I-Abbott Vascular Coding kunye neZibonelelo zokuSebenza
Ulwazi lweMveliso
Iinkcukacha
- Igama leMveliso: UQoqosho lwezeMpilo kunye neMbuyiselo ye-2024 Isikhokelo seMbuyiselo
- Udidi: UQoqosho lwezeMpilo
- Umenzi: Abbott
- Unyaka: 2024
Imiyalelo yokusetyenziswa kwemveliso
Ngaphezuluview
I-Health Economics & Reimbursement Guide 2024 Reimbursement ngu-Abbott ibonelela ngolwazi malunga nembuyiselo yethemba lobugcisa obahlukeneyo bokhathalelo lwempilo kunye neenkqubo phantsi kweNkqubo yeNtlawulo yeNtlawulo yeSibhedlele ye-CMS (OPPS) kunye neZiko lokuTyando lokuLungisa i-Ambulatory (ASC) loMthetho wokugqibela wonyaka wama-2024.
Izikhokelo zeNkqubo
Isikhokelo sibandakanya iitheyibhile ezineemeko zokuhlawula eziqhelekileyo kwiiteknoloji kunye neenkqubo ezifana neCardiac Rhythm Management (CRM), i-Electrophysiology (EP), kunye nezinye iinkqubo ezinxulumene nazo. Kubalulekile ukubhekisa kuHlelo oluBanzi lweNtlawulo yeAmbulatory eBanzi (APC) ebonelelwa yiCMS ngolwazi lwembuyiselo echanekileyo.
Uhlalutyo lwembuyekezo
U-Abbott uhlalutye impembelelo enokubakho yotshintsho lwentlawulo kwiinkqubo zomntu ngamnye kwiSebe leSibhedlele seSibhedlele (HOPD) kunye nezicwangciso zokunakekelwa kwe-ASC. Isikhokelo sisebenza njengesalathiso sokuqonda amanqanaba embuyekezo kunye ne-coverage esekelwe kwimigaqo ye-CY2024.
Iinkcukacha zoqhakamshelwano
Ngeenkcukacha ezithe vetshe okanye imibuzo, ndwendwela Abbott.com okanye uqhagamshelane neqela le-Abbott Health Care Economics ku 855-569-6430 okanye i-imeyile AbbottEconomics@Abbott.com.
FAQ
- Q: Sihlaziywa kangaphi isikhokelo sembuyiselo?
- A: U-Abbott uya kuqhubeka nokuhlalutya kunye nokuhlaziya isikhokelo sokubuyisela njengoko kuyimfuneko ngokusekelwe kwiinguqu kwimigaqo-nkqubo yentlawulo yeCMS.
- Umbuzo: Ngaba isikhokelo singaqinisekisa amanqanaba athile embuyekezo?
- A: Isikhokelo sibonelela ngeenjongo zokubonisa kuphela kwaye asiqinisekisi amanqanaba embuyekezo okanye i-coverage ngenxa yokwahluka kweenkqubo kunye nokuhlelwa kwe-APC.
Ulwazi lweMveliso
ISibhedlele se-CMS (i-OPPS) kunye neZiko loTyando lwe-Ambulatory (ASC) iProspectus yeMbuyiselo yeMbuyiselo
AmaZiko eeNkonzo zeMedicare & Medicaid (CMS) enze utshintsho olubalulekileyo kwikhalenda yonyaka ka-2024 (CY2024) imigaqo-nkqubo kunye namanqanaba entlawulo achaphazela iinkqubo ezininzi ezisebenzisa iteknoloji ye-Abbott kunye nezisombululo zonyango kwiSebe leZibhedlele ezingaPhandle (HOPD) kunye neZiko le-Ambulatory Surgical Centre (ASC) iisetingi zokhathalelo. Olu tshintsho ludityaniswe kukuhambela phambili kwamanyathelo amatsha naqhubekayo ohlaziyo lwentlawulo oluchaphazela uninzi lwamaziko ezempilo aseMelika. Kulo xwebhu lweprospectus, u-Abbott ugxininisa imigaqo-nkqubo ethile yokuhlawula kunye namazinga okuhlawula amatsha kubaboneleli bezempilo abenza iinkonzo ezihlawulwa ngoku ngokuhlukileyo kuneminyaka yangaphambili. Ngomhla wesi-2 kuNovemba ka-2023, iCMS yakhupha iCY2024 Hospital Outpatient Prospective Payment System (OPPS)/Ambulatory Surgical Centre (ASC) Final Rule, esebenza ngeenkonzo nge-1 kaJanuwari 2024.3,4 Ngo-2024, iiprojekthi zeCMS ezi:
