Find reimbursement resources, including coding guides and links to Medicare Coverage Determinations, pertaining to peripheral interventions.
Contact our Health Economics and Reimbursement Department for additional information or assistance.
Providers should consult with their payers regarding appropriate documentation, medical necessity and coding information consistent with individual payer requirements and policies.
2023 Medicare Reimbursement and Coding for Mechanical Thrombectomy and Transcatheter Thrombolysis Procedures
This webcast addresses hospital reimbursement for mechanical thrombectomy and transcatheter thrombolysis procedures. It provides an overview of the basics in coding and reimbursement and includes common patient/case scenarios.
Commercial Coverage of peripheral interventions may vary. For reimbursement purposes, Abbott Vascular recommends that providers verify insurance coverage prior to performing a procedure.
The following code has been assigned to occlusive devices by CMS: G0269
G0269 is defined as: placement of an occlusive device in either a venous or arterial access site, post-surgical or interventional procedure.
Code G0269 should be used on Medicare claims to record the placement of the vasoseal and for other payers as directed.
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.