Reimbursement and Coding

• AVEIR™ VR Leadless Pacemaker Coding Guide

  Find Medicare coding and national payment rates for the AVEIR VR Leadless Pacemaker.

• AVEIR VR Leadless Pacemaker FAQ

  See answers to frequently asked questions regarding the reimbursement landscape for AVEIR VR Pacemaker.

• Insertable Cardiac Monitors (ICM) Coding Guide

  Find Medicare coding and national payment rates for Insertable/Implantable Cardiac Monitors (ICM).

• Implantable Cardiac Defibrillator (ICD) Coding Guide

  Find Medicare coding and national payment rates for implantable cardioverter defibrillators (ICDs).

• Cardiac Resynchronization Therapy (CRT) Coding Guide

  Find Medicare coding and national payment rates for cardiac resynchronization therapies (CRT).

• Cardiac Device Monitoring Coding Guide

  Find Medicare coding and national payment rates for cardiac device monitoring.

• Transvenous Pacemaker Coding Guide

  Find Medicare coding and national payment rates for transvenous pacemakers.

• 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).

• Insertable Cardiac Monitors (ICM) In Office Readiness Checklist

  Use this printable form to assess your physician office’s readiness to begin implanting and monitoring ICMs.

• HCPCS Device Category C-codes Guide

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

• 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.

• 2023 Assert-IQ^™ ICM Reimbursement Webinar

  Discover the latest on-demand webinar brought to you by the HE&R team. This is your chance to learn about ICM coding and reimbursement payments for Assert-IQ™ ICM and provide continuing education to your customers. 

• Clinical Experiences with Remote Monitoring: Guidance for Patient-Centric Care and Clinic Reimbursement

  Remote monitoring is critical to ensure appropriate follow-up care for patients implanted with an Abbott cardiac device. This one-hour webcast provides an educational review of remote monitoring for patients with implanted pacemakers, cardiac resynchronization therapy devices, implantable cardioverter defibrillators and implantable cardiac monitors.

• 2023 AVEIR VR Leadless Pacemaker 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 2023 Medicare Inpatient Prospective Payment System (IPPS), Medicare Physician Fee Schedule (PFS), and Medicare Outpatient Prospective Payment System (OPPS) will also be discussed.

Abbott offers this Prior Authorization and Appeal Tool Kits 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.