0000001612 00000 n 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. endstream endobj 966 0 obj <>/Filter/FlateDecode/Index[234 700]/Length 46/Size 934/Type/XRef/W[1 1 1]>>stream 0000018223 00000 n 0000037160 00000 n 0000018328 00000 n 0000036820 00000 n

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Prior to use, reference the Instructions for Use, inside the product carton (when available) or online for more detailed information on Indications, Contraindications, Warnings, Precautions and Adverse Events. Finally, we review common patient scenarios and how to appropriately report them to Medicare. 0000003869 00000 n

2018 HCPCS DEVICE CATEGORY C-CODES 2 Introduction Abbott offers a reimbursement hotline, which provides live coding and reimbursement information from dedicated reimbursement specialists. <]/Prev 159507/XRefStm 1503>> 0000008161 00000 n

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. 0000005978 00000 n 0000005634 00000 n 0000015749 00000 n [prod, crx3, samplecontent, publish, crx3tar], https://vascular.abbott.com/,https://mri.merlin.net/,https://www.thelancet.com/,https://www.ahajournals.org/,https://www.onlinejacc.org/,https://jamanetwork.com/,https://www.sciencedirect.com/,https://onlinelibrary.wiley.com/,https://www.cms.gov/,https://www.novitas-solutions.com/,https://event.on24.com/,http://dx.doi.org/,https://www.myloopaccount.com/,https://www.invasivecardiology.com/,https://manuals.sjm.com/, Contact our Health Economics and Reimbursement Department. Find reimbursement resources, including coding guides, links to Medicare Coverage Determinations, on-demand webinars, and frequently asked questions pertaining to Abbott cardiac rhythm management devices.

Find Medicare coding and payment rates, by location, for cardiac device monitoring in physician offices (non-facilities). 3201 0 obj <> endobj xref 3201 40 0000000016 00000 n 0000003755 00000 n H��W�nE}���ǝ�m��"E�{q�b� (��U� b�� ��s���g�D(ȒwNO��ԥ{>LGg�F��s2j���[�N�O�O��r&e�O�������E��}�}P�W�JA���!Um�)�p���6jW����m �яW��cWt�A�>h�h�����Um���.ٍ�wS,��0��������a�����h���(QeX�J, ~nC@�:���� %0P��7��P��EM��u�V�vq��8�a���Șlwa`ж��:L��c�]KU��S���x��׎�K� u��Q ���m��B9�V��~c��k�\^v8�M-C^����LoP("�rah��Ͳ`#R�i No use of any Abbott trademark, trade name, or trade dress in this site may be made without the prior written authorization of Abbott, except to identify the product or services of the company. Please direct your questions to our Hotline support which is available from 8 a.m. to 5 p.m. central time, Monday through Friday at (855) 569-6430. NOTE: Each healthcare provider is ultimately responsible for verifying codes, coverage, and payment policies used to ensure that they are accurate for the services and items provided. 0000002892 00000 n HCPCS codes are assigned to nutritional products based on the ingredient and nutrient profiles as well as the intended use of the … Find Medicare coding and national payment rates for Insertable/Implantable Cardiac Monitors (ICM). Precautions 0000009086 00000 n

Economic and product specific topics related to CRT will be addressed including patient outcomes, Medicare reimbursement, and the economics of heart failure. This material reproduces information for reference purposes only.

Y'�-p� �Nq, ��j3��*1���K���F8�3�w ��0d� 9�1�BC�G��jʀT�m{�Q�_�{x�} ϣ��>�"�J��� mT�&f��a��H���<6~�u�.�K=�ZȨ��:��P�/��TP��mFٕ�&9!���,'�¯XNԠna��ָ�È^,a�2uSZP4�S*�e��e�²wE��rBU!��>!q˂R3�9�/Rsо���qp,v�;\q\=��B��P�e���4�O��N. Find a summary of Medicare coding and answers to Frequently Asked Questions for device monitoring for Pacemakers, Implantable Cardioverter Defibrillators (ICD), Cardiac Resynchronization Therapy (CRT) and Insertable/Implantable Cardiac Monitors (ICM). 0000017934 00000 n 0000003618 00000 n Current reimbursement Healthcare Procedural Coding System (HCPCS) Device Category C-codes. 0000000996 00000 n

™ Indicates a trademark of the Abbott group of companies.

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HCPCS Codes for Abbott Nutrition Enteral Formulas. 0000010431 00000 n 934 0 obj <> endobj Unless otherwise specified, all product and service names appearing in this Internet site are trademarks owned by or licensed to Abbott, its subsidiaries or affiliates. Insertable Cardiac Monitors (ICM) In Office Readiness Checklist. SKU Description HCPCS Code NDC-Format Code for Single NDC-Format Code for Carton NDC-Format Code for Case Adult Nutritional 53432 Ensure Vanilla Retail CLUB / 8-fl-oz Bottle / Case of 16 B4150 70074-0534-32 (16 bottles) Adult Nutritional 53623 Ensure Milk Chocolate CLUB / 8-fl-oz Bottle / Case of 16 B4150 70074-0536-23 (16 bottles) 0000007594 00000 n 0000018643 00000 n

