CARDIOVASCULAR
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Surgical Valves and Occluders 

Find reimbursement resources, including coding guides, links to Medicare Coverage Determinations, on-demand webinars, and frequently asked questions for products used to treat structural heart conditions.

 

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Contact our Health Economics and Reimbursement Department for additional information or assistance. 

 

Coding Guides and Resources

Structural Heart and Valves Coding Guide

Medicare coding and payment guide for for the surgical heart valves

Amplatzer Piccolo™ Occluder Coding and Reimbursement Guide

Medicare coding and payment guide for Patent Ductus Arteriosus (PDA) closure procedures

PFO Letter of Medical Necessity

Template to be considered for prior authorization by physicians

PFO Letter of Appeal

Template to be considered when requesting reconsideration of a denied claim or pre-authorization

Patent Foramen Ovale Closure with the Amplatzer™ PFO Occluder for Secondary Stroke Reduction of Risk in Patients with Cryptogenic Stroke: Summary of Clinical Evidence

Clinical study results combined into one document

Clinical Documentation Checklist: Diagnosis of Cryptogenic Ischemic Stroke

Use this printable form to assist with diagnosis of this condition

Webinars

2020 Medicare Reimbursement and Coding Webinar focused on PFO closure with the Amplatzer™ PFO Occluder

Abbott is focused on providing meaningful innovation and solutions to providers treating patients with patent foramen ovale. The reimbursement and coverage landscape for PFO closure is relatively straightforward, but coverage criteria and Medicare payment policy are worth revisiting on a regular basis. This webinar provides actionable reimbursement information for staff of physician and hospital customers.

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HE&R 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 material 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.