Izinsiza ze-Abbott Vascular Coding and Coverage
Ulwazi Lomkhiqizo
Imininingwane
- Igama Lomkhiqizo: I-Health Economics & Reimbursement 2024 Umhlahlandlela Wokubuyisela
- Isigaba: Ezomnotho Zokunakekelwa Kwezempilo
- Umkhiqizi: Abbott
- Unyaka: 2024
Imiyalo yokusetshenziswa komkhiqizo
Kuphelileview
I-Health Economics & Reimbursement 2024 Reimbursement Guide ka-Abbott ihlinzeka ngolwazi ngamathemba okubuyisela imali yobuchwepheshe obuhlukahlukene bokunakekelwa kwezempilo nezinqubo ngaphansi kwe-CMS Hospital Outpatient Prospective Payment System (OPPS) kanye Nomthetho Wokugcina Wesikhungo Sokuhlinzwa Se-Ambulatory (ASC) sonyaka ka-2024.
Izinkombandlela zenqubo
Umhlahlandlela uhlanganisa amathebula anezimo zokukhokha ezivamile zobuchwepheshe nezinqubo ezifana neCardiac Rhythm Management (CRM), Electrophysiology (EP), nezinye izinqubo ezihlobene. Kubalulekile ukubhekisa ku-Comprehensive Ambulatory Payment Classification (APC) ehlinzekwa yi-CMS ukuze uthole ulwazi olunembile lwembuyiselo.
Ukuhlaziywa Kwembuyiselo
U-Abbott uhlaziye umthelela ongaba khona wezinguquko zokukhokha ezinkambisweni zomuntu ngamunye ngaphakathi koMnyango Weziguli Zangaphandle Esibhedlela (HOPD) kanye nezilungiselelo zokunakekelwa kwe-ASC. Umhlahlandlela usebenza njengereferensi yokuqonda amazinga wembuyiselo kanye nokufakwa ngokusekelwe emithethweni ye-CY2024.
Ulwazi lokuxhumana
Ukuze uthole imininingwane eyengeziwe noma imibuzo, vakashela Abbott.com noma uthinte ithimba le-Abbott Health Care Economics ku 855-569-6430 noma i-imeyili AbbottEconomics@Abbott.com.
FAQ
- Q: Igayidi yembuyiselo ibuyekezwa kangaki?
- IMP: U-Abbott uzoqhubeka nokuhlaziya futhi abuyekeze umhlahlandlela wembuyiselo njengoba kudingeka ngokusekelwe ezinguqulweni zezinqubomgomo zokukhokha ze-CMS.
- Q: Ingabe umhlahlandlela ungawaqinisekisa amazinga athile embuyiselo?
- IMP: Umhlahlandlela uhlinzeka ngezinjongo zemifanekiso kuphela futhi awuqinisekisi amazinga ombuyiselo noma ukufakwa ngenxa yokuhluka kwezinqubo nezigaba ze-APC.
Ulwazi Lomkhiqizo
I-CMS Hospital Outpatient (OPPS) kanye ne-Ambulatory Surgical Centre (ASC) Reimbursement Prospectus
I-Centers for Medicare & Medicaid Services (CMS) yenze izinguquko eziphawulekayo ezinqubweni zekhalenda zonyaka ka-2024 (CY2024) kanye namazinga okukhokha okuthinta izinqubo ezimbalwa ezisebenzisa ubuchwepheshe buka-Abbott kanye nezisombululo zokwelashwa eMnyangweni Weziguli Ezilaliswayo Esibhedlela (HOPD) kanye Nesikhungo Sokuhlinza Nge-Ambulatory (ASC) izilungiselelo zokunakekelwa. Lezi zinguquko zihlanganiswa nokuthuthukiswa kwazo zombili izinhlelo ezintsha neziqhubekayo zokuguqula izinkokhelo ezithinta iningi lezikhungo zezempilo zase-US. Kulo mbhalo we-prospectus, u-Abbott ugqamisa izinqubomgomo ezithile zokukhokha namazinga amasha okukhokha kubahlinzeki bezempilo abenza izinsizakalo manje ezikhokhelwa ngokuhlukile kunaseminyakeni edlule. Ngomhla zi-2 kuNovemba 2023, i-CMS yakhipha uMthetho Wokugcina we-CY2024 Hospital Outpatient Prospective Payment System (OPPS)/Ambulatory Surgical Center (ASC), osebenza ngezinkonzo ngoJanuwari 1, 2024.3,4 Ngo-2024, iphrojekthi ye-CMS:
