• AVEIR™ VR Leadless Pacemaker Coding Guide (2.9MB)

  Find Medicare coding and national payment rates for leadless pacemakers.

• On-Demand Webinar

  This webinar provides an overview of leadless pacemaker reimbursement, including information on the Single Chamber Leadless Pacemaker device. The session will address coding, reimbursement and national indications for coverage. Recent Medicare payment policies including the FY 2022 Medicare Inpatient Prospective Payment System (IPPS), Medicare Physician Fee Schedule (PFS), and Medicare Outpatient Prospective Payment System (OPPS) will also be discussed.

Abbott offers this Prior Authorization and appeal Tool Kit for use by physicians and their offices when seeking prior authorization or appealing denials of coverage. This comprehensive tool kit includes information to assist your office in submitting coverage requests for patients indicated for a leadless pacemaker. Download the guides and the accompanying templates using the links below.

• Prior Authorization Checklist for Implanting Physicians

  Download this document as a reference guide when submitting prior authorizations.

• Sample Letter of Medical Necessity

  Download a sample letter template that provides suggestions to assist in writing a Letter of Medical Necessity or prior authorization request for leadless pacemaker device implants. Physicians should customize the letter based on the patient's actual medical history and diagnosis and to be consistent with any specific prior authorization requirements.

• Sample Letter of Appeal

  Download a sample letter template that provides suggestions to assist in writing a Letter of Appeal of a denial of coverage for leadless pacemaker device implant procedures. Physicians should customize the letter based on the patient's actual medical history and diagnosis, and to be consistent with any specific appeal requirements.

• Sample Letter of Appeal for Claims Denial

  Download a sample letter template that provides suggestions to assist in writing a Letter of Appeal of a claim denial for leadless pacemaker device implant procedures. Physicians should customize the letter based on the patient's actual medical history and diagnosis, and to be consistent with any specific appeal requirements.

*These documents are not all-inclusive, and nothing within them should be construed as a guarantee by Abbott regarding reimbursement or payment amounts, or that reimbursement or other payment will be received. For independent consideration and review, please make all changes that you believe appropriate, or disregard these suggestions in their entirety. The healthcare provider is ultimately responsible for the accuracy and completeness of all claims submitted to third-party payers. It is not an endorsed resource of any benefit provider as providers are highly encouraged to review each benefit provider's policy and requirements for prior authorization and medical guidelines.