |
93460
+ 92978 |
C7527 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
| Cornary angiography e nang le catheterization ea pelo e nepahetseng le e letšehali + FFR/CFR |
5192 |
93460
+ 93571 |
C7528 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
| Mokuli oa ka ntle ho sepetlele (OPPS) | Setsi sa Karo ea Ambulatory (ASC) | ||||||||||
|
Franchise |
Thekenoloji |
Tsamaiso |
APC ea mantlha |
CPT‡ Khoutu |
ASC
Complexity Adj. CPT‡ Khoutu |
2023 Puseletso |
2024 Puseletso |
% Fetola |
2023 Puseletso |
2024 Puseletso |
% Fetola |
|
Coronary |
Coronary Angiography le Coronary Physiology (FFR/ CFR) kapa OCT |
Coronary angiography ho graft e nang le catheterization ea pelo e nepahetseng le e letšehali |
5191 |
93461 |
$2,958 |
$3,108 |
5.1% |
$1,489 |
$1,633 |
9.7% |
|
| Coronary angiography ho graft e nang le catheterization ea pelo e ka ho le letona le le letšehali + 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, ho kenyeletsoa 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 le Stenting |
Atherectomy le stenting (Fem/ Pop) | 5194 | 37227 | $17,178 | $16,725 | -2.6% | $11,792 | $11,873 | 0.7% | ||
| Atherectomy le stenting (Tibial / Peroneal) | 5194 | 37231 | $17,178 | $16,725 | -2.6% | $11,322 | $11,981 | 5.8% | |||
|
Li-plug tsa Vascular |
Ho koaleha ha venous kapa ho koala | 5193 | 37241 | $10,615 | $10,493 | -1.1% | $5,889 | $6,108 | 3.7% | ||
| Arteri embolization kapa occlusion | 5194 | 37242 | $10,615 | $16,725 | 57.6% | $6,720 | $11,286 | 67.9% | |||
| Embolization kapa occlusion bakeng sa lihlahala, setho sa ischemia, kapa infarction |
5193 |
37243 |
$10,615 |
$10,493 |
-1.1% |
$4,579 |
$4,848 |
5.9% |
|||
| Embolization kapa occlusion bakeng sa arterial or venous hemorrhage kapa lymphatic extravasation |
5193 |
37244 |
$10,615 |
$10,493 |
-1.1% |
||||||
|
Arterial Mechanical Thrombectomy |
Thrombectomy ea mantlha ea arterial percutaneous mechanical; sekepe sa pele |
5194 |
37184 |
$10,615 |
$16,725 |
57.6% |
$6,563 |
$10,116 |
54.1% |
||
|
Peripheral Vascular |
Thrombectomy ea mantlha ea arterial percutaneous mechanical; (li) sekepe sa bobeli le tsohle tse latelang |
37185 |
E phuthetsoe |
E phuthetsoe |
NA |
NA |
|||||
| Karolo ea bobeli ea arterial percutaneous mechanical thrombectomy | 37186 | E phuthetsoe | E phuthetsoe | NA | NA | ||||||
|
Arterial Mechanical Thrombectomy e nang le Angioplasty |
Thrombectomy ea mantlha ea arterial percutaneous mechanical; sekepe sa pele se nang le angioplasty Iliac |
NA |
37184
+37220 |
$8,100 |
$11,754 |
45.1% |
|||||
| Thrombectomy ea mantlha ea arterial percutaneous mechanical; sekepe sa pele se nang le angioplasty fem/pop |
NA |
37184
+37224 |
$8,178 |
$11,842 |
44.8% |
||||||
| Thrombectomy ea mantlha ea arterial percutaneous mechanical; sekepe sa pele se nang le angioplasty tib/pero |
NA |
37184
+37228 |
$9,606 |
$13,283 |
38.3% |
||||||
|
Arterial Mechanical Thrombectomy e nang le Stenting |
thrombectomy ea mantlha ea arterial percutaneous mechanical; sekepe sa pele se nang le Iliac e monate |
NA |
37184
+37221 |
$9,881 |
$13,502 |
36.7% |
|||||
| Thrombectomy ea mantlha ea arterial percutaneous mechanical; sekepe sa pele se nang le stenting fem/pop |
NA |
37184
+37226 |
$10,251 |
$13,631 |
33.0% |
||||||
| Thrombectomy ea mantlha ea arterial percutaneous mechanical; sekepe sa pele se nang le tib/pero |
NA |
37184
+37230 |
$14,634 |
$15,793 |
7.9% |
||||||
| Mokuli oa ka ntle ho sepetlele (OPPS) | Setsi sa Karo ea Ambulatory (ASC) | ||||||||||
|
Franchise |
Thekenoloji |
Tsamaiso |
APC ea mantlha |
CPT‡ Khoutu |
ASC
Complexity Adj. CPT‡ Khoutu |
2023 Puseletso |
2024 Puseletso |
% Fetola |
2023 Puseletso |
2024 Puseletso |
% Fetola |
|
Peripheral Vascular |
