Coding & CoverageCRM and EP C-Codes
Cardiac Rhythm Management and Electrophysiology C-Codes for Medical Devices
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Reimbursement
Boston Scientific Cardiac Rhythm Management (CRM) offers resources for hospitals, physicians, clinicians, and reimbursement professionals seeking a better understanding of reimbursement for CRM and Electrophysiology procedures. For questions on coding, coverage, and reimbursement for CRM and EP therapies, contact our reimbursement customer support line at 1.800.CARDIAC (227.3422).
Latest News and Updates
CMS Payment, FY2014 Medicare Proposed Hospital Inpatient MS-DRG Payment and Policy
The Centers for Medicare and Medicaid FY2014 Hospital Inpatient Proposed Rule summary highlights include National Average Payment for select Interventional Cardiology, Peripheral Interventions, Cardiac Rhythm Management, and Electrophysiology MS-DRGs. Final payment and policy changes will be released by CMS August 1 and go into effect October 1, 2013.
CY2013 Final HOPPS, ASC and Physician Rule Summary
Summary and impact on selected procedures of the Medicare 2013 Final Hospital Outpatient Prospective Payment System (HOPPS) Ambulatory Surgical Centers (ASC) and Physician Fee Schedule (PFS). CRM-122802-AA
CMS Payment, 2013 Medicare Final Hospital Inpatient MS-DRG Payment and Policy
The Centers for Medicare and Medicaid FY2013 Hospital Inpatient Final Rule summary highlights include National Average Payment for select Interventional Cardiology, Peripheral Interventions, Cardiac Rhythm Management, and Electrophysiology MS-DRGs. Overall rates are relatively stable. Final payment and policy changes were August 1 and go into effect October 1, 2012.
Private Payer Prior Authorization Template for Implantable Device Procedures
More private payer plans are requesting prior-authorization for the insertion, removal and upgrade of elective implantable device procedures. Documentation that supports the clinical decision to implant a device is a critical part of the prior-authorization process. Boston Scientific offers a prior authorization template letter available for physician use. To obtain a copy of a prior authorization template please contact our reimbursement support line by calling 1.800.CARDIAC (227.3422) and ask for the Reimbursement Customer Support Line
Medicare and Private Payer Coverage for CRT-D
Coverage for CRT-D therapy varies among the Centers for Medicare & Medicaid Services (CMS) and private health plans. This resource includes information on CMS’ coverage policies and recent coverage expansion by many private health plans for CRT-Ds from Class III and IV to include Class II patients with mild heart failure. CRV-24308-AB
CMS Payment, 2012 Medicare Final Hospital Inpatient MS-DRG Payment Rates
Medicare FY2012 Inpatient Final Rule highlights including National Average Payment for select Interventional Cardiology, Peripheral Interventions, Cardiac Rhythm Management, and Electrophysiology MS-DRGs. Overall rates are relatively stable. This Final Rule will go into effect October 1, 2011. CRV-17207-AA
CY2012 Final HOPPS, ASC and Physician Rule Summary
Summary and impact on selected procedures of the Medicare 2012 Final Hospital Outpatient Prospective Payment System (HOPPS) Ambulatory Surgical Centers (ASC) and Physician Fee Schedule (PFS). CRV-37910-AA
Boston Scientific Cardiac Rhythm Management (CRM) offers resources for hospitals, physicians, clinicians, and reimbursement professionals seeking a better understanding of reimbursement for CRM and Electrophysiology procedures. For questions on coding, coverage, and reimbursement for CRM and EP therapies, contact our reimbursement customer support line at 1.800.CARDIAC (227.3422).
CRM10-1525-0113
