Reimbursement & Coding for Aveir VR | Abbott
CARDIOVASCULAR
hamburger
Aveir VR Leadless Pacemaker

Reimbursement & Coding

Find reimbursement resources below, including a 2022 national coding guide, on-demand webinar, and a prior authorization and appeals tool kit.

WE'RE HERE TO HELP

Contact our Health Economics and Reimbursement team at leadlessreimbursement@abbott.com for additional assistance and information. You can also call the Reimbursement Hotline at (855) 569-6430.

AVEIR™ VR Leadless Pacemaker Coding Guide

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.

Prior Authorization and Appeals Kit

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.

HE&R Disclaimer

This document 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 is not intended to and does not constitute a representation or guarantee of reimbursement, payment, or charge, or that reimbursement or other payment will be received. It is not intended to increase or maximize payment by any payer. Similarly, nothing in this document should be viewed as instructions for selecting any particular code, and Abbott does not advocate or warrant the appropriateness of the use of any particular code. The ultimate responsibility for coding and obtaining payment/reimbursement remains with the customer. This includes the responsibility for accuracy and veracity of all coding and 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, coding, or reimbursement specialist for any questions related to coding, billing, reimbursement or any related issues. This material reproduces information for reference purposes only. It is not provided or authorized for marketing use.

MAT-2208695 v1.0

DO YOU WISH TO CONTINUE AND EXIT CARDIOVASCULAR.ABBOTT?

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

False
accessibility
© 2021 Abbott. All Rights Reserved. Please read the Legal Notice for further details.

Unless otherwise specified, all product and service names appearing in this Internet site are trademarks owned by or licensed to Abbott, its subsidiaries or affiliates. No use of any Abbott trademark, trade name, or trade dress in this site may be made without the prior written authorization of Abbott, except to identify the product or services of the company.

accessibility

DO YOU WISH TO CONTINUE AND EXIT CARDIOVASCULAR.ABBOTT?

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