Thrombectomy ea Venous Mechanical |
Venous percutaneous mechanical thrombectomy, phekolo ea pele | 5193 | 37187 | $10,615 | $10,493 | -1.1% | $7,321 | $7,269 | -0.7% | |
| Venous percutaneous mechanical thrombectomy, pheta kalafo ka letsatsi le latelang |
5183 |
37188 |
$2,979 |
$3,040 |
2.0% |
$2,488 |
$2,568 |
3.2% |
|||
| Thrombectomy ea Venous Mechanical ka Angioplasty | Venous percutaneous mechanical thrombectomy, kalafo ea pele ka angioplasty |
NA |
37187 + 37248 |
$8,485 |
$8,532 |
0.6% |
|||||
| Thrombectomy ea Venous Mechanical e nang le Stenting | Venous percutaneous mechanical thrombectomy, kalafo ea pele ka 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, ka angioplasty |
5193 |
36905 |
$10,615 |
$10,493 |
-1.1% |
$5,907 |
$6,106 |
3.4% |
|||
| Percutaneous mechanical thrombectomy, dialysis circuit, e nang le stent |
5194 |
36906 |
$17,178 |
$16,725 |
-2.6% |
$11,245 |
$11,288 |
0.4% |
|||
|
Thrombolysis |
Phekolo ea Transcatheter arterial thrombolysis, letsatsi la pele |
5184 |
37211 |
$5,140 |
$5,241 |
2.0% |
$3,395 |
$3,658 |
7.7% |
||
| Phekolo ea Transcatheter venous thrombolysis, letsatsi la pele |
5183 |
37212 |
$2,979 |
$3,040 |
2.0% |
$1,444 |
$1,964 |
36.0% |
|||
| Phekolo ea transcatheter arterial kapa venous thrombolysis, ka letsatsi le hlahlamang |
5183 |
37213 |
$2,979 |
$3,040 |
2.0% |
||||||
| Phekolo ea transcatheter arterial kapa venous thrombolysis, letsatsi la ho qetela | 5183 | 37214 | $2,979 | $3,040 | 2.0% | ||||||
|
Pelo ea Sebopeho |
PFO Ho koaloa | Ho koaloa ha ASD/PFO | 5194 | 93580 | $17,178 | $16,725 | -2.6% | ||||
| ASD | Ho koaloa ha ASD/PFO | 5194 | 93580 | $17,178 | $16,725 | -2.6% | |||||
| VSD | Ho koaloa ha VSD | 5194 | 93581 | $17,178 | $16,725 | -2.6% | |||||
| PDA | Ho koaloa ha PDA | 5194 | 93582 | $17,178 | $16,725 | -2.6% | |||||
|
Bohloko bo sa Feleng |
Tšusumetso ea Mokokotlo oa Mokokotlo le Tšusumetso ea DRG |
Teko ea Ketapele e le 'Ngoe: percutaneous | 5462 | 63650 | $6,604 | $6,523 | -1.2% | $4,913 | $4,952 | 0.8% | |
| Teko ea ketapele e habeli: percutaneous | 5462 | 63650 | $6,604 | $6,523 | -1.2% | $9,826 | $9,904 | 0.8% | |||
| Teko ea Ketapele ea Opereishene | 5464 | 63655 | $21,515 | $20,865 | -3.0% | $17,950 | $17,993 | 0.2% | |||
| Sistimi e Felletseng - Letoto le le leng - Percutaneous | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $29,629 | $30,250 | 2.1% | |||
| Sistimi e Felletseng - Dual lead - Percutaneous | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $34,542 | $35,202 | 1.9% | |||
| Sistimi e felletseng ea IPG - Laminectomy | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $42,666 | $43,291 | 1.5% | |||
| IPG ho kenya kapa ho nkela sebaka | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $24,716 | $25,298 | 2.4% | |||
| Moetapele o le mong | 5462 | 63650 | E phuthetsoe | E phuthetsoe | $4,913 | $4,952 | 0.8% | ||||
| Likarolo tse peli | 5462 | 63650 | E phuthetsoe | E phuthetsoe | $4,913 | $4,952 | 0.8% | ||||
| Analysis ea IPG, Simple Programming | 5742 | 95971 | $100 | $92 | -8.0% | ||||||
|
Peripheral Never Stimulation |
Sistimi e Felletseng - Letoto le le leng - 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% | ||||
| Sistimi e Felletseng - 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% | ||||
| Phetoho ea IPG | 5464 | 64590 | $21,515 | $20,865 | -3.0% | $19,333 | $19,007 | -1.7% | |||
| Mokuli oa ka ntle ho sepetlele (OPPS) | Setsi sa Karo ea Ambulatory (ASC) | ||||||||||
|
Franchise |
Thekenoloji |
Tsamaiso |
APC ea mantlha |
CPT‡ Khoutu |
ASC
Complexity Adj. CPT‡ Khoutu |
2023 Puseletso |
2024 Puseletso |
% Fetola |
2023 Puseletso |
2024 Puseletso |
% Fetola |
|
Bohloko bo sa Feleng |
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% | |||
