1
CARDIOVASCULAR
hamburger

Reimbursement & Coding

The following resources offer reimbursement and coding information for Advisor™ HD Grid Mapping Catheter, Sensor Enabled™:

Coding Guides and C-Codes

Electrophysiology Coding Guide
The Electrophysiology Coding Guide provides reference material related to general guidelines for the reimbursement of the Electrophysiology procedures when used consistently with the products’ labeling. This guide includes information regarding coverage, coding and payment.

HCPCS Device Category C-Codes
This document provides a current list of reimbursement Healthcare Procedural Coding System (HCPCS) Device Category C-codes.

Common CPT Code Modifiers
This document provides a printable form for easy CPT coding reference.

Frequently Used CPT Codes for Catheter Ablation and Related Procedures
This document is a printable form for easy Current Procedural Terminology (CPT) coding reference.

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)

The following resources offer Medicare information that are applicable for Advisor HD Grid Mapping Catheter, Sensor Enabled:

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.

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.

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.

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 update reproduces information for reference purposes only. It is not provided or authorized for marketing use.

Indications, Safety & Warnings

MAT-2007566 v1.0

DO YOU WISH TO CONTINUE AND EXIT CARDIOVASCULAR.ABBOTT?

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

False
accessibility
© 2019 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.