Reimbursement and Coding

Medicare coding guide for TEER procedures

Medicare coding guide for TAVI procedures

Provides coding guidance for Medicare fee-for-service hospital claims

Provides coding guidance for Medicare fee-for-service physician claims

Provides coding guidance for Medicare fee-for-service echocardiographer claims

Provides prior authorization guidance for Mitral TEER procedure claims

Provides guidance to help facilitate a clinical determination of an individual patient's surgical risk status

Provides a template to utilize with private insurance companies denying the TEER procedure

Provides Medicare coverage summary for mitral TEER procedure. 

Provides coding guidance for Medicare fee-for-service hospital claims

Provides coding guidance for Medicare fee-for-service physician claims

Provides an overview of current coverage for the TEER procedure with MitraClip

Provides an overview of proper coding for hospitals for the TEER procedure with MitraClip

Provides an overview of proper coding for physicians for the TEER procedure with MitraClip

Developed through an evidence-based process, this policy provides details on required medical criteria that must be met for coverage of Medicare beneficiaries.

Developed through an evidence-based process, this policy provides details on required medical criteria that must be met for coverage of Medicare beneficiaries.

This link provides information on the CMS CY Physician Fee Schedule Final Rule.

This link provides a summary of the Medicare Hospital Inpatient Prospective Payment System (IPPS). It includes information on the Readmissions Reduction Program, Value Based Purchasing, and Hospital Inpatient Reimbursement Rates. For more detailed information, please refer to the FY IPPS Final Rule on the CMS website.