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Healthcare Economics

Coding

 Physician 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® code descriptors, instructions and the 2009 national Medicare payment rate associated with the new cardiac device evaluation service codes. Medicare locality-specific payment rates will be available at a later date.
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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)

Coding Reference Guides

ACC Guide to 2009 Cardiology Coding & Payment Changes
6 pages.
View PDF

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

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CareLink Reimbursement Guide
[An updated CareLink Reimbursement Guide is in process.]

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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Inpatient vs. Outpatient Patient Considerations for Defibrillator, Pacemaker, and Cardiac Resynchronization Therapy Implants

This brochure assists in identifying key items to consider when determining whether a patient should be admitted to the hospital as an Inpatient or be considered an Outpatient for his/her device implant (pacemaker, defibrillator and CRT device).
16 pages.

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Physician Coding Reference Guide

This booklet includes the commonly billed physician codes for Cardiac Resynchronization, Electrophysiology, ICD, Pacing, Reveal Plus and Medtronic CareLink Network procedures. It is not a comprehensive list of all available codes.
32 pages.

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Physician In-Office Electronic Analysis for Patients Implanted with Cardiac Devices

Data for electronic analysis of implanted cardiac devices (pacemakers, ICDs and bi-ventricular pacemakers and ICDs) can be obtained by in-office interrogation of the device using a programmer, remote monitoring, or transtelephonic monitoring (TTM). This document provides brief summaries of the CPT codes applicable to in-office analysis of data obtained using these methods, and identifies Medicare frequency guidelines.
5 pages.

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Physician Lab Sheet for Services Provided in the Hospital

This form contains a listing of CPT codes for Physician 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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