- Ukukhuphuka ngo-3.1% ezinkokhelweni eziphelele ze-OPPS3
- Ukukhuphuka ngo-3.1% ezinkokhelweni eziphelele ze-ASC4
Sinikeze ngamathebula alandelayo asekelwe kuzimo zokukhokha ezivamile zobuchwepheshe obuhlukahlukene nezinqubo. Lokhu kuhloselwe izinjongo zemifanekiso kuphela futhi akusona isiqinisekiso samazinga ombuyiselo noma ukufakwa. Imbuyiselo ingahluka ngokusekelwe ezinkambisweni ezithile ezenziwayo, nakuHlelo Olubanzi Lwenkokhelo Ye-Ambulatory (APC) oludalwe yi-CMS ku-HOPD. Esebenzisa imithetho ye-CY2024 njengereferensi, u-Abbott uhlaziye umthelela ongaba khona ekukhokheni ezinkambisweni zomuntu ngamunye ezenziwa ngaphakathi kwe-HOPD, kanye nesilungiselelo sokunakekela se-ASC, esibandakanya ubuchwepheshe bethu noma izixazululo zokwelapha. Sizoqhubeka nokuhlaziya umthelela ongaba khona wezinguquko kuzinqubomgomo zokukhokha ze-CMS futhi sibuyekeze le dokhumenti uma kudingeka. Ukuze uthole ulwazi olwengeziwe sicela uvakashele Abbott.com, noma uthinte ithimba le-Abbott Health Care Economics ku 855-569-6430 or AbbottEconomics@Abbott.com.
Ukucaciswa
| Isiguli Esingaphandle Esibhedlela (OPPS) | I-Ambulatory Surgery Centre (ASC) | ||||||||||
|
I-Franchise |
Ubuchwepheshe |
Inqubo |
I-APC eyinhloko |
CPT‡ Ikhodi |
I-ASC
I-Complexity Adj. Ikhodi ye-CPT |
2023 Imbuyiselo |
2024 Imbuyiselo |
% Shintsha |
2023 Imbuyiselo |
2024 Imbuyiselo |
% Shintsha |
|
I-Electrophysiology (EP) |
I-EP Ablation |
I-Catheter ablation, i-AV node | 5212 | 93650 | $6,733 | $7,123 | 5.8% | ||||
| Ucwaningo lwe-EP nge-catheter ablation, i-SVT | 5213 | 93653 | $23,481 | $22,653 | -3.5% | ||||||
| Ucwaningo lwe-EP kanye nokukhishwa kwe-catheter, VT | 5213 | 93654 | $23,481 | $22,653 | -3.5% | ||||||
| Ucwaningo lwe-EP kanye nokukhishwa kwe-catheter, ukwelashwa kwe-AF nge-PVI | 5213 | 93656 | $23,481 | $22,653 | -3.5% | ||||||
| Izifundo ze-EP | Ucwaningo lwe-EP oluphelele ngaphandle kokungeniswa | 5212 | 93619 | $6,733 | $7,123 | 5.8% | |||||
|
I-Cardiac Rhythm Management (CRM) |
I-Implantable Cardiac Monitor (ICM) | Ukufakwa 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% | |||
|
I-Pacemaker |
Ukufakelwa Kwesistimu noma Ukushintshwa - Igumbi Elilodwa (I-ventricular) |
5223 |
33207 |
$10,329 |
$10,185 |
-1.4% |
$7,557 |
$7,223 |
-4.4% |
||
| Ukufakelwa Kwesistimu noma Ukushintshwa - Igumbi Elibili | 5223 | 33208 | $10,329 | $10,185 | -1.4% | $7,722 | $7,639 | -1.1% | |||
| Ukususwa Kwe-Pacemaker Okungaholeli | 5183 | 33275 | $2,979 | $3,040 | 2.0% | $2,491 | $2,310 | -7.3% | |||
| Ukufakela I-Pacemaker Engaholi | 5224 | 33274 | $17,178 | $18,585 | 8.2% | $12,491 | $13,171 | 5.4% | |||
| Ukushintshwa Kwebhethri – Igumbi Elilodwa | 5222 | 33227 | $8,163 | $8,103 | -0.7% | $6,410 | $6,297 | -1.8% | |||
| Ukushintshwa Kwebhethri – Igumbi Elikabili | 5223 | 33228 | $10,329 | $10,185 | -1.4% | $7,547 | $7,465 | -1.1% | |||
|
I-Implantable Cardioverter Defibrillator (ICD) |
Ukufakelwa Kwesistimu noma Ukumiselela | 5232 | 33249 | $32,076 | $31,379 | -2.2% | $25,547 | $24,843 | -2.8% | ||