- Ukunyuka kwe-3.1% kwiintlawulo ze-OPPS zizonke3
- Ukunyuka kwe-3.1% kwiintlawulo ze-ASC zizonke4
Sibonelele ngezi theyibhile zilandelayo ngokusekwe kwimiba yokuhlawuliswa okufanayo kwiitekhnoloji ezahlukeneyo kunye neenkqubo. Oku kujoliswe kwiinjongo zemizekeliso kuphela kwaye ayisosiqinisekiso samanqanaba embuyekezo okanye ukhuseleko. Ukubuyiselwa kwembuyekezo kunokwahluka ngokusekelwe kwiinkqubo ezithile ezenziwayo, kunye noHlelo oluBanzi lweNtlawulo ye-Ambulatory (APC) eyenziwe yiCMS kwi-HOPD. Ukusebenzisa imithetho ye-CY2024 njengesalathiso, u-Abbott uhlalutye impembelelo enokubakho kwintlawulo kwiinkqubo zomntu ngamnye ezenziwa ngaphakathi kwe-HOPD, kunye nakwi-ASC yokunyamekela, ebandakanya iteknoloji yethu okanye izisombululo zonyango. Siza kuqhubeka nokuhlalutya impembelelo enokubakho yotshintsho kwimigaqo-nkqubo yentlawulo yeCMS kwaye sihlaziye olu xwebhu njengoko kuyimfuneko. Ngolwazi oluthe vetshe nceda undwendwele Abbott.com, okanye uqhagamshelane neqela le-Abbott Health Care Economics kwi 855-569-6430 or AbbottEconomics@Abbott.com.
Inkcazo
| Isigulana esingalaliswa esibhedlele (OPPS) | Iziko loTyando lweAmbulatory (ASC) | ||||||||||
|
Franchise |
Iteknoloji |
Inkqubo |
I-APC yokuqala |
CPT‡ Ikhowudi |
ASC
Ubuxhakaxhaka Adj. Ikhowudi yeCPT |
2023 Imbuyekezo |
2024 Imbuyekezo |
% Guqula |
2023 Imbuyekezo |
2024 Imbuyekezo |
% Guqula |
|
I-Electrophysiology (EP) |
EP Ablation |
Ukukhutshwa kweCatheter, indawo ye-AV | 5212 | 93650 | $6,733 | $7,123 | 5.8% | ||||
| Isifundo se-EP kunye ne-catheter ablation, i-SVT | 5213 | 93653 | $23,481 | $22,653 | -3.5% | ||||||
| Uphononongo lwe-EP kunye nokukhutshwa kwecatheter, VT | 5213 | 93654 | $23,481 | $22,653 | -3.5% | ||||||
| Isifundo se-EP kunye nokuchithwa kwe-catheter, unyango lwe-AF nge-PVI | 5213 | 93656 | $23,481 | $22,653 | -3.5% | ||||||
| Izifundo zeEP | Uphononongo olubanzi lwe-EP ngaphandle kokungeniswa | 5212 | 93619 | $6,733 | $7,123 | 5.8% | |||||
|
Ulawulo lwesingqi sentliziyo (CRM) |
IMonitor yeCardiac efakelweyo (ICM) | Ukufakelwa kwe-ICM | 33282 | $8,163 | |||||||
| 5222 | 33285 | $8,163 | $8,103 | -0.7% | $7,048 | $6,904 | -2.0% | ||||
| Ukususwa kwe-ICM | 5071 | 33286 | $649 | $671 | 3.4% | $338 | $365 | 8.0% | |||
|
iPacemaker |
UFakelo lweNkqubo okanye uTshintsho-Igumbi elinye (i-Ventricular) |
5223 |
33207 |
$10,329 |
$10,185 |
-1.4% |
$7,557 |
$7,223 |
-4.4% |
||
| Ukufakelwa kweNkqubo okanye uTshintsho – iGumbi eliMabini | 5223 | 33208 | $10,329 | $10,185 | -1.4% | $7,722 | $7,639 | -1.1% | |||
| Ukususwa kwePacemaker engenaNkokeli | 5183 | 33275 | $2,979 | $3,040 | 2.0% | $2,491 | $2,310 | -7.3% | |||
| Ufakelo lwePacemaker olungenaNkokeli | 5224 | 33274 | $17,178 | $18,585 | 8.2% | $12,491 | $13,171 | 5.4% | |||
| Ukutshintshwa kwebhetri-Igumbi elinye | 5222 | 33227 | $8,163 | $8,103 | -0.7% | $6,410 | $6,297 | -1.8% | |||
| Ukutshintshwa kwebhetri-Igumbi eliMabini | 5223 | 33228 | $10,329 | $10,185 | -1.4% | $7,547 | $7,465 | -1.1% | |||
