Abbott Mishipa ya Usimbaji na Nyenzo za Chanjo
Taarifa ya Bidhaa
Vipimo
- Jina la Bidhaa: Mwongozo wa Urejeshaji wa Uchumi wa Afya na Urejeshaji wa 2024
- Kategoria: Uchumi wa Huduma ya Afya
- Mtengenezaji: Abbott
- Mwaka: 2024
Maagizo ya Matumizi ya Bidhaa
Zaidiview
Mwongozo wa Urejeshaji wa Uchumi wa Afya na Urejeshaji wa 2024 na Abbott unatoa maelezo juu ya matarajio ya kurejesha pesa kwa teknolojia na taratibu mbalimbali za afya chini ya Mfumo wa Malipo wa Wagonjwa wa Nje wa CMS (OPPS) na Kanuni ya Mwisho ya Kituo cha Upasuaji wa Ambulatory (ASC) kwa mwaka wa 2024.
Miongozo ya Utaratibu
Mwongozo huu unajumuisha majedwali yenye matukio ya kawaida ya bili ya teknolojia na taratibu kama vile Usimamizi wa Mdundo wa Moyo (CRM), Electrophysiology (EP), na taratibu zingine zinazohusiana. Ni muhimu kurejelea Ainisho Mahususi Kabambe ya Malipo ya Ambulatory (APC) iliyotolewa na CMS kwa maelezo sahihi ya urejeshaji.
Uchambuzi wa Urejeshaji
Abbott amechanganua athari inayoweza kutokea ya mabadiliko ya malipo kwa taratibu za kibinafsi ndani ya Idara ya Wagonjwa wa Nje ya Hospitali (HOPD) na mipangilio ya utunzaji wa ASC. Mwongozo huu unatumika kama marejeleo ya kuelewa viwango vya urejeshaji na malipo kulingana na sheria za CY2024.
Maelezo ya Mawasiliano
Kwa maelezo zaidi au maswali, tembelea Abbott.com au wasiliana na timu ya Abbott Health Care Economics kwa 855-569-6430 au barua pepe AbbottEconomics@Abbott.com.
Maswali Yanayoulizwa Mara kwa Mara
- Swali: Mwongozo wa urejeshaji husasishwa mara ngapi?
- Jibu: Abbott ataendelea kuchanganua na kusasisha mwongozo wa urejeshaji inapohitajika kulingana na mabadiliko ya sera za malipo za CMS.
- Swali: Je, mwongozo unaweza kuthibitisha viwango maalum vya urejeshaji?
- J: Mwongozo unatoa madhumuni ya kielelezo pekee na hauhakikishi viwango vya urejeshaji au malipo kutokana na tofauti za taratibu na uainishaji wa APC.
Taarifa ya Bidhaa
Mtazamo wa Urejeshaji wa Mapato ya Wagonjwa wa Nje wa Hospitali ya CMS (OPPS) na Kituo cha Upasuaji wa Ambulatory (ASC)
Vituo vya Medicare & Medicaid Services (CMS) vilifanya mabadiliko makubwa kwa sera na viwango vya malipo vya kalenda ya mwaka wa 2024 (CY2024) ambayo yaliathiri taratibu kadhaa za kutumia teknolojia ya Abbott na suluhu za matibabu katika Idara ya Wagonjwa wa Nje ya Hospitali (HOPD) na Kituo cha Upasuaji wa Ambulatory (ASC) mipangilio ya utunzaji. Mabadiliko haya yanachangiwa na maendeleo ya mipango mipya na inayoendelea ya mageuzi ya malipo inayoathiri vituo vingi vya afya vya Marekani. Katika hati hii ya matarajio, Abbott anaangazia sera fulani za malipo na viwango vipya vya malipo kwa watoa huduma za afya ambao wanafanya huduma ambazo sasa zinalipwa tofauti na miaka ya awali. Mnamo Novemba 2, 2023, CMS ilitoa Kanuni ya Mwisho ya Mfumo wa Malipo wa Wagonjwa wa Nje wa CY2024 (OPPS)/Ambulatory Surgical Center (ASC), itaanza kutumika tarehe 1 Januari 2024.3,4 Kwa 2024, miradi ya CMS:
- Ongezeko la 3.1% la jumla ya malipo ya OPPS3
- Ongezeko la 3.1% la jumla ya malipo ya ASC4
Tumetoa majedwali yafuatayo kulingana na hali za kawaida za utozaji kwa teknolojia na taratibu mbalimbali. Hii inakusudiwa kwa madhumuni ya kielelezo pekee na sio hakikisho la viwango vya urejeshaji au malipo. Urejeshaji unaweza kutofautiana kulingana na taratibu mahususi zinazofanywa, na Ainisho Kabambe la Malipo ya Ambulatory (APC) ambayo CMS imeunda katika HOPD. Kwa kutumia sheria za CY2024 kama marejeleo, Abbott amechanganua athari inayoweza kutokea katika malipo kwa taratibu za kibinafsi zinazofanywa ndani ya HOPD, na katika mpangilio wa utunzaji wa ASC, ambao unahusisha teknolojia au masuluhisho ya matibabu. Tutaendelea kuchanganua athari zinazoweza kujitokeza kutokana na mabadiliko ya sera za malipo za CMS na kusasisha hati hii inapohitajika. Kwa habari zaidi tafadhali tembelea Abbott.com, au wasiliana na timu ya Abbott Health Care Economics kwa 855-569-6430 or AbbottEconomics@Abbott.com.
Vipimo
| Mgonjwa wa Nje wa Hospitali (OPPS) | Kituo cha Upasuaji wa Ambulatory (ASC) | ||||||||||
|
Franchise |
Teknolojia |
Utaratibu |
APC ya msingi |
CPT‡ Kanuni |
ASC
Utata Adj. Kanuni ya CPT |
2023 Marejesho |
2024 Marejesho |
% Badilika |
2023 Marejesho |
2024 Marejesho |
% Badilika |
|
Electrophysiology (EP) |
EP Ablation |
Utoaji wa katheta, nodi ya AV | 5212 | 93650 | $6,733 | $7,123 | 5.8% | ||||
| Utafiti wa EP na uondoaji wa catheter, SVT | 5213 | 93653 | $23,481 | $22,653 | -3.5% | ||||||
| Utafiti wa EP na uondoaji wa catheter, VT | 5213 | 93654 | $23,481 | $22,653 | -3.5% | ||||||
| Utafiti wa EP na uondoaji wa catheter, matibabu ya AF na PVI | 5213 | 93656 | $23,481 | $22,653 | -3.5% | ||||||
| Masomo ya EP | Utafiti wa kina wa EP bila utangulizi | 5212 | 93619 | $6,733 | $7,123 | 5.8% | |||||
|
Usimamizi wa Midundo ya Moyo (CRM) |
Kichunguzi cha Moyo kinachoweza kuingizwa (ICM) | Uwekaji wa ICM | 33282 | $8,163 | |||||||
| 5222 | 33285 | $8,163 | $8,103 | -0.7% | $7,048 | $6,904 | -2.0% | ||||
| Kuondolewa kwa ICM | 5071 | 33286 | $649 | $671 | 3.4% | $338 | $365 | 8.0% | |||
|
Pacemaker |
Uingizaji wa Mfumo au Ubadilishaji - Chumba Kimoja (Ventricular) |
5223 |
33207 |
$10,329 |
$10,185 |
-1.4% |
$7,557 |
$7,223 |
-4.4% |
||
| Uingizaji wa Mfumo au Ubadilishaji - Chumba Mbili | 5223 | 33208 | $10,329 | $10,185 | -1.4% | $7,722 | $7,639 | -1.1% | |||
| Kuondolewa kwa Pacemaker bila Lead | 5183 | 33275 | $2,979 | $3,040 | 2.0% | $2,491 | $2,310 | -7.3% | |||
| Kipandikizi cha Kisaidia Moyo kisicho na uongozi | 5224 | 33274 | $17,178 | $18,585 | 8.2% | $12,491 | $13,171 | 5.4% | |||
| Ubadilishaji wa Betri - Chumba Kimoja | 5222 | 33227 | $8,163 | $8,103 | -0.7% | $6,410 | $6,297 | -1.8% | |||