| Ukushintshwa Kwebhethri – Igumbi Elilodwa | 5231 | 33262 | $22,818 | $22,482 | -1.5% | $19,382 | $19,146 | -1.2% | |||
| Ukushintshwa Kwebhethri – Igumbi Elikabili | 5231 | 33263 | $22,818 | $22,482 | -1.5% | $19,333 | $19,129 | -1.1% | |||
| I-Sub-Q ICD | Ukufakwa kwe-Subcutaneous ICD system | 5232 | 33270 | $32,076 | $31,379 | -2.2% | $25,478 | $25,172 | -1.2% | ||
| Okuholayo Kuphela – I-Pace-maker, ICD, SICD, CRT | Ukuhola okukodwa, iPacemaker, ICD, noma i-SICD | 5222 | 33216 | $8,163 | $8,103 | -0.7% | $5,956 | $5,643 | -5.3% | ||
| I-CRT | 5223 | 33224 | $10,329 | $10,185 | -1.4% | $7,725 | $7,724 | -0.0% | |||
| Ukuqapha Idivayisi | Ukuhlela kanye nokuqapha okukude | 5741 | 0650T | $35 | $36 | 2.9% | |||||
| 5741 | 93279 | $35 | $36 | 2.9% | |||||||
|
I-CRT-P |
Ukufakelwa Kwesistimu noma Ukumiselela | 5224 | 33208
+ 33225 |
C7539 | $18,672 | $18,585 | -0.5% | $10,262 | $10,985 | 7.0% | |
| Ukushintshwa Kwebhethri | 5224 | 33229 | $18,672 | $18,585 | -0.5% | $11,850 | $12,867 | 8.6% | |||
|
I-CRT-D |
Ukufakelwa Kwesistimu noma Ukumiselela | 5232 | 33249
+ 33225 |
$18,672 | $31,379 | -2.2% | $25,547 | $24,843 | -2.8% | ||
| Ukushintshwa Kwebhethri | 5232 | 33264 | $32,076 | $31,379 | -2.2% | $25,557 | $25,027 | -2.1% | |||
|
Ukuhluleka Kwenhliziyo |
I-CardioMEMS | Ukufakelwa Kwenzwa | C2624 | ||||||||
| 5200 | 33289 | $27,305 | $27,721 | 1.5% | $24,713 | ||||||
| I-LVAD | Ukuphenywa, mathupha | 5742 | 93750 | $100 | $92 | -8.0% | |||||
| Ukuhlela ukunakekelwa kusengaphambili | 5822 | 99497 | $76 | $85 | 11.8% | ||||||
|
Umfutho wegazi ophezulu |
Ukuncipha kwezinso |
Ukuncipha kwezinso, unilateral |
5192 |
0338T |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
|
|
Ukuncipha kwezinso, izinhlangothi zombili |
5192 |
0339T |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$3,834 |
64.8% |
|||
| Isiguli Esingaphandle Esibhedlela (OPPS) | I-Ambulatory Surgery Centre (ASC) | ||||||||||
|
I-Franchise |
Ubuchwepheshe |
Inqubo |
I-APC eyinhloko |
CPT‡ Ikhodi |
I-ASC
I-Complexity Adj. Ikhodi ye-CPT |
2023 Imbuyiselo |
2024 Imbuyiselo |
% Shintsha |
2023 Imbuyiselo |
2024 Imbuyiselo |
% Shintsha |
|
I-Coronary |
I-PCI Drug Eluting Stents (kufaka phakathi i-FFR/OCT) |
I-DES, nge-angioplasty; umkhumbi owodwa, noma ngaphandle kwe-FFR kanye/noma i-OCT | 5193 | C9600 | $10,615 | $10,493 | -1.1% | $6,489 | $6,706 | 3.3% | |
| I-DES emibili, ene-angioplasty; izitsha ezimbili, ezine-FFR noma ngaphandle kwayo kanye/noma i-OCT. |
5193 |
C9600 |
$10,615 |
$10,493 |
-1.1% |
$6,489 |
$6,706 |
3.3% |
|||
| I-DES emibili, ene-angioplasty; isitsha esisodwa, esinayo noma esingenayo i-FFR kanye/ noma i-OCT |
5193 |
C9600 |
$10,615 |
$10,493 |
-1.1% |
$6,489 |
$6,706 |
3.3% |
|||
| I-DES emibili, ene-angioplasty; imithambo emibili emikhulu ye-coronary, ene-FFR noma ngaphandle kwayo kanye/noma 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% | |||||
| I-DES nge-atherectomy | I-DES nge-atherectomy | 5194 | C9602 | $17,178 | $16,725 | -2.6% | |||||
| I-DES kanye ne-AMI | I-DES kanye ne-AMI | C9606 | $0 | ||||||||