|
I-Cardioverter Defibrillator efakelwayo (ICD) |
Ukufakelwa kweNkqubo okanye uTshintsho | 5232 | 33249 | $32,076 | $31,379 | -2.2% | $25,547 | $24,843 | -2.8% | ||
| Ukutshintshwa kwebhetri-Igumbi elinye | 5231 | 33262 | $22,818 | $22,482 | -1.5% | $19,382 | $19,146 | -1.2% | |||
| Ukutshintshwa kwebhetri-Igumbi eliMabini | 5231 | 33263 | $22,818 | $22,482 | -1.5% | $19,333 | $19,129 | -1.1% | |||
| I-ICD engaphantsi kwe-Q | Ukufakwa kwe-Subcutaneous ICD system | 5232 | 33270 | $32,076 | $31,379 | -2.2% | $25,478 | $25,172 | -1.2% | ||
| IziKhokelo Kuphela-Isincedisi-ntliziyo, i-ICD, i-SICD, iCRT | Inkokeli enye, iPacemaker, i-ICD, okanye iSICD | 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% | |||
| Isixhobo esweni | Ukucwangcisa nokuJonga ukude | 5741 | 0650T | $35 | $36 | 2.9% | |||||
| 5741 | 93279 | $35 | $36 | 2.9% | |||||||
|
CRT-P |
Ukufakelwa kweNkqubo okanye uTshintsho | 5224 | 33208
+ 33225 |
C7539 | $18,672 | $18,585 | -0.5% | $10,262 | $10,985 | 7.0% | |
| Ukutshintshwa kwebhetri | 5224 | 33229 | $18,672 | $18,585 | -0.5% | $11,850 | $12,867 | 8.6% | |||
|
CRT-D |
Ukufakelwa kweNkqubo okanye uTshintsho | 5232 | 33249
+ 33225 |
$18,672 | $31,379 | -2.2% | $25,547 | $24,843 | -2.8% | ||
| Ukutshintshwa kwebhetri | 5232 | 33264 | $32,076 | $31,379 | -2.2% | $25,557 | $25,027 | -2.1% | |||
|
Ukumelwa yintliziyo |
CardioMEMS | Ukufakelwa kwenzwa | C2624 | ||||||||
| 5200 | 33289 | $27,305 | $27,721 | 1.5% | $24,713 | ||||||
| I-LVAD | Ukuncinwa, ngokobuqu | 5742 | 93750 | $100 | $92 | -8.0% | |||||
| Ukucwangcisa kwangaphambili ukhathalelo | 5822 | 99497 | $76 | $85 | 11.8% | ||||||
|
Uxinzelelo lwegazi |
Ukukhutshwa kwezintso |
Ukukhutshwa kwezintso, unilateral |
5192 |
0338T |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
|
|
Ukunciphisa izintso, amacala amabini |
5192 |
0339T |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$3,834 |
64.8% |
|||
| Isigulana esingalaliswa esibhedlele (OPPS) | Iziko loTyando lweAmbulatory (ASC) | ||||||||||
|
Franchise |
Iteknoloji |
Inkqubo |
I-APC yokuqala |
CPT‡ Ikhowudi |
ASC
Ubuxhakaxhaka Adj. Ikhowudi yeCPT |
2023 Imbuyekezo |
2024 Imbuyekezo |
% Guqula |
2023 Imbuyekezo |
2024 Imbuyekezo |
% Guqula |
|
ICoronary |
PCI Drug Eluting Stents (kubandakanywa iFFR/OCT) |
I-DES, kunye ne-angioplasty; isitya esinye, kunye okanye ngaphandle kweFFR kunye / okanye i-OCT | 5193 | C9600 | $10,615 | $10,493 | -1.1% | $6,489 | $6,706 | 3.3% | |
| I-DES ezimbini, kunye ne-angioplasty; iinqanawa ezimbini, kunye okanye ngaphandle kweFFR kunye / okanye i-OCT. |
5193 |
C9600 |
$10,615 |
$10,493 |
-1.1% |
$6,489 |
$6,706 |
3.3% |
|||
| I-DES ezimbini, kunye ne-angioplasty; inqanawa enye, kunye okanye ngaphandle kweFFR kunye/ okanye i-OCT |
5193 |
C9600 |
$10,615 |
$10,493 |
-1.1% |
$6,489 |
$6,706 |
3.3% |
|||
| I-DES ezimbini, kunye ne-angioplasty; imithambo emibini emikhulu ye-coronary, kunye okanye ngaphandle kwe-FFR kunye / okanye i-OCT. |
5194 |
C9600 |
$10,615 |
$16,725 |
