Coding, Coverage, and Reimbursement Resources Cardiac Rhythm and Heart Failure

Overview

As a service to our customers, we provide resources to assist with coding, coverage, and reimbursement for our therapies. You will find some of these tools available for download on this site, or you may contact us for more information.


MEDICARE PAYMENT INITIATIVES

MIPS and Advanced APM tracks within the Medicare’s QPP

MIPS and Advanced APM tracks within the Medicare’s QPP
(PDF, 185 KB)
Medicare’s physician focused Quality Payment Program (QPP) is part of CMS’ broader initiatives to tie Medicare fee-for-service payments to quality and value. The QPP includes both the Merit-based Incentive Payment System (MIPS) and the Advanced Alternative Payment Models (APMs) established by the MACRA legislation.

CRHF CODING AND REIMBURSEMENT RESOURCES

Hospital

2017 Hospital Coding Reference Guide

2017 Hospital Coding Reference Guide for CRHF Procedures
(PDF, 172 KB)
This booklet provides a live link for ICD-10 inpatient procedure coding options, hospital outpatient procedure codes, and Medicare C-APC/APC assignments for select Cardiac Rhythm and Heart Failure (CRHF) procedures.

2017 Hospital Coding Reference Guide

2017 Hospital Outpatient Procedures (PDF, 120 KB)
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.

PHYSICIAN

2017 Physician Reference Guide for CRHF Procedures

2017 Physician Reference Guide for CRHF Procedures (PDF, 540 KB)
This booklet includes physician procedure codes for select Cardiac Rhythm and Heart Failure (CRHF) procedures.

 

2017 Physician CRHF Procedures for Services Provided in the Hospital

2017 Physician CRHF Procedures for Services Provided in the Hospital (PDF, 499 KB)
This form contains a listing of CPT codes for Physician services typically performed in the hospital setting.