Coding, Coverage, and Reimbursement Resources
Cardiac Rhythm Disease Management
Medical Notes 

Physicians

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

Medicare releases Physician Rule. All related information can be found here.

To determine the Medicare physician payment rates in your area, consult the Medicare Physician Fee Schedule Search tool.

 

Coding Reference Guides

Atrial Fibrillation Catheter Ablation Reimbursement Guide

Catheter Ablation Reimbursement Guide (PDF, 1 MB)
This booklet presents reimbursement information for Atrial Fibrillation Catheter Ablation. 8 pages.

Reveal® Reimbursement Guide and Tip Card

Reveal® Reimbursement Guide (PDF, 173 KB)
This booklet presents reimbursement information for Reveal XT and Reveal DX Insertable Cardiac Monitors. 4 pages.

Reveal XT™ Tip Card (PDF, 230 KB)
This tip card contains indications, guidelines, clinical evidence, and coding overview for diagnosing suspected arrhythmias. 2 pages.

Physician Lab Sheet for Services Provided in the Hospital

2014 – Physician Services Lab Sheet (PDF, 171 KB)
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.

QR Modifier Is Replaced With Q0 (Zero) Modifier - Implemented July 6, 2010

CMS Manual System: Pub 100-20 One-Time Notification (PDF, 195 KB)
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. This document provides full details on the modification.

Reimbursement Guide for ICD Implants

Reimbursement Guide for ICD Implants (PDF, 366 KB)
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. 24 pages.

2014 Physician Reference Guide for CRDM Procedures

2014 Physician Coding Reference Guide for CRDM Procedures (PDF, 509 KB)
This booklet includes physician procedure codes for select CRDM procedures.

Payment

Medicare Releases Physician Rule

All related information can be found here

Medicare Physician Payment

Medicare pays physicians based on the Medicare Physician Fee Schedule. This prospective payment system is updated annually and effective from January 1 – December 31 of each year. Below is information related to Physician Fee Schedule payment rates.

To determine the Medicare physician payment rates in your area, consult the Medicare Physician Fee Schedule Search tool.

Medicare Physician RVUs

2014 Cardiac Device Follow-Up Procedures (PDF, 250 KB)
2014 Cardiac Device Follow-Up Procedures. 3 pages.

2014 Electrophysiology Procedures (PDF, 235 KB)
2014 Electrophysiology Procedures. 3 pages.

2014 Implant and Replacement Procedures (PDF, 180 KB)
2014 Implant and Replacement Procedures. 2 pages.

2013 Reveal® and Other Related Diagnostic Procedural RVUs (PDF, 155 KB)
This list contains the CPT® code, a brief CPT description, and the Medicare relative value units (RVUs) for 2013 and 2012. 2 pages.

 

Reimbursement Guides

Reveal Reimbursement Brochure (PDF, 168 KB)

2013 Reveal XT™ and Reveal® DX Tip Card (PDF, 224 KB)

Reimbursement Guide for ICD Implants (PDF, 366 KB)
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. 24 pages.

Last updated: 26 Mar 2014

Learn about ICD-10

View Hospital slides
(PDF, 7.5 MB)

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(1:25:37)

View Physician slides
(PDF, 2.5 MB)

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(56:12)

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