57.6% |
$9,734 |
$10,059 |
3.3% |
|||
| I-BMS nge-atherectomy | I-BMS nge-atherectomy | 5194 | 92933 | $17,178 | $16,725 | -2.6% | |||||
| DES nge atherectomy | DES nge atherectomy | 5194 | C9602 | $17,178 | $16,725 | -2.6% | |||||
| I-DES kunye ne-AMI | I-DES kunye ne-AMI | C9606 | $0 | ||||||||
| I-DES kunye ne-CTO | I-DES kunye ne-CTO | 5194 | C9607 | $17,178 | $16,725 | -2.6% | |||||
|
I-Coronary Angiography kunye ne-Coronary Physiology (FFR / CFR) okanye i-OCT |
I-coronary angiography | 5191 | 93454 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | ||
| I-coronary angiography + OCT | 5192 | 93454
+ 92978 |
C7516 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| I-coronary angiography kwi-graft | 5191 | 93455 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| I-coronary angiography kwi-graft
+ OCT |
5191 | 93455
+ 92978 |
C7518 | $5,215 | $3,108 | -40.4% | $2,327 | ||||
| I-coronary angiography kwi-graft + FFR/CFR | 5191 | 93455
+ 93571 |
C7519 | $5,215 | $3,108 | -40.4% | $2,327 | ||||
| I-coronary angiography ene-catherterization yentliziyo yasekunene | 5191 | 93456 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| I-coronary angiography ene-catherterization yentliziyo yasekunene + OCT | 5192 | 93456
+ 92978 |
C7521 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| I-coronary angiography ene-catherterization yentliziyo yasekunene + FFR/CFR | 5192 | 93456
+ 93571 |
C7522 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| I-coronary angiography kwi-graft ene-catheterization yentliziyo yasekunene | 5191 | 93457 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| I-coronary angiography kwi-graft ene-catheterization yentliziyo yasekunene
+ FFR/CFR |
5191 |
93457
+ 93571 |
$5,215 |
$3,108 |
-40.4% |
$0 |
$0 |
||||
| I-coronary angiography ene-catherization yentliziyo yasekhohlo | 5191 | 93458 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| I-coronary angiography ene-catherization yentliziyo yasekhohlo + OCT | 5192 | 93458
+ 92978 |
C7523 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| I-coronary angiography ene-catherization yentliziyo yasekhohlo + FFR/CFR | 5192 | 93458
+ 93571 |
C7524 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| I-coronary angiography kwi-graft ene-catherization yentliziyo yasekhohlo | 5191 | 93459 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| I-coronary angiography kwi-graft ene-catherization yentliziyo yasekhohlo + OCT | 5192 | 93459
+ 92978 |
C7525 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| I-coronary angiography kwi-graft nge-catherization yentliziyo yasekhohlo + FFR/CFR |
5192 |
93459
+ 93571 |
C7526 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
| I-Cornary angiography ene-catheterization yentliziyo yasekunene nasekhohlo | 5191 | 93460 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| I-Cornary angiography ene-catheterization yentliziyo yasekunene nasekhohlo
+ OCT |
5192 |
93460
+ 92978 |
C7527 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
