Abbott Vascular Coding jeung Sumberdaya sinyalna
Émbaran produk
spésifikasi
- Ngaran produk: Ékonomi Kaséhatan & Reimbursement 2024 Guide Reimbursement
- Kategori: Ékonomi Kaséhatan
- Produsén: Abbott
- Taun: 2024
Parentah Pamakéan Produk
Leuwihview
Health Economics & Reimbursement 2024 Reimbursement Guide ku Abbott nyayogikeun inpormasi ngeunaan prospek pangmayaran pikeun sagala rupa téknologi sareng prosedur kasehatan dina kaayaan CMS Hospital Outpatient Prospective Payment System (OPPS) sareng Ambulatory Surgical Center (ASC) Aturan Akhir pikeun taun 2024.
Pedoman Prosedur
Pituduh ngawengku tabel kalawan skenario tagihan umum pikeun téhnologi jeung prosedur kayaning Cardiac Rhythm Management (CRM), Electrophysiology (EP), sarta prosedur patali lianna. Penting pikeun ngarujuk kana Klasifikasi Pamayaran Ambulatory Komprehensif (APC) khusus anu disayogikeun ku CMS pikeun inpormasi pamayaran anu akurat.
Analisis reimbursement
Abbott parantos nganalisis dampak poténsi parobihan pamayaran kana prosedur individu dina Rumah Sakit Outpatient Department (HOPD) sareng setélan perawatan ASC. Pituduh janten rujukan pikeun ngartos tingkat reimbursement sareng sinyalna dumasar kana aturan CY2024.
Inpormasi kontak
Pikeun detil atanapi inquiries salajengna, mangga buka Abbott.com atanapi ngahubungan tim Ékonomi Kamanusaan sarta Studi Kaséhatan Abbott di 855-569-6430 atanapi email AbbottEconomics@Abbott.com.
FAQ
- Q: Sabaraha sering pituduh reimbursement diropéa?
- A: Abbott bakal neruskeun nganalisis tur ngamutahirkeun pituduh reimbursement sakumaha diperlukeun dumasar kana parobahan kawijakan pembayaran CMS.
- Q: Dupi pituduh ngajamin tingkat reimbursement husus?
- A: Pituduh nyadiakeun tujuan ilustrasi wungkul tur teu ngajamin tingkat reimbursement atawa cakupan alatan variasi dina prosedur jeung klasifikasi APC.
Émbaran produk
CMS Hospital Outpatient (OPPS) and Ambulatory Surgical Center (ASC) Reimbursement Prospectus
Pusat Layanan Medicare & Medicaid (CMS) ngadamel parobihan anu signifikan kana kawijakan taun kalénder 2024 (CY2024) sareng tingkat pamayaran anu mangaruhan sababaraha prosedur ngagunakeun téknologi Abbott sareng solusi terapi di Rumah Sakit Outpatient Department (HOPD) sareng Pusat Bedah Ambulatory (ASC) setélan perawatan. Parobihan ieu diperparah ku kamajuan inisiatif reformasi pamayaran énggal sareng anu terus-terusan mangaruhan seuseueurna fasilitas kasehatan AS. Dina dokumén prospektus ieu, Abbott nyorot kabijakan pamayaran sareng tingkat pamayaran énggal ka panyadia kasehatan anu ngalaksanakeun jasa anu ayeuna dibayar béda ti taun-taun sateuacana. Dina 2 Nopémber 2023, CMS ngaluarkeun Aturan Akhir CY2024 Hospital Outpatient Prospective Payment System (OPPS)/Ambulatory Surgical Center (ASC), efektif pikeun layanan dina 1 Januari 2024.3,4 Pikeun 2024, proyék CMS a:
- 3.1% kanaékan total pamayaran OPPS3
- 3.1% kanaékan total pamayaran ASC4
Kami parantos nyayogikeun tabel di handap ieu dumasar kana skénario tagihan umum pikeun sababaraha téknologi sareng prosedur. Ieu dimaksudkeun pikeun tujuan ilustrasi wungkul tur teu jaminan tingkat reimbursement atawa sinyalna. Reimbursement bisa rupa-rupa dumasar kana prosedur husus keur dipigawé, sarta dina Klasifikasi Pamayaran Ambulatory Komprehensif (APC) nu CMS geus dijieun dina HOPD. Ngagunakeun aturan CY2024 salaku rujukan, Abbott geus dianalisis dampak poténsi on mayar ka prosedur individu dipigawé dina HOPD, sarta dina setting perawatan ASC, nu ngalibetkeun téhnologi urang atawa solusi terapi. Kami bakal terus nganalisis dampak poténsial tina parobihan kana kawijakan pamayaran CMS sareng ngapdet dokumen ieu upami diperyogikeun. Kanggo inpo nu leuwih lengkep mangga buka Abbott.com, atanapi ngahubungan tim Ékonomi Perawatan Kaséhatan Abbott di 855-569-6430 or AbbottEconomics@Abbott.com.