| Ubadilishaji wa Betri - Chumba Mbili | 5223 | 33228 | $10,329 | $10,185 | -1.4% | $7,547 | $7,465 | -1.1% | |||
|
Kipunguzaji Fibrilata cha Cardioverter kinachoweza kuingizwa (ICD) |
Uingizaji wa Mfumo au Uingizwaji | 5232 | 33249 | $32,076 | $31,379 | -2.2% | $25,547 | $24,843 | -2.8% | ||
| Ubadilishaji wa Betri - Chumba Kimoja | 5231 | 33262 | $22,818 | $22,482 | -1.5% | $19,382 | $19,146 | -1.2% | |||
| Ubadilishaji wa Betri - Chumba Mbili | 5231 | 33263 | $22,818 | $22,482 | -1.5% | $19,333 | $19,129 | -1.1% | |||
| ICD ndogo ya Q | Uingizaji wa mfumo wa ICD wa Subcutaneous | 5232 | 33270 | $32,076 | $31,379 | -2.2% | $25,478 | $25,172 | -1.2% | ||
| Inaongoza Pekee - Kitengeneza kasi, ICD, SICD, CRT | Mwongozo mmoja, Pacemaker, ICD, au 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% | |||
| Ufuatiliaji wa Kifaa | Kupanga na Ufuatiliaji wa Mbali | 5741 | 0650T | $35 | $36 | 2.9% | |||||
| 5741 | 93279 | $35 | $36 | 2.9% | |||||||
|
CRT-P |
Uingizaji wa Mfumo au Uingizwaji | 5224 | 33208
+ 33225 |
C7539 | $18,672 | $18,585 | -0.5% | $10,262 | $10,985 | 7.0% | |
| Ubadilishaji wa Betri | 5224 | 33229 | $18,672 | $18,585 | -0.5% | $11,850 | $12,867 | 8.6% | |||
|
CRT-D |
Uingizaji wa Mfumo au Uingizwaji | 5232 | 33249
+ 33225 |
$18,672 | $31,379 | -2.2% | $25,547 | $24,843 | -2.8% | ||
| Ubadilishaji wa Betri | 5232 | 33264 | $32,076 | $31,379 | -2.2% | $25,557 | $25,027 | -2.1% | |||
|
Kushindwa kwa Moyo |
CardioMEMS | Kipandikizi cha Sensorer | C2624 | ||||||||
| 5200 | 33289 | $27,305 | $27,721 | 1.5% | $24,713 | ||||||
| LVAD | Kuhojiwa, kibinafsi | 5742 | 93750 | $100 | $92 | -8.0% | |||||
| Upangaji wa huduma ya mapema | 5822 | 99497 | $76 | $85 | 11.8% | ||||||
|
Shinikizo la damu |
Upungufu wa Figo |
Upungufu wa figo, upande mmoja |
5192 |
0338T |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
|
|
Upungufu wa figo, nchi mbili |
5192 |
0339T |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$3,834 |
64.8% |
|||
| Mgonjwa wa Nje wa Hospitali (OPPS) | Kituo cha Upasuaji wa Ambulatory (ASC) | ||||||||||
|
Franchise |
Teknolojia |
Utaratibu |
APC ya msingi |
CPT‡ Kanuni |
ASC
Utata Adj. Kanuni ya CPT |
2023 Marejesho |
2024 Marejesho |
% Badilika |
2023 Marejesho |
2024 Marejesho |
% Badilika |
|
Ugonjwa wa Coronary |
Vishindo vya Kusafisha Madawa ya PCI (pamoja na FFR/OCT) |
DES, na angioplasty; chombo kimoja, chenye au bila FFR na/au OCT | 5193 | C9600 | $10,615 | $10,493 | -1.1% | $6,489 | $6,706 | 3.3% | |
| DES mbili, na angioplasty; vyombo viwili, vyenye au bila FFR na/au OCT. |
5193 |
C9600 |
$10,615 |
$10,493 |
-1.1% |
$6,489 |
$6,706 |
3.3% |
|||
| DES mbili, na angioplasty; chombo kimoja, chenye au bila FFR na/au OCT |
5193 |
C9600 |
$10,615 |
$10,493 |
-1.1% |
$6,489 |
$6,706 |
3.3% |
|||
| DES mbili, na angioplasty; ateri kuu mbili za moyo, pamoja na au bila FFR na/au OCT. |
5194 |
C9600 |
