CARDIOVASCULAR
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CODING and COVERAGE RESOURCES

Contact our healthcare economics department if you need more information or call our hotline at +1-855-569-6430.

CODING GUIDES AND C-CODES

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

Cardiac Rhythm Management (CRM) and Cardiac Resynchronization Therapy (CRT) Coding Guide
Medicare coding and payment guide for Pacemakers and Implantable Cardioverter Defibrillators (ICD).

Insertable Cardiac Monitors (ICM) Coding Guide
Medicare coding and payment guide for Implantable/insertable Cardiac Monitor (ICM).

Remote Monitoring Rates by Location
Medicare coding and payment overview for remote monitoring by location.

CODING FORMS AND RESOURCES

Frequently used CPT Codes for Cardiac Resynchronization Therapy for Pacemakers (CRT-P) Procedures  
Use this printable form to simplify coding for CRT-P procedures.

Frequently used CPT codes for ICD/Cardiac Resynchronization Therapy for Defibrillators Procedures
Use this printable form to simplify CPT coding ICD/CRT procedures.

Frequently Used CPT Codes for Cardiac Device Monitoring Services
Use this printable form to simplify CPT coding for device monitoring services.

Common CPT Code Modifiers
Use this printable form for easy CPT coding reference.

CMS Inpatient Reimbursement Prospectus
Comparison of the Centers for Medicare & Medicaid Services’(CMS) final rule for Hospital Inpatient (IPPS) payment.

CMS Hospital Outpatient and Ambulatory Surgical Center Reimbursement Prospectus
Comparison of the Centers for Medicare & Medicaid Services’(CMS) final rule for Hospital Outpatient (OPPS) and Ambulatory Surgical Center (ASC) payment.

View our on-demand webinars that address reimbursement questions.

Health Economic Summit Episode 1: Cardiac Resynchronization Therapy (CRT) Webcast
This program is a one-hour webcast facilitated by cardiologist Dr. John Rogers. Economic and product specific topics related to CRT are addressed including patient outcomes, Medicare reimbursement, and the economics of heart failure.

Insertable Cardiac Monitor (ICM) Webcast
This webcast reviews coding changes as well as Medicare payments for physicians, hospitals, and ambulatory surgery centers. In addition, coding and payment for the ICM device monitoring is discussed.

Cardiac Rhythm Management (CRM) Webcast
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 Inpatient Prospective Payment System (IPPS) and Medicare’s 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. 

CENTER FOR MEDICARE AND MEDICAID SERVICES RESOURCES

Cardiac Output Monitoring by Thoracic Electrical Bioimpedance (TEB)
Medicare national coverage determination manual for cardiac output monitoring from the Centers for Medicare and Medicaid Services (CMS).

Prothrombin Time (PT/INR) Monitoring for Home Anticoagulation Management
Medicare national coverage determination manual for Prothrombin time monitoring for home anticoagulation from CMS.

Implantable Automatic Defibrillators
Medicare national coverage determination manual for implantable defibrillators from CMS.

Microvolt T-WAVE Alternans (MTWA)
Medicare national coverage determination manual for microvolt t-wave alternans from CMS.

NCD for Implantable Cardioverter Defibrillator (ICDs) FAQ
Medicare national coverage decision frequently asked questions.

 

CENTERS FOR MEDICARE AND MEDICAID LINKS

NCDs for Pacemakers
National Cardiovascular Data Registry (NCDR) for Implantable Cardioverter Defibrillator
National Cardiovascular Data Registry (NCDR) for Implantable Cardioverter Defibrillator
Medicare Local Coverage Determinations (LCDs)
Medicare Physician Fee Schedule Look-up
Medicare Learning Network Matters Articles
Medicare Coverage Database
MedPac Publications: Payment Basics

*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.

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DO YOU WISH TO CONTINUE AND EXIT CARDIOVASCULAR.ABBOTT?

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