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Reimbursement & Coding

Our reimbursement resources provide information about coverage, coding and payment, denied claims and supporting documentation for Abbott electrophysiology products. The following resources provide information relevant for the FlexAbility™ Ablation Catheter, Sensor Enabled™.

Coding Guides and C-Codes

Electrophysiology Coding Guide

Medicare coding and payment guide for EP services, including catheter ablation

HCPCS Device Category C-codes

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

Common CPT Code Modifiers

Printable form for easy CPT coding reference

Frequently Used CPT Codes for Catheter Ablation and Related Procedures

Printable form for easy CPT coding reference

CMS Inpatient Reimbursement Prospectus

This guide provides a summary of the Medicare Hospital Inpatient Prospective Payment System (IPPS). It includes information on the Readmission Reductions Program, Value Based Purchasing, and Hospital Inpatient Reimbursement Rates for select cardiovascular DRGs. For more detailed information, please refer to the FY IPPS Final Rule on the CMS website.

CMS Outpatient Reimbursement Prospectus

This guide provides a summary of the Medicare Hospital Outpatient Prospective Payment System (OPPS) Update. It includes updates to the Comprehensive APC Policy, Site Neutral Payments, Device Intensive Procedures, the Transitional Pass-Through Payment Policy, and Hospital Outpatient Reimbursement Rates for select cardiovascular APCs. For more detailed information, please refer to the CY OPPS Final Rule on the CMS website.

Webinars

2020 Update on Medicare Reimbursement for Electrophysiology

This one-hour webcast addresses coding and payment surrounding Electrophysiologic procedures. First, we provide an overview of an EP ablation procedure. Then we discuss 2020 coding and payment for EP ablations, EP studies, and other add on services. Finally, we review common clinical scenarios and how to appropriately report them to Medicare.

Centers for Medicare and Medicaid (CMS)

Cardiac Catheterization Performed in Other Than a Hospital Setting

Provides Medicare guidance on coverage when the procedure is performed in a location other than a hospital

CMS Physician Fee Schedule Prospectus

This guide includes Medicare Physician Payment Rates for cardiovascular procedures. For more detailed information, please refer to the CY Physician Fee Schedule Final Rule on the CMS website.

Medicare Local Coverage Determinations (LCDs)

Medicare Learning Network (MLN) Matters Articles

Focusing on coverage, billing, and payment rules for specific provider types, these articles explain national Medicare policy in an easy-to-understand format.

National Correct Coding Initiatives Edits

Developed by CMS, the initiative promotes correct coding methodologies to control improper coding leading to inappropriate payment.

Indications, Safety & Warnings

MAT-2100921 v1.0

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DO YOU WISH TO CONTINUE AND EXIT CARDIOVASCULAR.ABBOTT?

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