| I-Cornary angiography ene-catheterization yentliziyo yasekunene nasekhohlo + FFR/CFR |
5192 |
93460
+ 93571 |
C7528 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
| Isigulana esingalaliswa esibhedlele (OPPS) | Iziko loTyando lweAmbulatory (ASC) | ||||||||||
|
Franchise |
Iteknoloji |
Inkqubo |
I-APC yokuqala |
CPT‡ Ikhowudi |
ASC
Ubuxhakaxhaka Adj. Ikhowudi yeCPT |
2023 Imbuyekezo |
2024 Imbuyekezo |
% Guqula |
2023 Imbuyekezo |
2024 Imbuyekezo |
% Guqula |
|
ICoronary |
I-Coronary Angiography kunye ne-Coronary Physiology (FFR / CFR) okanye i-OCT |
I-coronary angiography kwi-graft ene-catheterization yentliziyo yasekunene nasekhohlo |
5191 |
93461 |
$2,958 |
$3,108 |
5.1% |
$1,489 |
$1,633 |
9.7% |
|
| I-coronary angiography kwi-graft nge-catheterization yentliziyo yasekunene nasekhohlo + FFR/CFR |
5192 |
93461
+ 93571 |
C7529 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
|
I-Peripheral Vascular |
I-Angioplasty |
IAngioplasty (Iliac) | 5192 | 37220 | $5,215 | $5,452 | 4.5% | $3,074 | $3,275 | 6.5% | |
| IAngioplasty (Fem/Pop) | 5192 | 37224 | $5,215 | $5,452 | 4.5% | $3,230 | $3,452 | 6.9% | |||
| IAngioplasty (Tibial/Peroneal) | 5193 | 37228 | $10,615 | $10,493 | -1.1% | $6,085 | $6,333 | 4.1% | |||
|
Utyando lokukhupha isisu |
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% | |||
| I-Stenting (I-Periph, ibandakanya iRenal) | 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% | |||
|
I-Atherectomy kunye ne-Stenting |
I-Atherectomy kunye ne-stenting (Fem / Pop) | 5194 | 37227 | $17,178 | $16,725 | -2.6% | $11,792 | $11,873 | 0.7% | ||
| I-Atherectomy kunye ne-stenting (Tibial / Peroneal) | 5194 | 37231 | $17,178 | $16,725 | -2.6% | $11,322 | $11,981 | 5.8% | |||
|
Iiplagi zeVascular |
Ukukhutshwa kwe-venous okanye ukuvala | 5193 | 37241 | $10,615 | $10,493 | -1.1% | $5,889 | $6,108 | 3.7% | ||
| I-Arterial embolization okanye i-occlusion | 5194 | 37242 | $10,615 | $16,725 | 57.6% | $6,720 | $11,286 | 67.9% | |||
| I-Embolization okanye i-occlusion ye-tumor, i-organ ischemia, okanye i-infarction |
5193 |
37243 |
$10,615 |
$10,493 |
-1.1% |
$4,579 |
$4,848 |
5.9% |
|||
| I-Embolization okanye i-occlusion ye-arterial okanye i-venous hemorrhage okanye i-lymphatic extravasation |
5193 |
37244 |
$10,615 |
$10,493 |
-1.1% |
||||||
|
I-Arterial Mechanical Thrombectomy |
I-thrombectomy ye-arterial percutaneous mechanical; inqanawa yokuqala |
5194 |
37184 |
$10,615 |
$16,725 |
57.6% |
$6,563 |
$10,116 |
54.1% |
||
|
I-Peripheral Vascular |
I-thrombectomy ye-arterial percutaneous mechanical; okwesibini kunye nayo yonke imikhumbi elandelayo |
37185 |
Ipakishwe |
Ipakishwe |
NA |
NA |
|||||
| I-thrombectomy yomatshini wesibini we-arterial percutaneous | 37186 | Ipakishwe | Ipakishwe | NA | NA | ||||||
|
I-Arterial Mechanical Thrombectomy kunye ne-Angioplasty |
I-thrombectomy ye-arterial percutaneous mechanical; isitya sokuqala kunye ne-angioplasty Iliac |
NA |
37184
+37220 |
$8,100 |
$11,754 |
45.1% |
|||||
