Basics of Reimbursement
Coding & CoverageCRM C-Codes
Cardiac Rhythm Management C-Codes for Medical Devices
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EP C-Codes
Electrophysiology
C-Codes for Medical Devices
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Home > Reimbursement > Coding & Coverage
Coding & Coverage
Coverage policies and coding resources for Cardiac Rhythm Management and Electrophysiology procedures.
Coverage
2010 GuidePoint Billing and Coding Guide
Quickly find coding and billing information, including scenarios specific to CRM and EP procedures.
Coverage Guidelines for CRM and EP Devices
View Medicare coverage policies for CRM and EP procedures.
Coverage for CRT-D
While a Medicare National Coverage Determination (NCD) for Implantable Cardioverter Defibrillators (ICDs) currently exists, there is no NCD for CRT. As a result, the coverage criteria for CRT-D therapy must satisfy both: The NCD for ICDs and Local Coverage Determinations (LCDs) for CRT, if one exists.
C-Codes
Cardiac Rhythm Management C-Codes for Medical Devices
The Center for Medicare and Medicaid Services (CMS) requires hospitals to report all device-related category codes (C-codes) on Medicare claims when medical devices are used in procedures performed in the outpatient setting. This document provides a list of all C-codes that pertain to Boston Scientific CRM products.
Electrophysiology C-Codes for Medical Devices
The Center for Medicare and Medicaid Services (CMS) requires hospitals to report all device-related category codes (C-codes) on Medicare claims when medical devices are used in procedures performed in the outpatient setting. This document provides a list of all C-codes that pertain to Boston Scientific EP products.
Coding
Commonly Billed Procedure Codes for CRT-P
A brief description of the implant procedure along with commonly billed procedure codes for CRT-P procedures.
Commonly Billed Procedure Codes for ICD
A brief description of the implant procedure along with commonly billed procedure codes for ICD procedures.
Commonly Billed Procedure Codes for CRT-D
A brief description of the implant procedure along with commonly billed procedure codes for CRT-D procedures.
Commonly Billed Procedure Codes for Pacemakers
A brief description of the implant procedure along with commonly billed procedure codes for Pacemaker procedures.
Commonly Billed Device Monitoring Procedures
An overview of the commonly billed device monitoring procedures.
Commonly Billed Procedure Codes for Intracardiac EP Study
A brief description of the EP Study procedure along with commonly billed procedure codes for Intracardiac EP Study procedures.
Commonly Billed Procedure Codes for Intracardiac Ablation
A brief description of the EP Study procedure along with commonly billed procedure codes for Intracardiac Ablation procedures.
CRM & EP ICD-9-CM & CPT Codes
Physicians must document patient diagnoses and procedures thoroughly and accurately as it is ultimatly the provider's responsibility to determine and submit appropriate codes. This document provides a list of ICD-9-CM and CPT codes that pertain to Boston Scientific CRM and EP procedures.
Electrophysiology 2010 Quick Reference Coding & Payment Guide
A quick reference guide of catheter ablation procedures along with commonly billed codes.
Modifiers
Modifiers are used to indicate a service or procedure described in the code definition that have been modified by some circumstance.
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Reimbursement Disclaimer
Reimbursement Support
Ask your CRM and EP reimbursement questions by calling 1.800.CARDIAC (227.3422) and ask for the Reimbursement Customer Support Line