$10,615 |
$16,725 |
57.6% |
$9,734 |
$10,059 |
3.3% |
|||
| BMS na atherectomy | BMS na atherectomy | 5194 | 92933 | $17,178 | $16,725 | -2.6% | |||||
| DES na atherectomy | DES na atherectomy | 5194 | C9602 | $17,178 | $16,725 | -2.6% | |||||
| DES na AMI | DES na AMI | C9606 | $0 | ||||||||
| DES na CTO | DES na CTO | 5194 | C9607 | $17,178 | $16,725 | -2.6% | |||||
|
Angiografia ya Coronary na Fiziolojia ya Coronary (FFR/ CFR) au OCT |
Angiografia ya Coronary | 5191 | 93454 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | ||
| Angiografia ya Coronary + OCT | 5192 | 93454
+ 92978 |
C7516 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Angiografia ya Coronary katika ufisadi | 5191 | 93455 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Angiografia ya Coronary katika ufisadi
+ OCT |
5191 | 93455
+ 92978 |
C7518 | $5,215 | $3,108 | -40.4% | $2,327 | ||||
| Angiografia ya Coronary katika ufisadi + FFR/CFR | 5191 | 93455
+ 93571 |
C7519 | $5,215 | $3,108 | -40.4% | $2,327 | ||||
| Angiografia ya Coronary na catherterization ya moyo wa kulia | 5191 | 93456 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Angiografia ya Coronary yenye catherterization ya moyo wa kulia + OCT | 5192 | 93456
+ 92978 |
C7521 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Angiografia ya Coronary yenye catherterization ya moyo wa kulia + FFR/CFR | 5192 | 93456
+ 93571 |
C7522 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Angiografia ya Coronary katika kupandikizwa kwa katheta ya moyo wa kulia | 5191 | 93457 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Angiografia ya Coronary katika kupandikizwa kwa katheta ya moyo wa kulia
+ FFR/CFR |
5191 |
93457
+ 93571 |
$5,215 |
$3,108 |
-40.4% |
$0 |
$0 |
||||
| Angiografia ya Coronary na catherization ya moyo wa kushoto | 5191 | 93458 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Angiografia ya Coronary yenye catherization ya moyo wa kushoto + OCT | 5192 | 93458
+ 92978 |
C7523 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Angiografia ya Coronary yenye catherization ya moyo wa kushoto + FFR/CFR | 5192 | 93458
+ 93571 |
C7524 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Angiografia ya Coronary katika kupandikizwa kwa catherization ya moyo wa kushoto | 5191 | 93459 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Angiografia ya Coronary katika kupandikizwa kwa catherization ya moyo wa kushoto + OCT | 5192 | 93459
+ 92978 |
C7525 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| Angiografia ya Coronary katika kupandikizwa kwa catherization ya moyo wa kushoto + FFR/CFR |
5192 |
93459
+ 93571 |
C7526 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
| Angiografia ya Cornary na catheterization ya moyo wa kulia na kushoto | 5191 | 93460 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| Angiografia ya Cornary na catheterization ya moyo wa kulia na kushoto