Spésifikasi
| Rawat Jalan Rumah Sakit (OPPS) | Pusat Bedah Ambulatory (ASC) | ||||||||||
|
Waralaba |
Téknologi |
Prosedur |
APC primér |
CPT‡ Kodeu |
ASC
Kompleksitas Adj. CPT‡ Kodeu |
2023 Pangmayaran |
2024 Pangmayaran |
% Robah |
2023 Pangmayaran |
2024 Pangmayaran |
% Robah |
|
Éléktrofisiologi (EP) |
EP Ablasi |
ablasi katéter, titik AV | 5212 | 93650 | $6,733 | $7,123 | 5.8% | ||||
| Ulikan EP kalawan ablation catheter, SVT | 5213 | 93653 | $23,481 | $22,653 | -3.5% | ||||||
| Ulikan EP sareng ablasi katéter, VT | 5213 | 93654 | $23,481 | $22,653 | -3.5% | ||||||
| Ulikan EP sareng ablasi katéter, pengobatan AF ku PVI | 5213 | 93656 | $23,481 | $22,653 | -3.5% | ||||||
| Studi EP | Ulikan EP komprehensif tanpa induksi | 5212 | 93619 | $6,733 | $7,123 | 5.8% | |||||
|
Manajemén Irama Jantung (CRM) |
Monitor Jantung Implantable (ICM) | implantasi ICM | 33282 | $8,163 | |||||||
| 5222 | 33285 | $8,163 | $8,103 | -0.7% | $7,048 | $6,904 | -2.0% | ||||
| Ngaleungitkeun ICM | 5071 | 33286 | $649 | $671 | 3.4% | $338 | $365 | 8.0% | |||
|
Pacemaker |
Sistem Implant atanapi Gantian - Kamar Tunggal (Ventricular) |
5223 |
33207 |
$10,329 |
$10,185 |
-1.4% |
$7,557 |
$7,223 |
-4.4% |
||
| Sistim susuk atawa ngagantian - Dual Chamber | 5223 | 33208 | $10,329 | $10,185 | -1.4% | $7,722 | $7,639 | -1.1% | |||
| Leadless Pacemaker Lengser | 5183 | 33275 | $2,979 | $3,040 | 2.0% | $2,491 | $2,310 | -7.3% | |||
| Leadless Pacemaker Implant | 5224 | 33274 | $17,178 | $18,585 | 8.2% | $12,491 | $13,171 | 5.4% | |||
| Ngagantian batré - Kamar Tunggal | 5222 | 33227 | $8,163 | $8,103 | -0.7% | $6,410 | $6,297 | -1.8% | |||
| Ngagantian batré - Dual Chamber | 5223 | 33228 | $10,329 | $10,185 | -1.4% | $7,547 | $7,465 | -1.1% | |||
|
Implantable Cardioverter Defibrillator (ICD) |
Sistim susuk atawa ngagantian | 5232 | 33249 | $32,076 | $31,379 | -2.2% | $25,547 | $24,843 | -2.8% | ||
| Ngagantian batré - Kamar Tunggal | 5231 | 33262 | $22,818 | $22,482 | -1.5% | $19,382 | $19,146 | -1.2% | |||
| Ngagantian batré - Dual Chamber | 5231 | 33263 | $22,818 | $22,482 | -1.5% | $19,333 | $19,129 | -1.1% | |||
| Sub-Q ICD | Nyelapkeun sistem ICD Subcutaneous | 5232 | 33270 | $32,076 | $31,379 | -2.2% | $25,478 | $25,172 | -1.2% | ||
| Ngarah Ngan - Pace- maker, ICD, SICD, CRT | Timbal tunggal, Pacemaker, ICD, atanapi 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% | |||
| Pangimeutan Alat | Programming sareng Pangimeutan Jauh | 5741 | 0650T | $35 | $36 | 2.9% | |||||
| 5741 | 93279 | $35 | $36 | 2.9% | |||||||
|
CRT-P |
Sistim susuk atawa ngagantian | 5224 | 33208
+ 33225 |
C7539 | $18,672 | $18,585 | -0.5% | $10,262 | $10,985 | 7.0% | |
| Ngagantian batré | 5224 | 33229 | $18,672 | $18,585 | -0.5% | $11,850 | $12,867 | 8.6% | |||
|
CRT-D |
Sistim susuk atawa ngagantian | 5232 | 33249
+ 33225 |
$18,672 | $31,379 | -2.2% | $25,547 | $24,843 | -2.8% | ||
| Ngagantian batré | 5232 | 33264 | $32,076 | $31,379 | -2.2% | $25,557 | $25,027 | -2.1% | |||
|
Gagal Jantung |
CardioMEMS | Sénsor Implant | C2624 | ||||||||
| 5200 | 33289 | $27,305 | $27,721 | 1.5% | $24,713 | ||||||