| I-thrombectomy ye-arterial percutaneous mechanical; isitya sokuqala nge-angioplasty fem/pop |
NA |
37184
+37224 |
$8,178 |
$11,842 |
44.8% |
||||||
| I-thrombectomy ye-arterial percutaneous mechanical; inqanawa yokuqala ene-angioplasty tib/pero |
NA |
37184
+37228 |
$9,606 |
$13,283 |
38.3% |
||||||
|
I-Arterial Mechanical Thrombectomy ene-Stenting |
I-thrombectomy ye-arterial percutaneous mechanical; inqanawa yokuqala ene-Iliac enukayo |
NA |
37184
+37221 |
$9,881 |
$13,502 |
36.7% |
|||||
| I-thrombectomy ye-arterial percutaneous mechanical; isitya sokuqala esinefem/pop |
NA |
37184
+37226 |
$10,251 |
$13,631 |
33.0% |
||||||
| I-thrombectomy ye-arterial percutaneous mechanical; inqanawa yokuqala ene-stenting tib/pero |
NA |
37184
+37230 |
$14,634 |
$15,793 |
7.9% |
||||||
| Isigulana esingalaliswa esibhedlele (OPPS) | Iziko loTyando lweAmbulatory (ASC) | ||||||||||
|
Franchise |
Iteknoloji |
Inkqubo |
I-APC yokuqala |
CPT‡ Ikhowudi |
ASC
Ubuxhakaxhaka Adj. Ikhowudi yeCPT |
2023 Imbuyekezo |
2024 Imbuyekezo |
% Guqula |
2023 Imbuyekezo |
2024 Imbuyekezo |
% Guqula |
|
I-Peripheral Vascular |
I-Thrombectomy ye-Venus Mechanical |
I-venous percutaneous mechanical thrombectomy, unyango lokuqala | 5193 | 37187 | $10,615 | $10,493 | -1.1% | $7,321 | $7,269 | -0.7% | |
| I-venous percutaneous mechanical thrombectomy, phinda unyango ngosuku olulandelayo |
5183 |
37188 |
$2,979 |
$3,040 |
2.0% |
$2,488 |
$2,568 |
3.2% |
|||
| I-Venous Mechanical Thrombectomy kunye ne-Angioplasty | I-venous percutaneous mechanical thrombectomy, unyango lokuqala nge-angioplasty |
NA |
37187 + 37248 |
$8,485 |
$8,532 |
0.6% |
|||||
| I-Venus Mechanical Thrombectomy ene-Stenting | I-venous percutaneous mechanical thrombectomy, unyango lokuqala kunye ne-stenting |
NA |
37187 + 37238 |
$10,551 |
$10,619 |
0.6% |
|||||
|
I-Dialysis Circuit Thrombectomy |
I-Percutaneous mechanical thrombectomy, isiphaluka se-dialysis | 5192 | 36904 | $5,215 | $5,452 | 4.5% | $3,071 | $3,223 | 4.9% | ||
| I-Percutaneous mechanical thrombectomy, isiphaluka se-dialysis, kunye ne-angioplasty |
5193 |
36905 |
$10,615 |
$10,493 |
-1.1% |
$5,907 |
$6,106 |
3.4% |
|||
| I-Percutaneous mechanical thrombectomy, isiphaluka se-dialysis, kunye ne-stent |
5194 |
36906 |
$17,178 |
$16,725 |
-2.6% |
$11,245 |
$11,288 |
0.4% |
|||
|
Thrombolysis |
Unyango lwe-transcatheter arterial thrombolysis, usuku lokuqala |
5184 |
37211 |
$5,140 |
$5,241 |
2.0% |
$3,395 |
$3,658 |
7.7% |
||
| Unyango lwe-venous thrombolysis ye-Transcatheter, usuku lokuqala |
5183 |
37212 |
$2,979 |
$3,040 |
2.0% |
$1,444 |
$1,964 |
36.0% |
|||
| I-Transcatheter arterial okanye unyango lwe-venous thrombolysis, ngosuku olulandelayo |
5183 |
37213 |
$2,979 |
$3,040 |
2.0% |
||||||
| I-Transcatheter arterial okanye unyango lwe-venous thrombolysis, usuku lokugqibela | 5183 | 37214 | $2,979 | $3,040 | 2.0% | ||||||
|
Intliziyo yesakhiwo |
Ukuvalwa kwePFO | Ukuvalwa kweASD/PFO | 5194 | 93580 | $17,178 | $16,725 | -2.6% | ||||
| ASD | Ukuvalwa kweASD/PFO | 5194 | 93580 | $17,178 | $16,725 | -2.6% | |||||