| I-DES kanye ne-CTO | I-DES kanye ne-CTO | 5194 | C9607 | $17,178 | $16,725 | -2.6% | |||||
|
I-Coronary Angiography kanye ne-Coronary Physiology (FFR/CFR) noma 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 ku-graft | 5191 | 93455 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| I-coronary angiography ku-graft
+ OCT |
5191 | 93455
+ 92978 |
C7518 | $5,215 | $3,108 | -40.4% | $2,327 | ||||
| I-coronary angiography ku-graft + FFR/CFR | 5191 | 93455
+ 93571 |
C7519 | $5,215 | $3,108 | -40.4% | $2,327 | ||||
| I-coronary angiography ene-catherterization yenhliziyo efanele | 5191 | 93456 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| I-coronary angiography ene-catherterization yenhliziyo engakwesokudla + OCT | 5192 | 93456
+ 92978 |
C7521 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| I-coronary angiography ene-catherterization yenhliziyo engakwesokudla + FFR/CFR | 5192 | 93456
+ 93571 |
C7522 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| I-coronary angiography ku-graft nge-catheterization yenhliziyo yesokudla | 5191 | 93457 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| I-coronary angiography ku-graft nge-catheterization yenhliziyo yesokudla
+ FFR/CFR |
5191 |
93457
+ 93571 |
$5,215 |
$3,108 |
-40.4% |
$0 |
$0 |
||||
| I-coronary angiography ene-catherization yenhliziyo yesokunxele | 5191 | 93458 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| I-coronary angiography ene-catherization yenhliziyo yesokunxele + OCT | 5192 | 93458
+ 92978 |
C7523 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| I-coronary angiography ene-catherization yenhliziyo yesokunxele + FFR/CFR | 5192 | 93458
+ 93571 |
C7524 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| I-coronary angiography ku-graft nge-catherization yenhliziyo yesokunxele | 5191 | 93459 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| I-coronary angiography ku-graft ene-catherization yenhliziyo yesokunxele + OCT | 5192 | 93459
+ 92978 |
C7525 | $5,215 | $5,452 | 4.5% | $2,327 | $2,526 | 8.6% | ||
| I-coronary angiography ku-graft nge-catherization yenhliziyo yesokunxele + FFR/CFR |
5192 |
93459
+ 93571 |
C7526 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
| I-Cornary angiography ene-catheterization yenhliziyo yesokudla nesobunxele | 5191 | 93460 | $2,958 | $3,108 | 5.1% | $1,489 | $1,633 | 9.7% | |||
| I-Cornary angiography ene-catheterization yenhliziyo yesokudla nesobunxele
+ OCT |
5192 |
93460
+ 92978 |
C7527 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
| I-Cornary angiography ene-catheterization yenhliziyo yesokudla nesobunxele + FFR/CFR |
5192 |
93460
+ 93571 |
C7528 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
| Isiguli Esingaphandle Esibhedlela (OPPS) | I-Ambulatory Surgery Centre (ASC) | ||||||||||
|
I-Franchise |
Ubuchwepheshe |
Inqubo |
I-APC eyinhloko |
CPT‡ Ikhodi |
I-ASC
I-Complexity Adj. Ikhodi ye-CPT |
2023 Imbuyiselo |
2024 Imbuyiselo |
% Shintsha |
2023 Imbuyiselo |
2024 Imbuyiselo |
% Shintsha |
|
I-Coronary |
I-Coronary Angiography kanye ne-Coronary Physiology (FFR/CFR) noma i-OCT |
