Find reimbursement resources, including coding guides, links to Medicare Coverage Determinations, on-demand webinars, and frequently asked questions pertaining to coronary interventions.
Contact our Health Economics and Reimbursement Department for additional information or assistance.
Local Medicare Administrative Contractors (MACs) as well as other third party payers have their own coverage policies for coronary interventions and devices. You should contact your local Medicare Contractor and third party payers for information on their specific coverage policies for interventional cardiology. There is currently no national Medicare coverage decision for coronary interventions. Most local Medicare Contractors, Fiscal Intermediaries and/or Carriers have posted their Local Coverage Determinations (LCD) on interventional cardiology on their websites. You can find a list of Medicare Administrative Contractors, Fiscal Intermediaries and Carriers at the CMS webpage.
Coronary microvascular dysfunction is now formally recognized as a diagnosis through the creation of four ICD-10-CM codes effective October 1, 2023. The new codes can be found on the CDC’s website. The new codes describe the various forms of coronary microvascular dysfunction that will help clinicians identify and accurately diagnose patients with CMD. For more information on CMD, please go to Coronary Microvascular Dysfunction Overview on Abbott's website.
The four ICD-10 diagnosis coding describing Coronary Microvascular Dysfunction are:
Abbott is focused on providing meaningful innovation and solutions to providers treating patients with coronary artery disease. This webinar focuses on physician and hospital coding and reimbursement, coding for physiology assessments (FFR, RFR, CFR, IMR) and relevant policy updates from Centers for Medicare and Medicaid Services (CMS).
This material 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.