| LVAD | Interogasi, sacara pribadi | 5742 | 93750 | $100 | $92 | -8.0% | |||||
| Perencanaan perawatan sateuacanna | 5822 | 99497 | $76 | $85 | 11.8% | ||||||
|
Hipertensi |
Denervation Renal |
Denervation ginjal, sapihak |
5192 |
0338T |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
|
|
Denervasi ginjal, bilateral |
5192 |
0339T |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$3,834 |
64.8% |
|||
| Rawat Jalan Rumah Sakit (OPPS) | Pusat Bedah Ambulatory (ASC) | ||||||||||
|
Waralaba |
Téknologi |
Prosedur |
APC primér |
CPT‡ Kodeu |
ASC
Kompleksitas Adj. CPT‡ Kodeu |
2023 Pangmayaran |
2024 Pangmayaran |
% Robah |
2023 Pangmayaran |
2024 Pangmayaran |
% Robah |
|
Koronér |
PCI Drug Eluting Stent (kaasup FFR/OCT) |
DES, kalawan angioplasty; hiji wadah, nganggo atanapi henteu nganggo FFR sareng / atanapi Oct | 5193 | C9600 | $10,615 | $10,493 | -1.1% | $6,489 | $6,706 | 3.3% | |
| Dua DES, kalawan angioplasty; dua kapal, nganggo atanapi tanpa FFR sareng / atanapi OCT. |
5193 |
C9600 |
$10,615 |
$10,493 |
-1.1% |
$6,489 |
$6,706 |
3.3% |
|||
| Dua DES, kalawan angioplasty; hiji wadah, nganggo atanapi henteu nganggo FFR sareng / atanapi OCT |
5193 |
C9600 |
$10,615 |
$10,493 |
-1.1% |
$6,489 |
$6,706 |
3.3% |
|||
| Dua DES, kalawan angioplasty; dua arteri koronér utama, nganggo atanapi tanpa FFR sareng / atanapi OCT. |
5194 |
C9600 |
$10,615 |
$16,725 |
57.6% |
$9,734 |
$10,059 |
3.3% |
|||
| BMS kalawan atherectomy | BMS kalawan atherectomy | 5194 | 92933 | $17,178 | $16,725 | -2.6% | |||||
| DES kalawan atherectomy | DES kalawan atherectomy | 5194 | C9602 | $17,178 | $16,725 | -2.6% | |||||
| DES jeung AMI | DES jeung AMI | C9606 | $0 | ||||||||
| DES jeung CTO | DES jeung CTO | 5194 | C9607 | $17,178 | $16,725 | -2.6% | |||||
|
Angiografi Koronér sareng Fisiologi Koronér (FFR / CFR) atanapi OCT |
Angiografi koronér | 5191 | 93454 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | ||
| Angiografi koronér + OCT | 5192 | 93454
+ 92978 |
C7516 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Angiografi koronér dina tandur | 5191 | 93455 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Angiografi koronér dina tandur
+ OKT |
5191 | 93455
+ 92978 |
C7518 | $5,215 | $3,108 | -40.4% | $2,327 | ||||
| Angiografi koronér dina tandur + FFR / CFR | 5191 | 93455
+ 93571 |
C7519 | $5,215 | $3,108 | -40.4% | $2,327 | ||||
| Angiografi koronér kalayan katerisasi jantung katuhu | 5191 | 93456 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Angiografi koronér kalayan katerisasi jantung katuhu + OCT | 5192 | 93456
+ 92978 |
C7521 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Angiografi koronér sareng katerisasi jantung katuhu + FFR / CFR | 5192 | 93456
+ 93571 |
C7522 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Angiografi koronér dina tandur kalayan katéterisasi jantung katuhu | 5191 | 93457 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Angiografi koronér dina tandur kalayan katéterisasi jantung katuhu
+ FFR / CFR |
5191 |
93457
+ 93571 |
$5,215 |
$3,108 |
-40.4% |
$0 |
$0 |
||||
