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Coding
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2009 CPT Codes for Cardiac Device Monitoring Side-by-side Comparison (View PDF) |
Effective January 1, 2005, CMS began requiring hospitals to bill appropriate C-codes for all device-dependent Ambulatory Payment Classifications (APCs). If a hospital outpatient bill includes a device-related CPT/HCPCS II procedure code but the C code for the associated device is not present, the claim is edited and returned to the hospital. Furthermore, if a C code is billed without the appropriate procedure code, the claim will be returned. For most C-codes, the hospital does not receive additional reimbursement for devices. The C-codes are required because CMS is collecting charge data for these devices for use in setting future reimbursement rates. The following list provides the appropriate C-codes for Medtronic CRDM devices. |
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2009 Reveal XT™ and Reveal® DX Reimbursement Guide |
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Echocardiography for AV Optimization and V-V Timing This brochure includes CPT coding information for Echocardiography for AV Optimization and V-V Timing. |
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Hospital Lab Sheet for Outpatient Procedures This form contains a listing of CPT or HCPCS codes for Outpatient services performed in the hospital. Services listed include the implant, replacement/removal and follow-up of pacemakers, ICDs, ILRs and CRT devices. |
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QR modifier is replaced with Q0 (zero) modifier effective January 1, 2008. The QR modifier which was used to identify primary prevention patients indicated for an ICD has been replaced with a new modifier, Q0 (zero). The Q0 modifier should be used on both physician and hospital outpatient claims. For full details, please review the Medicare Integrated Outpatient Code Editor |
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Reimbursement Guide for ICD Implants This guide has been developed to assist you in seeking coverage and payment for ICD and CRT-D therapies. This guide also incorporates information regarding the use of ICDs for patients with the expanded coverage indications reflected in the SCD-HeFT and MADIT-II studies. Updated coding information and answers to Frequently Asked Questions (FAQs) about coverage, coding and payment are also in this guide. |
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