| Methapo e meng ea Peripheral | 5443 | 64640 | $852 | $869 | 2.0% | $172 | $173 | 0.6% | |||
| Ho tlosoa ha Radiofrequency | 5431 | 64625 | $1,798 | $1,842 | 2.4% | $854 | $898 | 5.2% | |||
|
Mathata a Motsamao |
DBS |
IPG Placement – Single Array | 5464 | 61885 | $21,515 | $20,865 | -3.0% | $19,686 | $19,380 | -1.6% | |
| IPG Placement - Li-IPG tse peli tse Single Array | 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 Placement - Dual Array | 5465 | 61886 | $29,358 | $29,617 | 0.9% | $24,824 | $25,340 | 2.1% | |||
| Tlhahlobo ea IPG, Ha ho Lenaneo | 5734 | 95970 | $116 | $122 | 5.2% | ||||||
| Analysis ea IPG, Simple Programming; pele 15 Min | 5742 | 95983 | $100 | $92 | -8.0% | ||||||
| Analysis ea IPG, Simple Programming; tlatsetso 15 Min | 95984 | $0 | |||||||||
Boithorollo
Boitsebiso bona le lintlha tse fanoeng mona ke tsa merero ea tlhahisoleseding e akaretsang feela 'me ha lia rereloa,' me ha li thehe, molao, puseletso, khoebo, bongaka, kapa keletso e 'ngoe. Ho feta moo, ha ea rereloa ebile ha e hlahise boemeli kapa tiisetso ea puseletso, tefo, kapa tefiso, kapa hore ho tla amoheloa puseletso kapa tefo e 'ngoe. Ha ea rereloa ho eketsa kapa ho eketsa tefo ea molefi ofe kapa ofe. Abbott ha a fane ka tiisetso e hlakileng kapa e boletsoeng kapa tiisetso ea hore lenane la likhoutu le lipale tse tokomaneng ena li felletse kapa ha li na liphoso. Ka ho tšoanang, ha ho letho tokomaneng ena e lokelang ho ba viewed e le litaelo tsa ho khetha khoutu efe kapa efe, 'me Abbott ha a buelle kapa ha a fane ka tumello ea tšebeliso ea khoutu efe kapa efe. Boikarabello ba ho qetela ba ho ngolisa le ho fumana tefo / puseletso bo sala ho moreki. Sena se kenyelletsa boikarabello ba ho nepahala le bonnete ba likhoutu tsohle le likopo tse rometsoeng ho batho ba lefang batho ba bang. Ho feta moo, moreki o lokela ho hlokomela hore melao, melaoana, le maano a tšireletso a rarahane 'me a ntlafatsoa khafetsa 'me a ka fetoha ntle le tsebiso. Moreki o lokela ho buisana le bajari ba lehae kapa bakena-lipakeng khafetsa 'me o lokela ho buisana le moeletsi oa molao kapa setsebi sa lichelete, sa khoutu, kapa sa puseletso bakeng sa lipotso leha e le life tse amanang le ho ngolisa, ho lefisa, ho lefa, kapa litaba tse amanang le tsona. Tlhahisoleseling ena e hlahisa lintlha molemong oa litšupiso feela. Ha e fane ka tumello bakeng sa tšebeliso ea papatso.
Mehloli
- Molao oa ho Qetela oa Mokuli ea Lebelloang ho Lefshoa ka Sepetlele ka Maikutlo CY2024:
- Tefo ea Setsi sa Karo ea Ambulatory-Molao oa ho Qetela oa CY2024 Litefiso:
- Molao oa ho Qetela oa Mokuli ea Lebelloang ho Lefshoa ka Sepetlele ka Maikutlo CY2023:
- Tefo ea Setsi sa Karo ea Ambulatory-Molao oa ho Qetela oa CY2023 Litefiso: https://www.cms.gov/medicaremedicare-fee-service-paymentascpaymentasc-regulations-and-notices/cms-1772-fc
TLHOKOMELISO: Sehlahisoa sena se reretsoe ho sebelisoa ke ngaka kapa tlas'a tataiso ea ngaka. Pele o sebelisoa, sheba Litaelo tsa Tšebeliso, ka har'a lebokose la lihlahisoa (ha li le teng) kapa ho vascular.eifu.abbott kapa ho manuals.eifu.abbott bakeng sa boitsebiso bo eketsehileng mabapi le Lipontšo, Litšitiso, Litemoso, Litlhokomeliso le Liketsahalo tse Mabe. Abbott One St. Jude Medical Dr., St. Paul, MN 55117, USA, Mohala: 1 651 756 2000 ™ E supa letshwao la kgwebo la sehlopha sa dikhamphani tsa Abbott. ‡ E bontsha letshwao la kgwebo la motho wa boraro, e leng thepa ya monga lona.
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Litokomane / Lisebelisoa
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Abbott Vascular Coding and Coverage Resources [pdf] Buka ea Mong'a Lisebelisoa tsa Vascular Coding le Coverage, Coding le Coverage Resources, Coverage Resources, Resources |