| VSD | Ukuvalwa kweVSD | 5194 | 93581 | $17,178 | $16,725 | -2.6% | |||||
| PDA | Ukuvalwa kwePDA | 5194 | 93582 | $17,178 | $16,725 | -2.6% | |||||
|
Iintlungu ezingapheliyo |
Ukuvuselela i-Spinal Cord kunye ne-DRG Stimulation |
Ulingo lweNkokheli eNye: i-percutaneous | 5462 | 63650 | $6,604 | $6,523 | -1.2% | $4,913 | $4,952 | 0.8% | |
| Ulingo lweNkokelo oluNxibelelwano: olungena-percutaneous | 5462 | 63650 | $6,604 | $6,523 | -1.2% | $9,826 | $9,904 | 0.8% | |||
| Uvavanyo lweNkokeli yoTyando | 5464 | 63655 | $21,515 | $20,865 | -3.0% | $17,950 | $17,993 | 0.2% | |||
| Inkqubo egcweleyo-inkokeli enye-iPercutaneous | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $29,629 | $30,250 | 2.1% | |||
| Inkqubo egcweleyo – iNkokheli eMabini – iPercutaneous | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $34,542 | $35,202 | 1.9% | |||
| Inkqubo epheleleyo ye-IPG-Laminectomy | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $42,666 | $43,291 | 1.5% | |||
| Ukufakelwa kwe-IPG okanye ukutshintshwa | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $24,716 | $25,298 | 2.4% | |||
| Inkokeli enye | 5462 | 63650 | Ipakishwe | Ipakishwe | $4,913 | $4,952 | 0.8% | ||||
| Ukukhokela kabini | 5462 | 63650 | Ipakishwe | Ipakishwe | $4,913 | $4,952 | 0.8% | ||||
| Uhlalutyo lwe-IPG, iNkqubo elula | 5742 | 95971 | $100 | $92 | -8.0% | ||||||
|
Ukuvuselela iNerve yePeripheral |
Inkqubo egcweleyo-inkokeli enye-iPercutaneous | 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% | ||||
| Inkqubo egcweleyo – iNkokheli eMabini – iPercutaneous | 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 endaweni | 5464 | 64590 | $21,515 | $20,865 | -3.0% | $19,333 | $19,007 | -1.7% | |||
| Isigulana esingalaliswa esibhedlele (OPPS) | Iziko loTyando lweAmbulatory (ASC) | ||||||||||
|
Franchise |
Iteknoloji |
Inkqubo |
I-APC yokuqala |
CPT‡ Ikhowudi |
ASC
Ubuxhakaxhaka Adj. Ikhowudi yeCPT |
2023 Imbuyekezo |
2024 Imbuyekezo |
% Guqula |
2023 Imbuyekezo |
2024 Imbuyekezo |
% Guqula |
|
Iintlungu ezingapheliyo |
Ukukhutshwa kweRF |
Umqolo wesibeleko / iThoracic Spine | 5431 | 64633 | $1,798 | $1,842 | 2.4% | $854 | $898 | 5.2% | |
| ILumbar Spine | 5431 | 64635 | $1,798 | $1,842 | 2.4% | $854 | $898 | 5.2% | |||
| Ezinye iiNeva zePeripheral | 5443 | 64640 | $852 | $869 | 2.0% | $172 | $173 | 0.6% | |||
| Ukukhutshwa kweRadifrequency | 5431 | 64625 | $1,798 | $1,842 | 2.4% | $854 | $898 | 5.2% | |||
|
Iziphazamiso zokuhamba |
DBS |
Ukubekwa kwe-IPG-Uluhlu oluNye | 5464 | 61885 | $21,515 | $20,865 | -3.0% | $19,686 | $19,380 | -1.6% | |
| Ukubekwa kwe-IPG-Ii-IPG ezimbini eziSingle enye | 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% | ||||
| Ukubekwa kwe-IPG-I-Dual Array | 5465 | 61886 | $29,358 | $29,617 | 0.9% | $24,824 | $25,340 | 2.1% | |||
| Uhlalutyo lwe-IPG, Akukho Programming | 5734 | 95970 | $116 | $122 | 5.2% | ||||||
| Uhlalutyo lwe-IPG, iNkqubo elula; kuqala 15 Min | 5742 | 95983 | $100 | $92 | -8.0% | ||||||