| Angiografi koronér sareng katerisasi jantung kénca | 5191 | 93458 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Angiografi koronér sareng katerisasi jantung kénca + OCT | 5192 | 93458
+ 92978 |
C7523 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Angiografi koronér sareng katerisasi jantung kénca + FFR / CFR | 5192 | 93458
+ 93571 |
C7524 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Angiografi koronér dina tandur kalayan katerisasi jantung kénca | 5191 | 93459 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Angiografi koronér dina tandur sareng katerisasi jantung kénca + OCT | 5192 | 93459
+ 92978 |
C7525 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Angiografi koronér dina tandur sareng katerisasi jantung kénca + FFR / CFR |
5192 |
93459
+ 93571 |
C7526 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
| Angiografi korér kalayan katéterisasi jantung katuhu sareng kénca | 5191 | 93460 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Angiografi korér kalayan katéterisasi jantung katuhu sareng kénca
+ OKT |
5192 |
93460
+ 92978 |
C7527 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
| Cornary angiography kalawan catheterization haté katuhu jeung kénca + FFR / CFR |
5192 |
93460
+ 93571 |
C7528 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
| Rawat Jalan Rumah Sakit (OPPS) | Pusat Bedah Ambulatory (ASC) | ||||||||||
|
Waralaba |
Téknologi |
Prosedur |
APC primér |
CPT‡ Kodeu |
ASC
Kompleksitas Adj. CPT‡ Kodeu |
2023 Pangmayaran |
2024 Pangmayaran |
% Robah |
2023 Pangmayaran |
2024 Pangmayaran |
% Robah |
|
Koronér |
Angiografi Koronér sareng Fisiologi Koronér (FFR / CFR) atanapi OCT |
Angiografi koronér dina tandur kalayan katéterisasi jantung katuhu sareng kénca |
5191 |
93461 |
$2,958 |
$3,108 |
5.1% |
$1,489 |
$1,633 |
9.7% |
|
| Angiografi koronér dina tandur kalayan katéterisasi jantung katuhu sareng kénca + FFR / CFR |
5192 |
93461
+ 93571 |
C7529 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
|
Vaskular Periferal |
Angioplasti |
Angioplasti (Iliac) | 5192 | 37220 | $5,215 | $5,452 | 4.5% | $3,074 | $3,275 | 6.5% | |
| Angioplasti (Fem/Pop) | 5192 | 37224 | $5,215 | $5,452 | 4.5% | $3,230 | $3,452 | 6.9% | |||
| Angioplasti (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% | |||
|
Sténting |
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, kaasup 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 sareng Stenting |
Atherectomy sareng stenting (Fem / Pop) | 5194 | 37227 | $17,178 | $16,725 | -2.6% | $11,792 | $11,873 | 0.7% | ||
| Atherectomy sareng stenting (Tibial / Peroneal) | 5194 | 37231 | $17,178 | $16,725 | -2.6% | $11,322 | $11,981 | 5.8% | |||
|
Vaskular Plugs |
Embolization atanapi occlusion vena | 5193 | 37241 | $10,615 | $10,493 | -1.1% | $5,889 | $6,108 | 3.7% | ||
| Embolization arteri atanapi occlusion | 5194 | 37242 | $10,615 | $16,725 | 57.6% | $6,720 | $11,286 | 67.9% | |||
| Embolisasi atanapi oklusi pikeun tumor, iskemia organ, atanapi infark |
5193 |
37243 |
$10,615 |
$10,493 |
-1.1% |
$4,579 |
$4,848 |
5.9% |
|||
| Embolisasi atanapi oklusi pikeun perdarahan arteri atanapi vena atanapi extravasation limfatik |
5193 |