+ OCT |
5192 |
93460
+ 92978 |
C7527 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
| Angiografia ya Cornary yenye catheterization ya moyo wa kulia na kushoto + FFR/CFR |
5192 |
93460
+ 93571 |
C7528 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
| Mgonjwa wa Nje wa Hospitali (OPPS) | Kituo cha Upasuaji wa Ambulatory (ASC) | ||||||||||
|
Franchise |
Teknolojia |
Utaratibu |
APC ya msingi |
CPT‡ Kanuni |
ASC
Utata Adj. Kanuni ya CPT |
2023 Marejesho |
2024 Marejesho |
% Badilika |
2023 Marejesho |
2024 Marejesho |
% Badilika |
|
Ugonjwa wa Coronary |
Angiografia ya Coronary na Fiziolojia ya Coronary (FFR/ CFR) au OCT |
Angiografia ya Coronary katika kupandikizwa kwa katheta ya moyo wa kulia na kushoto |
5191 |
93461 |
$2,958 |
$3,108 |
5.1% |
$1,489 |
$1,633 |
9.7% |
|
| Angiografia ya Coronary katika kupandikizwa kwa katheta ya moyo wa kulia na kushoto + FFR/CFR |
5192 |
93461
+ 93571 |
C7529 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
|
Mishipa ya Pembeni |
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, pamoja na 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 na Stenting |
Atherectomy na stenting (Fem/ Pop) | 5194 | 37227 | $17,178 | $16,725 | -2.6% | $11,792 | $11,873 | 0.7% | ||
| Atherectomy na stenting (Tibial / Peroneal) | 5194 | 37231 | $17,178 | $16,725 | -2.6% | $11,322 | $11,981 | 5.8% | |||
|
Plugs za Mishipa |
Kuvimba kwa vena au kuziba | 5193 | 37241 | $10,615 | $10,493 | -1.1% | $5,889 | $6,108 | 3.7% | ||
| Embolization ya ateri au kuziba | 5194 | 37242 | $10,615 | $16,725 | 57.6% | $6,720 | $11,286 | 67.9% | |||
| Embolization au kuziba kwa uvimbe, ischemia ya chombo, au infarction |
5193 |
37243 |
$10,615 |
$10,493 |
-1.1% |
$4,579 |
$4,848 |
5.9% |
|||
| Uimarishaji au kuziba kwa damu ya ateri au ya vena au kuongezeka kwa limfu |
5193 |
37244 |
$10,615 |
$10,493 |
-1.1% |
||||||
|
Thrombectomy ya Mitambo ya Arterial |
Thrombectomy ya mitambo ya arterial percutaneous; chombo cha awali |
5194 |
37184 |
$10,615 |
$16,725 |
57.6% |
$6,563 |
$10,116 |
54.1% |
||
|
Mishipa ya Pembeni |
Thrombectomy ya mitambo ya arterial percutaneous; pili na vyombo vyote vinavyofuata |
37185 |
Imefungashwa |
Imefungashwa |
NA |
NA |
|||||
| Thrombectomy ya mitambo ya ateri ya sekondari ya percutaneous | 37186 | Imefungashwa | Imefungashwa | NA | NA | ||||||
|
Thrombectomy ya Mitambo ya Arterial na Angioplasty |
Thrombectomy ya mitambo ya arterial percutaneous; chombo cha awali na angioplasty Iliac |
NA |
37184
+37220 |
$8,100 |
$11,754 |
45.1% |
|||||
| Thrombectomy ya mitambo ya arterial percutaneous; chombo cha awali na angioplasty fem/pop |
NA |
37184
+37224 |
$8,178 |
$11,842 |
44.8% |
||||||
| Thrombectomy ya mitambo ya arterial percutaneous; chombo cha awali na angioplasty tib/pero |
NA |
37184
+37228 |
$9,606 |