I-coronary angiography ku-graft nge-catheterization yenhliziyo yesokudla nesobunxele |
5191 |
93461 |
$2,958 |
$3,108 |
5.1% |
$1,489 |
$1,633 |
9.7% |
|
| I-coronary angiography ku-graft nge-catheterization yenhliziyo yesokudla nesobunxele + FFR/CFR |
5192 |
93461
+ 93571 |
C7529 |
$5,215 |
$5,452 |
4.5% |
$2,327 |
$2,526 |
8.6% |
||
|
I-Peripheral Vascular |
I-Angioplasty |
I-Angioplasty (I-Iliac) | 5192 | 37220 | $5,215 | $5,452 | 4.5% | $3,074 | $3,275 | 6.5% | |
| I-Angioplasty (Fem/Pop) | 5192 | 37224 | $5,215 | $5,452 | 4.5% | $3,230 | $3,452 | 6.9% | |||
| I-Angioplasty (i-Tibial/Peroneal) | 5193 | 37228 | $10,615 | $10,493 | -1.1% | $6,085 | $6,333 | 4.1% | |||
|
I-Atherectomy |
I-Atherectomy (I-Iliac) | 5194 | 0238T | $17,178 | $16,725 | -2.7% | $9,782 | $9,910 | 1.3% | ||
| I-Atherectomy (Fem/Pop) | 5194 | 37225 | $10,615 | $16,725 | 57.6% | $7,056 | $11,695 | 65.7% | |||
| I-Atherectomy (Tibial/Peroneal) | 5194 | 37229 | $17,178 | $16,725 | -2.6% | $11,119 | $11,096 | -0.2% | |||
|
I-Stenting |
I-Stenting (I-Iliac) | 5193 | 37221 | $10,615 | $10,493 | -1.1% | $6,599 | $6,772 | 2.6% | ||
| I-Stenting (Fem/Pop) | 5193 | 37226 | $10,615 | $10,493 | -1.1% | $6,969 | $7,029 | 0.9% | |||
| I-Stenting (i-Periph, i-Renal) | 5193 | 37236 | $10,615 | $10,493 | -1.1% | $6,386 | $6,615 | 3.6% | |||
| I-Stenting (Tibial/Peroneal) | 5194 | 37230 | $17,178 | $16,725 | -2.6% | $11,352 | $10,735 | -5.4% | |||
|
I-Atherectomy kanye ne-Stenting |
I-Atherectomy kanye ne-stenting (Fem/ Pop) | 5194 | 37227 | $17,178 | $16,725 | -2.6% | $11,792 | $11,873 | 0.7% | ||
| I-Atherectomy kanye ne-stenting (Tibial/Peroneal) | 5194 | 37231 | $17,178 | $16,725 | -2.6% | $11,322 | $11,981 | 5.8% | |||
|
Ama-plugs we-Vascular |
Ukuvaleka kwe-venous noma ukuvaleka | 5193 | 37241 | $10,615 | $10,493 | -1.1% | $5,889 | $6,108 | 3.7% | ||
| I-Arterial embolization noma i-occlusion | 5194 | 37242 | $10,615 | $16,725 | 57.6% | $6,720 | $11,286 | 67.9% | |||
| I-Embolization noma i-occlusion yamathumba, i-ischemia yesitho, noma i-infarction |
5193 |
37243 |
$10,615 |
$10,493 |
-1.1% |
$4,579 |
$4,848 |
5.9% |
|||
| I-Embolization noma i-occlusion ye-arterial noma i-venous hemorrhage noma i-lymphatic extravasation |
5193 |
37244 |
$10,615 |
$10,493 |
-1.1% |
||||||
|
I-Arterial Mechanical Thrombectomy |
I-thrombectomy eyinhloko ye-arterial percutaneous mechanical; isitsha sokuqala |
5194 |
37184 |
$10,615 |
$16,725 |
57.6% |
$6,563 |
$10,116 |
54.1% |
||
|
I-Peripheral Vascular |
I-thrombectomy eyinhloko ye-arterial percutaneous mechanical; yesibili kanye nayo yonke imikhumbi elandelayo |
37185 |
Kupakishiwe |
Kupakishiwe |
NA |
NA |
|||||
| I-thrombectomy yesibili ye-arterial percutaneous mechanical | 37186 | Kupakishiwe | Kupakishiwe | NA | NA | ||||||
|
I-Arterial Mechanical Thrombectomy nge-Angioplasty |
I-thrombectomy eyinhloko ye-arterial percutaneous mechanical; isitsha sokuqala nge-angioplasty Iliac |
NA |
37184
+37220 |
$8,100 |
$11,754 |
45.1% |
|||||
| I-thrombectomy eyinhloko ye-arterial percutaneous mechanical; isitsha sokuqala esine-angioplasty fem/pop |