37244 |
$10,615 |
$10,493 |
-1.1% |
||||||
|
Thrombectomy mékanis arteri |
thrombectomy mékanis percutaneous arteri primér; kapal awal |
5194 |
37184 |
$10,615 |
$16,725 |
57.6% |
$6,563 |
$10,116 |
54.1% |
||
|
Vaskular Periferal |
thrombectomy mékanis percutaneous arteri primér; kadua jeung sakabeh kapal saterusna (s) |
37185 |
Dibungkus |
Dibungkus |
NA |
NA |
|||||
| Thrombectomy mékanis percutaneous arteri sekundér | 37186 | Dibungkus | Dibungkus | NA | NA | ||||||
|
Thrombectomy mékanis arteri kalayan Angioplasty |
thrombectomy mékanis percutaneous arteri primér; kapal awal kalayan angioplasti Iliac |
NA |
37184
+37220 |
$8,100 |
$11,754 |
45.1% |
|||||
| thrombectomy mékanis percutaneous arteri primér; kapal awal kalawan angioplasty fem / pop |
NA |
37184
+37224 |
$8,178 |
$11,842 |
44.8% |
||||||
| thrombectomy mékanis percutaneous arteri primér; kapal awal kalawan angioplasty tib / pero |
NA |
37184
+37228 |
$9,606 |
$13,283 |
38.3% |
||||||
|
Thrombectomy Mechanical Arteri kalawan Stenting |
thrombectomy mékanis percutaneous arteri primér; kapal awal kalawan stenting Iliac |
NA |
37184
+37221 |
$9,881 |
$13,502 |
36.7% |
|||||
| thrombectomy mékanis percutaneous arteri primér; bejana awal kalawan stenting fem / pop |
NA |
37184
+37226 |
$10,251 |
$13,631 |
33.0% |
||||||
| thrombectomy mékanis percutaneous arteri primér; kapal awal kalawan stenting tib / pero |
NA |
37184
+37230 |
$14,634 |
$15,793 |
7.9% |
||||||
| Rawat Jalan Rumah Sakit (OPPS) | Pusat Bedah Ambulatory (ASC) | ||||||||||
|
Waralaba |
Téknologi |
Prosedur |
APC primér |
CPT‡ Kodeu |
ASC
Kompleksitas Adj. CPT‡ Kodeu |
2023 Pangmayaran |
2024 Pangmayaran |
% Robah |
2023 Pangmayaran |
2024 Pangmayaran |
% Robah |
|
Vaskular Periferal |
Thrombectomy mékanis véna |
Thrombectomy mékanis percutaneous vena, perlakuan awal | 5193 | 37187 | $10,615 | $10,493 | -1.1% | $7,321 | $7,269 | -0.7% | |
| Venous percutaneous thrombectomy mékanis, ulang perlakuan dina poé saterusna |
5183 |
37188 |
$2,979 |
$3,040 |
2.0% |
$2,488 |
$2,568 |
3.2% |
|||
| Thrombectomy Mékanis Venous kalawan Angioplasty | Thrombectomy mékanis percutaneous vena, perlakuan awal jeung angioplasty |
NA |
37187 + 37248 |
$8,485 |
$8,532 |
0.6% |
|||||
| Thrombectomy Mechanical Venous kalawan Stenting | Thrombectomy mékanis percutaneous vena, perlakuan awal kalawan stenting |
NA |
37187 + 37238 |
$10,551 |
$10,619 |
0.6% |
|||||
|
Dialisis Circuit Thrombectomy |
Thrombectomy mékanis percutaneous, sirkuit dialisis | 5192 | 36904 | $5,215 | $5,452 | 4.5% | $3,071 | $3,223 | 4.9% | ||
| Thrombectomy mékanis percutaneous, sirkuit dialisis, kalawan angioplasty |
5193 |
36905 |
$10,615 |
$10,493 |
-1.1% |
$5,907 |
$6,106 |
3.4% |
|||
| Thrombectomy mékanis percutaneous, sirkuit dialisis, kalawan stent |
5194 |
36906 |
$17,178 |
$16,725 |
-2.6% |
$11,245 |
$11,288 |
0.4% |
|||
|
Trombolisis |
Perawatan trombolisis arteri transcatheter, dinten awal |
5184 |
37211 |
$5,140 |
$5,241 |
2.0% |
$3,395 |
$3,658 |
7.7% |
||
| Transcatheter venous thrombolysis treatment, dinten awal |
5183 |
37212 |
$2,979 |
$3,040 |
2.0% |
$1,444 |
$1,964 |