$13,283 |
38.3% |
||||||
|
Thrombectomy ya Mitambo ya Arterial yenye Stenting |
Thrombectomy ya mitambo ya arterial percutaneous; chombo cha awali chenye Iliac yenye stenting |
NA |
37184
+37221 |
$9,881 |
$13,502 |
36.7% |
|||||
| Thrombectomy ya mitambo ya arterial percutaneous; chombo cha awali chenye stenting fem/pop |
NA |
37184
+37226 |
$10,251 |
$13,631 |
33.0% |
||||||
| Thrombectomy ya mitambo ya arterial percutaneous; chombo cha awali chenye tib/pero |
NA |
37184
+37230 |
$14,634 |
$15,793 |
7.9% |
||||||
| Mgonjwa wa Nje wa Hospitali (OPPS) | Kituo cha Upasuaji wa Ambulatory (ASC) | ||||||||||
|
Franchise |
Teknolojia |
Utaratibu |
APC ya msingi |
CPT‡ Kanuni |
ASC
Utata Adj. Kanuni ya CPT |
2023 Marejesho |
2024 Marejesho |
% Badilika |
2023 Marejesho |
2024 Marejesho |
% Badilika |
|
Mishipa ya Pembeni |
Thrombectomy ya Mishipa ya Mishipa |
Thrombectomy ya mitambo ya venous percutaneous, matibabu ya awali | 5193 | 37187 | $10,615 | $10,493 | -1.1% | $7,321 | $7,269 | -0.7% | |
| Thrombectomy ya mitambo ya venous percutaneous, kurudia matibabu siku inayofuata |
5183 |
37188 |
$2,979 |
$3,040 |
2.0% |
$2,488 |
$2,568 |
3.2% |
|||
| Thrombectomy ya Mishipa yenye Angioplasty | Thrombectomy ya mitambo ya venous percutaneous, matibabu ya awali na angioplasty |
NA |
37187 + 37248 |
$8,485 |
$8,532 |
0.6% |
|||||
| Thrombectomy ya Mishipa yenye Mishipa yenye Stenting | Thrombectomy ya mitambo ya venous percutaneous, matibabu ya awali na stenting |
NA |
37187 + 37238 |
$10,551 |
$10,619 |
0.6% |
|||||
|
Thrombectomy ya mzunguko wa dialysis |
Thrombectomy ya mitambo ya percutaneous, mzunguko wa dialysis | 5192 | 36904 | $5,215 | $5,452 | 4.5% | $3,071 | $3,223 | 4.9% | ||
| Thrombectomy ya mitambo ya percutaneous, mzunguko wa dialysis, na angioplasty |
5193 |
36905 |
$10,615 |
$10,493 |
-1.1% |
$5,907 |
$6,106 |
3.4% |
|||
| Thrombectomy ya mitambo ya percutaneous, mzunguko wa dialysis, yenye stent |
5194 |
36906 |
$17,178 |
$16,725 |
-2.6% |
$11,245 |
$11,288 |
0.4% |
|||
|
Thrombolysis |
Matibabu ya thrombolysis ya arterial ya transcatheter, siku ya kwanza |
5184 |
37211 |
$5,140 |
$5,241 |
2.0% |
$3,395 |
$3,658 |
7.7% |
||
| Matibabu ya thrombolysis ya venous ya transcatheter, siku ya kwanza |
5183 |
37212 |
$2,979 |
$3,040 |
2.0% |
$1,444 |
$1,964 |
36.0% |
|||
| Matibabu ya ateri ya transcatheter au thrombolysis ya venous, siku inayofuata |
5183 |
37213 |
$2,979 |
$3,040 |
2.0% |
||||||
| Matibabu ya ateri ya transcatheter au thrombolysis ya venous, siku ya mwisho | 5183 | 37214 | $2,979 | $3,040 | 2.0% | ||||||
|
Moyo wa Kimuundo |
Kufungwa kwa PFO | ASD/PFO kufungwa | 5194 | 93580 | $17,178 | $16,725 | -2.6% | ||||
| ASD | ASD/PFO kufungwa | 5194 | 93580 | $17,178 | $16,725 | -2.6% | |||||
| VSD | Kufungwa kwa VSD | 5194 | 93581 | $17,178 | $16,725 | -2.6% | |||||