NA |
37184
+37224 |
$8,178 |
$11,842 |
44.8% |
||||||
| I-thrombectomy eyinhloko ye-arterial percutaneous mechanical; isitsha sokuqala esine-angioplasty tib/pero |
NA |
37184
+37228 |
$9,606 |
$13,283 |
38.3% |
||||||
|
I-Arterial Mechanical Thrombectomy ene-Stenting |
I-thrombectomy eyinhloko ye-arterial percutaneous mechanical; isitsha sokuqala esine-Iliac eqinile |
NA |
37184
+37221 |
$9,881 |
$13,502 |
36.7% |
|||||
| I-thrombectomy eyinhloko ye-arterial percutaneous mechanical; umkhumbi wokuqala one-stenting fem/pop |
NA |
37184
+37226 |
$10,251 |
$13,631 |
33.0% |
||||||
| I-thrombectomy eyinhloko ye-arterial percutaneous mechanical; umkhumbi wokuqala one-stenting tib/pero |
NA |
37184
+37230 |
$14,634 |
$15,793 |
7.9% |
||||||
| Isiguli Esingaphandle Esibhedlela (OPPS) | I-Ambulatory Surgery Centre (ASC) | ||||||||||
|
I-Franchise |
Ubuchwepheshe |
Inqubo |
I-APC eyinhloko |
CPT‡ Ikhodi |
I-ASC
I-Complexity Adj. Ikhodi ye-CPT |
2023 Imbuyiselo |
2024 Imbuyiselo |
% Shintsha |
2023 Imbuyiselo |
2024 Imbuyiselo |
% Shintsha |
|
I-Peripheral Vascular |
I-venous Mechanical Thrombectomy |
I-venous percutaneous mechanical thrombectomy, ukwelashwa kokuqala | 5193 | 37187 | $10,615 | $10,493 | -1.1% | $7,321 | $7,269 | -0.7% | |
| I-venous percutaneous mechanical thrombectomy, phinda ukwelashwa ngosuku olulandelayo |
5183 |
37188 |
$2,979 |
$3,040 |
2.0% |
$2,488 |
$2,568 |
3.2% |
|||
| I-Venous Mechanical Thrombectomy nge-Angioplasty | I-venous percutaneous mechanical thrombectomy, ukwelashwa kokuqala nge-angioplasty |
NA |
37187 + 37248 |
$8,485 |
$8,532 |
0.6% |
|||||
| I-venous Mechanical Thrombectomy ene-Stenting | I-venous percutaneous mechanical thrombectomy, ukwelashwa kokuqala nge-stenting |
NA |
37187 + 37238 |
$10,551 |
$10,619 |
0.6% |
|||||
|
I-Dialysis Circuit Thrombectomy |
I-Percutaneous mechanical thrombectomy, i-dialysis circuit | 5192 | 36904 | $5,215 | $5,452 | 4.5% | $3,071 | $3,223 | 4.9% | ||
| I-Percutaneous mechanical thrombectomy, i-dialysis circuit, ene-angioplasty |
5193 |
36905 |
$10,615 |
$10,493 |
-1.1% |
$5,907 |
$6,106 |
3.4% |
|||
| I-Percutaneous mechanical thrombectomy, i-dialysis circuit, ene-stent |
5194 |
36906 |
$17,178 |
$16,725 |
-2.6% |
$11,245 |
$11,288 |
0.4% |
|||
|
I-Thrombolysis |
Ukwelashwa kwe-transcatheter arterial thrombolysis, ngosuku lokuqala |
5184 |
37211 |
$5,140 |
$5,241 |
2.0% |
$3,395 |
$3,658 |
7.7% |
||
| Ukwelashwa kwe-venous thrombolysis ye-Transcatheter, ngosuku lokuqala |
5183 |
37212 |
$2,979 |
$3,040 |
2.0% |
$1,444 |
$1,964 |
36.0% |
|||
| Ukwelashwa kwe-transcatheter arterial noma i-venous thrombolysis, ngosuku olulandelayo |
5183 |
37213 |
$2,979 |
$3,040 |
2.0% |
||||||
| Ukwelashwa kwe-transcatheter arterial noma i-venous thrombolysis, usuku lokugcina | 5183 | 37214 | $2,979 | $3,040 | 2.0% | ||||||
|
Inhliziyo Yesakhiwo |
Ukuvalwa kwe-PFO | Ukuvalwa kwe-ASD/PFO | 5194 | 93580 | $17,178 | $16,725 | -2.6% | ||||
| ASD | Ukuvalwa kwe-ASD/PFO | 5194 | 93580 | $17,178 | $16,725 | -2.6% | |||||