| Uhlalutyo lwe-IPG, iNkqubo elula; ezongezelelweyo 15 Min | 95984 | $0 | |||||||||
Ukuzihlangula
Esi sixhobo kunye nolwazi oluqulethwe apha lwenzelwe iinjongo zolwazi ngokubanzi kuphela kwaye alujoliswanga, kwaye aluquki, lusemthethweni, imbuyekezo, ishishini, iklinikhi, okanye ezinye iingcebiso. Ngaphaya koko, ayenzelwanga kwaye ayimeli umelo okanye isiqinisekiso sembuyekezo, intlawulo, okanye intlawulo, okanye ukuba imbuyekezo okanye enye intlawulo iya kufunyanwa. Ayenzelwanga ukwandisa okanye ukwandisa intlawulo nguye nawuphi na umhlawuli. U-Abbott akenzi iwaranti ecacileyo okanye echaziweyo okanye isiqinisekiso sokuba uluhlu lweekhowudi kunye neengxelo ezikolu xwebhu ziphelele okanye azinazimpazamo. Ngokufanayo, akukho nto kolu xwebhu kufuneka ibe viewed njengemiyalelo yokukhetha nayiphi na ikhowudi ethile, kwaye uAbbott akakhuthazi okanye akaqinisekisi ukufaneleka kokusetyenziswa kwayo nayiphi na ikhowudi ethile. Uxanduva lokugqibela lokubhala ikhowudi kunye nokufumana intlawulo / imbuyekezo ihlala kumthengi. Oku kubandakanya uxanduva lokuchaneka nokuchaneka kwayo yonke ikhowudi namabango angeniswe kubahlawuli beqela lesithathu. Ukongeza, umthengi kufuneka aqaphele ukuba imithetho, imimiselo, kunye nemigaqo-nkqubo yokhuseleko inzima kwaye ihlaziywa rhoqo kwaye ingatshintsha ngaphandle kwesaziso. Umthengi kufuneka ajonge abathwali bengingqi okanye abalamli rhoqo kwaye kufuneka adibane nabacebisi bezomthetho okanye abezemali, bekhowudi, okanye imbuyekezo yengcali ngayo nayiphi na imibuzo enxulumene nekhowudi, ukuhlawula, ukubuyisela, okanye nayiphi na imiba enxulumeneyo. Esi sixhobo sivelisa ulwazi ngeenjongo zereferensi kuphela. Akubonelelwanga ngokugunyazisiweyo ukuba kusetyenziswe intengiso.
Imithombo
- Isibhedlele esilindelekileyo kwiNtlawulo-uMthetho wokuGqibela onezimvo CY2024:
- Intlawulo yeZiko lokuGxisa iAmbulatory-Final Rule CY2024 Amaxabiso eNtlawulo:
- Isibhedlele esilindelekileyo kwiNtlawulo-uMthetho wokuGqibela onezimvo CY2023:
- Intlawulo yeZiko lokuGxisa iAmbulatory-Final Rule CY2023 Amaxabiso eNtlawulo: https://www.cms.gov/medicaremedicare-fee-service-paymentascpaymentasc-regulations-and-notices/cms-1772-fc
ISILUMKO: Le mveliso yenzelwe ukusetyenziswa okanye phantsi kolwalathiso lukagqirha. Ngaphambi kokusetyenziswa, bhekisa kwiMiyalelo yokuSetyenziswa, ngaphakathi kwebhokisi yemveliso (xa ikhona) okanye kwi-vascular.eifu.abbott okanye kwi-manuals.eifu.abbott ngolwazi oluthe kratya malunga neZalathiso, ukuchasana, izilumkiso, izilumkiso kunye neziganeko ezimbi. I-Abbott One St. Jude Medical Dr., St. • Ibonisa uphawu lwentengiso yomntu wesithathu, eyipropati yomnini walo.
©2024 Abbott. Onke Amalungelo Agciniwe. MAT-1901573 v6.0. Into evunyiweyo ukuba isetyenziswe e-US kuphela. I-HE&R ivunywe ukuba ingasetyenziselwa ukuthengisa kuphela.
Amaxwebhu / Izibonelelo
 |
I-Abbott Vascular Coding kunye neZibonelelo zokuSebenza [pdf] Incwadi yoMnini IiKhowudi zeVascular kunye neZibonelelo zokuSebenza, iZibonelelo zeKhowudi kunye neziBonelelo, iZibonelelo zokuSebenza, iZibonelelo |