36.0% |
|||
| Transcatheter artéri atanapi vena thrombolisis perlakuan, poé saterusna |
5183 |
37213 |
$2,979 |
$3,040 |
2.0% |
||||||
| Transcatheter artéri atanapi venous thrombolysis treatment, dinten ahir | 5183 | 37214 | $2,979 | $3,040 | 2.0% | ||||||
|
Jantung Struktural |
Panutupan PFO | panutupanana ASD / PFO | 5194 | 93580 | $17,178 | $16,725 | -2.6% | ||||
| ASD | panutupanana ASD / PFO | 5194 | 93580 | $17,178 | $16,725 | -2.6% | |||||
| VSD | panutupanana VSD | 5194 | 93581 | $17,178 | $16,725 | -2.6% | |||||
| PDA | panutupanana PDA | 5194 | 93582 | $17,178 | $16,725 | -2.6% | |||||
|
Nyeri kronis |
Stimulasi tulang tonggong jeung DRG Stimulasi |
Percobaan Timbal Tunggal: percutaneous | 5462 | 63650 | $6,604 | $6,523 | -1.2% | $4,913 | $4,952 | 0.8% | |
| Uji coba Dual Lead: percutaneous | 5462 | 63650 | $6,604 | $6,523 | -1.2% | $9,826 | $9,904 | 0.8% | |||
| Percobaan Timbal Bedah | 5464 | 63655 | $21,515 | $20,865 | -3.0% | $17,950 | $17,993 | 0.2% | |||
| Sistem Pinuh - Timbal Tunggal - Percutaneous | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $29,629 | $30,250 | 2.1% | |||
| Sistem Pinuh - Dual Lead - Percutaneous | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $34,542 | $35,202 | 1.9% | |||
| Sistim pinuh IPG - Laminektomi | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $42,666 | $43,291 | 1.5% | |||
| susuk IPG atawa ngagantian | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $24,716 | $25,298 | 2.4% | |||
| Tunggal kalungguhan | 5462 | 63650 | Dibungkus | Dibungkus | $4,913 | $4,952 | 0.8% | ||||
| Dual kalungguhan | 5462 | 63650 | Dibungkus | Dibungkus | $4,913 | $4,952 | 0.8% | ||||
| Analisis IPG, Pemrograman Basajan | 5742 | 95971 | $100 | $92 | -8.0% | ||||||
|
Stimulasi saraf periferal |
Sistem Pinuh - Timbal Tunggal - 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% | ||||
| Sistem Pinuh - 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% | ||||
| ngagantian IPG | 5464 | 64590 | $21,515 | $20,865 | -3.0% | $19,333 | $19,007 | -1.7% | |||
| Rawat Jalan Rumah Sakit (OPPS) | Pusat Bedah Ambulatory (ASC) | ||||||||||
|
Waralaba |
Téknologi |
Prosedur |
APC primér |
CPT‡ Kodeu |
ASC
Kompleksitas Adj. CPT‡ Kodeu |
2023 Pangmayaran |
2024 Pangmayaran |
% Robah |
2023 Pangmayaran |
2024 Pangmayaran |
% Robah |
|
Nyeri kronis |
RF Ablation |
Tulang tonggong Cervical / Tulang tonggong Thoracic | 5431 | 64633 | $1,798 | $1,842 | 2.4% | $854 | $898 | 5.2% | |
| Tulang tonggong Lumbar | 5431 | 64635 | $1,798 | $1,842 | 2.4% | $854 | $898 | 5.2% | |||
| Saraf periferal séjén | 5443 | 64640 | $852 | $869 | 2.0% | $172 | $173 | 0.6% | |||
| Ablasi frékuénsi radio | 5431 | 64625 | $1,798 | $1,842 | 2.4% | $854 | $898 | 5.2% | |||
|
Gangguan Gerakan |
DBS |
IPG Nempatkeun - Single Array | 5464 | 61885 | $21,515 | $20,865 | -3.0% | $19,686 | $19,380 | -1.6% | |
| IPG Nempatkeun - Dua 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 Nempatkeun - Dual Array | 5465 | 61886 | $29,358 | $29,617 | 0.9% | $24,824 | $25,340 | 2.1% | |||
| Analisis IPG, No Programming | 5734 | 95970 | $116 | $122 | 5.2% | ||||||