| I-VSD | Ukuvalwa kwe-VSD | 5194 | 93581 | $17,178 | $16,725 | -2.6% | |||||
| I-PDA | Ukuvalwa kwe-PDA | 5194 | 93582 | $17,178 | $16,725 | -2.6% | |||||
|
Ubuhlungu obungapheli |
Ukukhuthazwa Kwentambo Yomgogodla kanye Nokukhuthazwa kwe-DRG |
Isivivinyo Sokuhola Okukodwa: percutaneous | 5462 | 63650 | $6,604 | $6,523 | -1.2% | $4,913 | $4,952 | 0.8% | |
| Isivivinyo sokuhola esikabili: i-percutaneous | 5462 | 63650 | $6,604 | $6,523 | -1.2% | $9,826 | $9,904 | 0.8% | |||
| Isivivinyo Sokuhola Sokuhlinzwa | 5464 | 63655 | $21,515 | $20,865 | -3.0% | $17,950 | $17,993 | 0.2% | |||
| Uhlelo Olugcwele - Ukuhola okukodwa - Percutaneous | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $29,629 | $30,250 | 2.1% | |||
| Isistimu Egcwele - Ukuhola Okubili - I-Percutaneous | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $34,542 | $35,202 | 1.9% | |||
| I-IPG Yesistimu Egcwele - Laminectomy | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $42,666 | $43,291 | 1.5% | |||
| Ukufakelwa kwe-IPG noma ukushintshwa | 5465 | 63685 | $29,358 | $29,617 | 0.9% | $24,716 | $25,298 | 2.4% | |||
| Ukuhola okukodwa | 5462 | 63650 | Kupakishiwe | Kupakishiwe | $4,913 | $4,952 | 0.8% | ||||
| Ukuhola okukabili | 5462 | 63650 | Kupakishiwe | Kupakishiwe | $4,913 | $4,952 | 0.8% | ||||
| Ukuhlaziywa kwe-IPG, Uhlelo Olulula | 5742 | 95971 | $100 | $92 | -8.0% | ||||||
|
I-Peripheral Neerve Stimulation |
Uhlelo Olugcwele - Ukuhola okukodwa - 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% | ||||
| Isistimu Egcwele - Ukuhola Okubili - I-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% | ||||
| Ukushintshwa kwe-IPG | 5464 | 64590 | $21,515 | $20,865 | -3.0% | $19,333 | $19,007 | -1.7% | |||
| Isiguli Esingaphandle Esibhedlela (OPPS) | I-Ambulatory Surgery Centre (ASC) | ||||||||||
|
I-Franchise |
Ubuchwepheshe |
Inqubo |
I-APC eyinhloko |
CPT‡ Ikhodi |
I-ASC
I-Complexity Adj. Ikhodi ye-CPT |
2023 Imbuyiselo |
2024 Imbuyiselo |
% Shintsha |
2023 Imbuyiselo |
2024 Imbuyiselo |
% Shintsha |
|
Ubuhlungu obungapheli |
Ukukhishwa kwe-RF |
I-Cervical Spine / Thoracic Spine | 5431 | 64633 | $1,798 | $1,842 | 2.4% | $854 | $898 | 5.2% | |
| I-Lumbar Spine | 5431 | 64635 | $1,798 | $1,842 | 2.4% | $854 | $898 | 5.2% | |||
| Eminye Imizwa Yezinzwa | 5443 | 64640 | $852 | $869 | 2.0% | $172 | $173 | 0.6% | |||
| I-Radifrequency Ablation | 5431 | 64625 | $1,798 | $1,842 | 2.4% | $854 | $898 | 5.2% | |||
|
Izinkinga Zokunyakaza |
I-DBS |
Ukubekwa kwe-IPG - I-Single Array | 5464 | 61885 | $21,515 | $20,865 | -3.0% | $19,686 | $19,380 | -1.6% | |
| Ukubekwa kwe-IPG - Ama-IPG Amabili Awodwa Awodwa | 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% | |||
| Ukuhlaziywa kwe-IPG, Akukho Ukuhlela | 5734 | 95970 | $116 | $122 | 5.2% | ||||||
| Ukuhlaziywa kwe-IPG, Uhlelo Olulula; okokuqala 15 Min | 5742 | 95983 | $100 | $92 | -8.0% | ||||||
| Ukuhlaziywa kwe-IPG, Uhlelo Olulula; eyengeziwe 15 Min | 95984 | $0 | |||||||||
Umshwana wokuzihlangula