| PDA | Kufungwa kwa PDA | 5194 | 93582 | $17,178 | $16,725 | -2.6% | |||||
|
Maumivu ya Muda Mrefu |
Kusisimua kwa Uti wa Mgongo na Kusisimua kwa DRG |
Jaribio la Uongozi Mmoja: lenye percutaneous | 5462 | 63650 | $6,604 | $6,523 | -1.2% | $4,913 | $4,952 | 0.8% | |
| Jaribio la Uongozi Mbili: lenye percutaneous | 5462 | 63650 | $6,604 | $6,523 | -1.2% | $9,826 | $9,904 | 0.8% | |||
| Jaribio la Upasuaji Kiongozi | 5464 | 63655 | $21,515 | $20,865 | -3.0% | $17,950 | $17,993 | 0.2% | |||
| Mfumo Kamili - Mwongozo mmoja - Percutaneous | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $29,629 | $30,250 | 2.1% | |||
| Mfumo Kamili - Mwongozo Mbili - Ukamilifu | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $34,542 | $35,202 | 1.9% | |||
| Mfumo Kamili wa IPG - Laminectomy | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $42,666 | $43,291 | 1.5% | |||
| IPG implant au uingizwaji | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $24,716 | $25,298 | 2.4% | |||
| Kiongozi mmoja | 5462 | 63650 | Imefungashwa | Imefungashwa | $4,913 | $4,952 | 0.8% | ||||
| Kuongoza mara mbili | 5462 | 63650 | Imefungashwa | Imefungashwa | $4,913 | $4,952 | 0.8% | ||||
| Uchambuzi wa IPG, Upangaji Rahisi | 5742 | 95971 | $100 | $92 | -8.0% | ||||||
|
Kichocheo cha Mishipa ya Pembeni |
Mfumo Kamili - Mwongozo mmoja - 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% | ||||
| Mfumo Kamili - Mwongozo Mbili - Ukamilifu | 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% | ||||
| Kubadilisha IPG | 5464 | 64590 | $21,515 | $20,865 | -3.0% | $19,333 | $19,007 | -1.7% | |||
| Mgonjwa wa Nje wa Hospitali (OPPS) | Kituo cha Upasuaji wa Ambulatory (ASC) | ||||||||||
|
Franchise |
Teknolojia |
Utaratibu |
APC ya msingi |
CPT‡ Kanuni |
ASC
Utata Adj. Kanuni ya CPT |
2023 Marejesho |
2024 Marejesho |
% Badilika |
2023 Marejesho |
2024 Marejesho |
% Badilika |
|
Maumivu ya Muda Mrefu |
Utoaji wa RF |
Mgongo wa Kizazi / Mgongo wa Kifua | 5431 | 64633 | $1,798 | $1,842 | 2.4% | $854 | $898 | 5.2% | |
| Mgongo wa Lumbar | 5431 | 64635 | $1,798 | $1,842 | 2.4% | $854 | $898 | 5.2% | |||
| Mishipa Mingine ya Pembeni | 5443 | 64640 | $852 | $869 | 2.0% | $172 | $173 | 0.6% | |||
| Utoaji wa masafa ya redio | 5431 | 64625 | $1,798 | $1,842 | 2.4% | $854 | $898 | 5.2% | |||
|
Matatizo ya Mwendo |
DBS |
Uwekaji wa IPG - Safu Moja | 5464 | 61885 | $21,515 | $20,865 | -3.0% | $19,686 | $19,380 | -1.6% | |
| Uwekaji wa IPG - IPG mbili za safu Moja | 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% | ||||
| Uwekaji wa IPG - Mpangilio Mbili | 5465 | 61886 | $29,358 | $29,617 | 0.9% | $24,824 | $25,340 | 2.1% | |||
| Uchambuzi wa IPG, Hakuna Utayarishaji | 5734 | 95970 | $116 | $122 | 5.2% | ||||||
| Uchambuzi wa IPG, Upangaji Rahisi; Dakika 15 za kwanza | 5742 | 95983 | $100 | $92 | -8.0% | ||||||
