Find reimbursement resources, including coding guides, links to Medicare Coverage Determinations, on-demand webinars, and frequently asked questions for devices and systems used to treat heart failure.
Contact our Health Economics and Reimbursement Department for additional information or assistance.
Mechanical Circulatory Support (MCS) Coding Guide
Medicare coding and payment guide for for the HeartMate II™ LVAS, HeartMate 3™ LVAS and other mechanical circulatory support products
Mechanical Circulatory Support (MCS) FAQ Guide
Current list of reimbursement Healthcare Procedural Coding System (HCPCS) Device Category C-codes
This webcast reviews major milestones from 2021 and addresses the FY 2022 Medicare Inpatient Prospective Payment System (IPPS), CY 2022 Medicare Physician Fee Schedule (PFS) payment and policy updates for HeartMate™ LVAD.
National Coverage Determination (NCD) for Ventricular Assist Devices
Developed through an evidence-based process, this policy provides details on required medical criteria that must be met for coverage of Medicare beneficiaries.
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.
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.
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