Medtronic
 
 

Healthcare Economics

Coding

 Hospital Outpatient Coding Resources

Medtronic provides medical coding resources related to Cardiac Rhythm Disease Management products and procedures to help facilitate appropriate medical billing and coding practices for service provided.

2009 Cardiac Device Evaluation Code Look-Up

Use this site to locate the CPT®1 code descriptors, instructions associated with the new cardiac device evaluation service codes. Please note that some of these CPT codes do not apply to hospital services.
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2009 CPT Codes for Cardiac Device Monitoring

Side-by-side Comparison (View PDF)
Coding Reference (View PDF)
IPG, ICD, ILR, ICM Flowchart (View PDF)

HCPCS II C-codes

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.

C-Codes
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Coding Reference Guides

2009 Reveal XT™ and Reveal® DX Reimbursement Guide
14 pages.

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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.
3 pages.

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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.
2 pages.

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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

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.
26 pages.

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Additional Resources