CARDIOVASCULAR
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Reimbursement & Coding

These resources include coding guides, links to Medicare Coverage Determinations and on-demand webinars related to cardiac rhythm management (CRM).

Coding Guides and Resources

Cardiac Rhythm Management (CRM) Coding Guide

Find Medicare coding and national payment rates for cardiac rhythm management.

Physician Non-Facility Device Monitoring Rates by Location

Find Medicare coding and payment rates, by location, for cardiac device monitoring in physician offices (non-facilities).

HCPCS Device Category C-codes Guide

Current reimbursement Healthcare Procedural Coding System (HCPCS) Device Category C-codes.

Centers for Medicare and Medicaid (CMS)

Pacemaker NCD

Developed through an evidence-based process, this guide provides details on required medical criteria that must be met for coverage of Medicare beneficiaries.

Implantable Cardioverter Defibrillators (ICDs) NCD

Developed through an evidence-based process, this guide provides details on required medical criteria that must be met for coverage of Medicare beneficiaries.

Implantable Cardioverter Defibrillator National Coverage Determination FAQs

Coverage considerations and Frequently Asked Questions regarding ICDs.

Webinars

2019/2020 Reimbursement Update: Cardiac Rhythm Management

This one-hour webcast addresses coding, payment and national coverage indications for Pacemakers, Implantable Cardioverter Defibrillators (ICDs), and Cardiac Resynchronization Therapy (CRT-P/CRT-D). It provides an overview of payment under Medicare’s FY 2020 Inpatient Prospective Payment System (IPPS) and Medicare’s FY 2019 Physician Fee Schedule (PFS), Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) payment system. The program also includes common patient scenarios and how to appropriately report to Medicare.

Health Economic Summit Episode 1 - Cardiac Resynchronization Therapy

This program is a one-hour webcast facilitated by cardiologist Dr. John Rogers. Economic and product specific topics related to CRT will be addressed including patient outcomes, Medicare reimbursement, and the economics of heart failure.

*Disclaimer: This webpage and the information contained herein is for general information purposes only and is not intended, and does not constitute, legal reimbursement, business, clinical or other advice. Furthermore, it does not constitute a representation or guarantee of reimbursement, and it is not intended to increase or maximize payment by any payer. Nothing in this document should be construed as a guarantee by Abbott regarding reimbursement or payment amounts, or that reimbursement or other payment will be received. The ultimate responsibility for obtaining payment/reimbursement remains with the customer. This includes the responsibility for accuracy and veracity of all claims submitted to third-party payers. In addition, the customer should note that laws, regulations, and coverage policies are complex and are updated frequently, and, therefore, the customer should check with its local carriers or intermediaries often and should consult with legal counsel or a financial or reimbursement specialist for any questions related to billing, reimbursement or any related issue. This information does not guarantee coverage or payment at any specific level, and Abbott does not advocate or warrant the appropriateness of the use of any particular code. This update reproduces information for reference purposes only. It is not provided or authorized for marketing use.

Indications, Safety & Warnings

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DO YOU WISH TO CONTINUE AND EXIT CARDIOVASCULAR.ABBOTT?

CONTENTS OF THE SITE ARE NOT UNDER THE CONTROL OF ABBOTT.