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.

2012 Reveal XT^™ and Reveal^® DX Reimbursement Guide

2012 Reveal XT^™ and Reveal^® DX Insertable Cardiac Monitors Reimbursement Guide (PDF, 430 KB)
This booklet presents reimbursement information for Reveal XT and Reveal DX Insertable Cardiac Monitors. 2 pages.

Physician Lab Sheet for Services Provided in the Hospital

2013 – 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.

2013 Physician Reference Guide for CRDM Procedures

2013 Physician Coding Reference Guide for CRDM Procedures (PDF, 481 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.

2013 Medicare Physician RVUs

2013 Cardiac Device Follow-Up Procedures (PDF, 240 KB)
2013 Cardiac Device Follow-Up Procedures. 3 pages.

2013 Electrophysiology Procedures (PDF, 228 KB)
2013 Electrophysiology Procedures. 3 pages.

2013 Implant and Replacement Procedures (PDF, 199 KB)
2013 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

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.