0000014627 00000 n 0000004971 00000 n HCPCS Device Category C-codes Guide. 0000018433 00000 n Developed through an evidence-based process, this guide provides details on required medical criteria that must be met for coverage of Medicare beneficiaries. 2020 ICM Insertion/Remote Monitoring Reimbursement Update. startxref CAUTION: These products are intended for use by or under the direction of a physician. �c@� � ��� endstream endobj 3239 0 obj <>/Filter/FlateDecode/Index[89 3112]/Length 79/Size 3201/Type/XRef/W[1 1 1]>>stream Contact our Health Economics and Reimbursement Department for additional information or assistance. 0000008582 00000 n Providers should consult with the insurance plan for complete and accurate details concerning documentation for claims. This one-hour webcast addresses coding, payment and national coverage indications for Pacemakers, Implantable Cardioverter Defibrillators (ICDs), and Cardiac Resynchronization Therapy (CRT-P/CRT-D). email VADReimbursement@abbott.com for more information. %PDF-1.4 %���� 0000017183 00000 n 0000033978 00000 n 0000002494 00000 n The following pages are intended for medical professionals and provide information on the proper use of products (medical devices, etc.) 0000001503 00000 n 0000007102 00000 n xref 0000037535 00000 n 2019/2020 Reimbursement Update: Cardiac Rhythm Management (CRM). Please be sure to read it. 934 34

0000003641 00000 n Are you a healthcare professional? Then we discuss 2020 coverage, coding and payment for ICMs, including the 2020 changes to ICM remote monitoring coding. Current reimbursement Healthcare Procedural Coding System (HCPCS) Device Category C-codes. Insertable Cardiac Monitors (ICM) Coding Guide. 0000027149 00000 n Confirm Rx™ Insertable Cardiac Monitor Coding Guide. Centers for Medicare and Medicaid (CMS) Pacemaker NCD.

The ultimate responsibility for coding and obtaining payment/reimbursement remains with the customer. It provides an overview of payment under Medicare’s FY 2020 Inpatient Prospective Payment System (IPPS) and Medicare’s FY 2019 Physician Fee Schedule (PFS), Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) payment system. It is not provided or authorized for marketing use. The program also includes common patient scenarios and how to appropriately report to Medicare. 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. 0000019033 00000 n 0000012655 00000 n 0000018748 00000 n The information provided here is not intended to provide information to patients and the general public. Clinical Experiences with Remote Monitoring: Guidance for Patient-Centric Care and Clinic Reimbursement. ;���m�k�����2���7WPW��hX�A��!��[��;绿?��;u�=fc�а���w;pp��4::��0 0000000016 00000 n 0000002876 00000 n Coverage considerations and Frequently Asked Questions regarding ICDs. This includes the responsibility for accuracy and veracity of all coding and claims submitted to third-party payers.

Implantable Cardioverter Defibrillators (ICDs) …

Implantable Cardioverter Defibrillators (ICDs) NCD, Implantable Cardioverter Defibrillator National Coverage Determination FAQs. h���A 0ð4�Fw\Gc���������z�C. of Abbott Medical Japan GK. 0000005084 00000 n JP�����V��" 0000003480 00000 n 0000002943 00000 n 0000001877 00000 n First, we provide an overview of ICM technology and the insertion process. 0000003349 00000 n Developed through an evidence-based process, this guide provides details on required medical criteria that must be met for coverage of Medicare beneficiaries. These HCPCS codes all have coverage and payment jurisdiction with the local Medicare Administrative Contractor (MAC); they do not have coverage and payment jurisdiction at the DMEMAC. 2017 ABBOTT THERAPY CODING GUIDE | HCPCS DEVICE CATEGORY C-CODES Q0481 Microprocessor control unit for use with electric ventricular assist device, replacement only 106762 HeartMate II™ LVAD Pocket Controller 103696 HeartMate II™ LVAD System Controller Q0483 Monitor/display module for use with electric ventricular assist device, replacement only h�b```b``��������A�X��,��V)��ֺ<3E�3��

trailer <<780C80C5F86A4DAC95558FC31F15E8C9>]/Prev 203041/XRefStm 1612>> startxref 0 %%EOF 3240 0 obj <>stream trailer Remote monitoring is critical to ensure appropriate follow-up care for patients implanted with an Abbott cardiac device. 0000008818 00000 n Abbott Vascular Product Name C-Code Description Of C-Code .035 LOC Guide Wire Extension N/A Accessory Absolute Pro Vascular Self-Expanding Stent System (OTW) C1876 Stent Non-Coated/Non-Covered With Delivery System Absorb GT1 Bioresorbable Vascular Scaffold C1874 … 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. The HCPCS codes listed above have a defined DMEPOS fee schedule payment rate with the exception of HCPCS Q0508 and Q0509 whose payment rate is based … ‡ Indicates a third party trademark, which is property of its respective owner. h�bb������8�f�;��1�G�c4>F�h|���(�0 ��� �~�*@lQe��ӈr������g����G+�jt���O�H3އ��54��9�'���$�`��@M�c��9�/��-�%��Hw@J&L��@Z��ak(��.�?���o�nmw �P�X �~���o���k[0�6YIO�վ��Vr�μ%_�xq�$ƨ�+a��K���e��Ju*�.�uM��+b�����3��(y�&\TY7�uZՊ��x��,������Ӽ^&��.

No use of any Abbott trademark, trade name, or trade dress in this site may be made without the prior written authorization of Abbott, except to identify the product or services of the company. This one-hour webcast provides an educational review of remote monitoring for patients with implanted pacemakers, cardiac resynchronization therapy devices, implantable cardioverter defibrillators and implantable cardiac monitors.

2020 HCPCS DEVICE CATEGORY C-CODES 2 of 6 Introduction Abbott offers a reimbursement hotline, which provides live coding and reimbursement information from dedicated reimbursement specialists. 0000001096 00000 n %%EOF 0000017607 00000 n