| Uchambuzi wa IPG, Upangaji Rahisi; ziada Dakika 15 | 95984 | $0 | |||||||||
Kanusho
Nyenzo hii na maelezo yaliyomo humu ni kwa madhumuni ya maelezo ya jumla pekee na hayakusudiwa, na hayajumuishi, kisheria, ulipaji wa malipo, biashara, kimatibabu, au ushauri mwingine. Zaidi ya hayo, haikusudiwi na haijumuishi uwakilishi au dhamana ya fidia, malipo au malipo, au kwamba malipo au malipo mengine yatapokelewa. Haikusudiwi kuongeza au kuongeza malipo kwa mlipaji yeyote. Abbott hatoi dhamana ya wazi au inayodokezwa au hakikisho kwamba orodha ya misimbo na masimulizi katika hati hii ni kamili au haina makosa. Vile vile, hakuna kitu katika hati hii inapaswa kuwa viewed kama maagizo ya kuchagua msimbo wowote mahususi, na Abbott hatetei au kuthibitisha kufaa kwa matumizi ya msimbo wowote mahususi. Jukumu la mwisho la kuweka misimbo na kupata malipo/rejesho linabaki kwa mteja. Hii inajumuisha jukumu la usahihi na ukweli wa usimbaji na madai yote yanayowasilishwa kwa walipaji wengine. Zaidi ya hayo, mteja anapaswa kutambua kwamba sheria, kanuni na sera za huduma ni ngumu na zinasasishwa mara kwa mara na zinaweza kubadilika bila taarifa. Mteja anapaswa kushauriana na watoa huduma wake wa karibu au wapatanishi mara kwa mara na anapaswa kushauriana na wakili wa kisheria au mtaalamu wa fedha, usimbaji au urejeshaji kwa maswali yoyote yanayohusiana na usimbaji, bili, urejeshaji fedha au masuala yoyote yanayohusiana. Nyenzo hii hutoa habari tena kwa madhumuni ya marejeleo pekee. Haijaidhinishwa kwa matumizi ya uuzaji.
Vyanzo
- Kanuni ya Mwisho ya Malipo ya Mgonjwa wa Nje ya Hospitali yenye Maoni CY2024:
- Viwango vya Malipo vya Kituo cha Upasuaji cha Ambulatory-Sheria ya Mwisho CY2024:
- Kanuni ya Mwisho ya Malipo ya Mgonjwa wa Nje ya Hospitali yenye Maoni CY2023:
- Viwango vya Malipo vya Kituo cha Upasuaji cha Ambulatory-Sheria ya Mwisho CY2023: https://www.cms.gov/medicaremedicare-fee-service-paymentascpaymentasc-regulations-and-notices/cms-1772-fc
TAHADHARI: Bidhaa hii imekusudiwa kutumiwa na au chini ya maelekezo ya daktari. Kabla ya kutumia, rejelea Maagizo ya Matumizi, ndani ya katoni ya bidhaa (ikipatikana) au kwenye vascular.eifu.abbott au kwenye manuals.eifu.abbott kwa maelezo zaidi kuhusu Dalili, Vikwazo, Maonyo, Tahadhari na Matukio Mbaya. Abbott One St. Jude Medical Dr., St. Paul, MN 55117, USA, Simu: 1 651 756 2000 ™ Inaonyesha chapa ya biashara ya kundi la kampuni za Abbott. ■ Huonyesha chapa ya biashara ya mtu wa tatu, ambayo ni mali ya mmiliki wake husika.
©2024 Abbott. Haki zote zimehifadhiwa. MAT-1901573 v6.0. Bidhaa iliyoidhinishwa kwa matumizi ya Marekani pekee. HE&R imeidhinishwa kwa matumizi yasiyo ya utangazaji pekee.
Nyaraka / Rasilimali
 |
Abbott Mishipa ya Usimbaji na Nyenzo za Chanjo [pdf] Mwongozo wa Mmiliki Rasilimali za Usimbaji na Chanjo ya Mishipa, Rasilimali za Usimbaji na Chanjo, Rasilimali za Chanjo, Rasilimali |