| Analisis IPG, Pemrograman Sederhana; kahiji 15 Min | 5742 | 95983 | $100 | $92 | -8.0% | ||||||
| Analisis IPG, Pemrograman Sederhana; tambahan 15 mnt | 95984 | $0 | |||||||||
Bantahan
Bahan ieu sareng inpormasi anu aya di dieu ngan ukur kanggo tujuan inpormasi umum sareng henteu dimaksudkeun, sareng henteu janten, hukum, reimbursement, bisnis, klinis, atanapi naséhat sanés. Salajengna, éta henteu dimaksudkeun sareng henteu janten perwakilan atanapi jaminan pangmayaran, pamayaran, atanapi biaya, atanapi yén reimbursement atanapi pamayaran sanésna bakal ditampi. Henteu dimaksudkeun pikeun ningkatkeun atanapi ngamaksimalkeun pamayaran ku anu mayar. Abbott henteu masihan jaminan atanapi jaminan anu nyata atanapi tersirat yén daptar kode sareng narasi dina dokumén ieu lengkep atanapi henteu aya kasalahan. Nya kitu, euweuh dina dokumen ieu kedah viewed salaku parentah pikeun milih kode nu tangtu, sarta Abbott teu ngajengkeun atawa ngajamin appropriateness tina pamakéan kode nu tangtu. Tanggung jawab pamungkas pikeun coding sareng kéngingkeun pamayaran/reimbursement tetep aya dina palanggan. Ieu kalebet tanggung jawab katepatan sareng kabeneran sadaya coding sareng klaim anu dikintunkeun ka pamayaran pihak katilu. Salaku tambahan, palanggan kedah perhatikeun yén undang-undang, peraturan, sareng kawijakan liputan rumit sareng sering diropéa sareng tiasa robih tanpa aya bewara. Palanggan kedah sering parios ka operator atanapi perantara lokalna sareng kedah konsultasi sareng panaséhat hukum atanapi spesialis kauangan, coding, atanapi reimbursement pikeun patarosan naon waé anu aya hubunganana sareng coding, tagihan, reimbursement, atanapi masalah anu aya hubunganana. Bahan ieu ngahasilkeun deui inpormasi pikeun tujuan rujukan wungkul. Éta henteu disayogikeun atanapi diidinan pikeun panggunaan pamasaran.
Sumber
- Pamayaran Prospektif Rumah Sakit Outpatient-Aturan Akhir sareng Koméntar CY2024:
- Pamayaran Pusat Bedah Ambulatory-Aturan Akhir CY2024 Tarif Pembayaran:
- Pamayaran Prospektif Rumah Sakit Outpatient-Aturan Akhir sareng Koméntar CY2023:
- Pamayaran Pusat Bedah Ambulatory-Aturan Akhir CY2023 Tarif Pembayaran: https://www.cms.gov/medicaremedicare-fee-service-paymentascpaymentasc-regulations-and-notices/cms-1772-fc
PERHATIAN: Produk ieu dimaksudkeun pikeun dianggo ku atanapi di handapeun arahan dokter. Saacanna dipaké, rujuk Parentah pikeun Paké, di jero karton produk (lamun sadia) atanapi di vascular.eifu.abbott atanapi di manuals.eifu.abbott pikeun inpo nu leuwih wincik tentang indikasi, Contraindications, warnings, precautions sarta Kajadian ngarugikeun. Abbott Hiji St Jude Médis Dr., St. Paul, Bungbulang 55117, AS, Tel: 1 651 756 2000 ™ Nunjukkeun mérek dagang ti grup Abbott pausahaan. ‡ Nunjukkeun mérek dagang pihak katilu, anu mangrupa hak milik nu bogana.
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Dokumén / Sumberdaya
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Abbott Vascular Coding jeung Sumberdaya sinyalna [pdf] Buku Panduan Pamilik Coding Vascular jeung Sumber Daya Sinyalna, Coding jeung Sumber Daya Sinyalna, Sumber Daya Sinyalna, Sumberdaya |