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

Coding Reference Guides

2011 Atrial Fibrillation Catheter Ablation Reimbursement Guide

2011 Atrial Fibrillation Catheter Ablation Reimbursement Guide (PDF, 1 MB)
This booklet presents reimbursement information for 2011 Atrial Fibrillation Catheter Ablation. 8 pages.

OptiVol^®Fluid Status Monitoring Codes

OptiVol^® Fluid Status Monitoring Codes (PDF, 105 KB)

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.

2012 Transthoracic Echocardiography Coverage, Coding, and Reimbursement Overview

2012 Transthoracic Echocardiography Coverage, Coding, and Reimbursement Overview (PDF, 237 KB)
This brochure includes information for 2012 Transthoracic Echocardiography Coverage, Coding, and Reimbursement. 4 pages.

Physician Lab Sheet for Services Provided in the Hospital

2012 – Physician Services Lab Sheet (PDF, 110 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, 320 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.

Payment

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.

FAQ on Patient Financial Responsibility for Device Follow-Up Services

Frequently Asked Questions on Patient Financial Responsibility for Device Follow-Up Services (PDF, 270 KB)
Medicare patients may have a financial responsibility for device follow-up services. This document outlines the potential financial responsibility a patient may have during calendar year 2012. 3 pages. 

2012 Medicare Physician RVUs

2012 Cardiac Device Follow-Up Procedures (PDF, 188 KB)
2012 Cardiac Device Follow-Up Procedures. 3 pages.

2012 Electrophysiology Procedures (PDF, 176 KB)
2012 Electrophysiology Procedures. 3 pages.

2012 Implant and Replacement Procedures (PDF, 170 KB)
2012 Implant and Replacement Procedures. 2 pages.

2012 Reveal^® and Other Related Diagnostic Procedural RVUs (PDF, 188 KB)
This list reflects the CPT^® code, brief CPT description, and the Medicare relative value units (RVUs) for 2012 and 2011. 2 pages.

Reimbursement Guides

Reimbursement Guide for ICD Implants (PDF, 320 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.