Le nto kanye nolwazi oluqukethwe lapha ngokwezinjongo zolwazi olujwayelekile kuphela futhi akuhlosiwe, futhi akuhlanganisi, okusemthethweni, imbuyiselo, ibhizinisi, umtholampilo, noma esinye iseluleko. Ngaphezu kwalokho, akuhlosiwe futhi akuhlanganisi ukumelwa noma isiqinisekiso sembuyiselo, inkokhelo, noma inkokhiso, noma leyo mbuyiselo noma enye inkokhelo izotholwa. Akuhloselwe ukwandisa noma ukukhulisa inkokhelo nganoma yimuphi umkhokhi. U-Abbott akenzi iwaranti ecacile noma eshiwo noma isiqinisekiso sokuthi uhlu lwamakhodi nezindaba ezixoxwayo kule dokhumenti ziphelele noma azinaphutha. Ngokufanayo, akukho lutho kulo mbhalo okufanele lube viewed njengemiyalelo yokukhetha noma iyiphi ikhodi ethile, futhi u-Abbott akakukhuthazi noma akugunyazi ukufaneleka kokusetshenziswa kwanoma iyiphi ikhodi ethile. Isibopho sokugcina sokubhala ngekhodi nokuthola inkokhelo/imbuyiselo sihlala sisekhasimendeni. Lokhu kubandakanya isibopho sokunemba nokuba yiqiniso kwakho konke ukubhala ngekhodi nezimangalo ezithunyelwe kubakhokhi bezinkampani zangaphandle. Ukwengeza, ikhasimende kufanele liqaphele ukuthi imithetho, izimiso, nezinqubomgomo zokukhava ziyinkimbinkimbi futhi zibuyekezwa njalo futhi zingashintsha ngaphandle kwesaziso. Ikhasimende kufanele lihlole abathwali balo bendawo noma abaxhumanisi kaningi futhi kufanele lixhumane nomeluleki wezomthetho noma uchwepheshe wezezimali, wokubhala amakhodi, noma wokubuyisela nganoma yimiphi imibuzo ehlobene nokubhalwa kwekhodi, ukukhokha, ukubuyisela, nanoma yiziphi izinkinga ezihlobene. Le nto ikhiqiza kabusha ulwazi ngezinjongo zereferensi kuphela. Ayinikeziwe igunyaziwe ukuze isetshenziswe ukumaketha.
Imithombo
- Umthetho Wokugcina Olindeleke Ukukhokhelwa Isiguli Esingaphandle Kokuphawula CY2024:
- Inkokhelo Yesikhungo Sokuhlinza Esiphuthumayo-Isimiso Sokugcina CY2024 Izilinganiso Zokukhokha:
- Umthetho Wokugcina Olindeleke Ukukhokhelwa Isiguli Esingaphandle Kokuphawula CY2023:
- Inkokhelo Yesikhungo Sokuhlinza Esiphuthumayo-Isimiso Sokugcina CY2023 Izilinganiso Zokukhokha: https://www.cms.gov/medicaremedicare-fee-service-paymentascpaymentasc-regulations-and-notices/cms-1772-fc
ISEXWAYISO: Lo mkhiqizo uhloselwe ukusetshenziswa noma ngaphansi kwesiqondiso sikadokotela. Ngaphambi kokusetshenziswa, bhekisa Imiyalo Yokusetshenziswa, ngaphakathi kwebhokisi lomkhiqizo (uma litholakala) noma ku-vascular.eifu.abbott noma kokuthi manuals.eifu.abbott ukuze uthole ulwazi oluthe xaxa mayelana Nezinkomba, Izimo, Izexwayiso, Izixwayiso Nezehlakalo Ezimbi. I-Abbott One St. Jude Medical Dr., St. Paul, MN 55117, USA, Ucingo: 1 651 756 2000 ™ Ibonisa uphawu lokuthengisa lweqembu lezinkampani ze-Abbott. ‡ Ikhombisa uphawu lokuhweba lomuntu wesithathu, okuyindawo yomnikazi wayo.
©2024 Abbott. Wonke Amalungelo Agodliwe. MAT-1901573 v6.0. Into igunyazelwe ukusetshenziswa e-US kuphela. I-HE&R igunyazelwe ukusetshenziswa okungezona ezokukhangisa kuphela.
Amadokhumenti / Izinsiza
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Izinsiza ze-Abbott Vascular Coding and Coverage [pdf] Incwadi Yomnikazi Izinsiza Zokufaka Ikhodi Nokuhlanganisa I-Vascular, Izinsiza Zokufaka Amakhodi Nezokukhava, Izinsiza Zokukhava, Izinsiza |