HEALTH ECONOMICS AND REIMBURSEMENT NEUROVASCULAR THERAPIES

OVERVIEW

Guides include information on the diagnosis and procedure codes to be used when billing, along with Medicare National Average payment rates including:

  • ICD-10-CM Diagnosis and ICD-10-PCS Procedure Codes
  • CPT® Procedure Codes
  • MS-DRG Assignments
  • Codes and Payment for Inpatient Hospital Stay
  • HCPCS Device Codes

For specific coding assistance with your facility, please contact: rs.neurousreimbursement@medtronic.com.

ACUTE ISCHEMIC STROKE THERAPIES

pdf Stent Retriever and Aspiration System Coding and Reimbursement (.pdf)

View diagnosis coding, hospital inpatient procedure coding and DRG payment, and examples of acute ischemic stroke coding scenarios for stent retriever and aspiration systems.

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BRAIN ANEURYSM THERAPIES

pdf Flow diverter for intracranial aneurysms (.pdf)

Find diagnosis coding, hospital inpatient procedure coding and DRG payment, and physician procedure coding and payment information for flow diverter for intracranial aneurysms.

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pdf Detachable Coils (Family) Coding and Reimbursement Guide (.pdf)

This guide contains diagnosis coding, hospital inpatient procedure coding and DRG payment, and physician procedure coding and payment for the detachable coils product family.

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ARTERIOVENOUS MALFORMATION (AVM) THERAPIES

pdf Liquid Embolic System Coding and Reimbursement Guide (.pdf)

See diagnosis coding, hospital inpatient procedure coding and DRG payment, and physician procedure coding and payment for the liquid embolic system.

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NEUROVASCULAR THERAPIES

pdf U.S. Field Reimbursement Patient Access Support: Neurovascular Therapies (.pdf)

Access resources that help professionals secure coverage and payment for our neurovascular products and therapies.

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OTHER

pdf Addendum: HCPCS Device Codes (.pdf)

Find HCPCS device codes for Medtronic neurovascular products.

DISCLAIMER

Medtronic provides this information for your convenience only. It does not constitute legal advice or a recommendation regarding clinical practice. Information provided is gathered from third-party sources and is subject to change without notice due to frequently changing laws, rules and regulations. The provider has the responsibility to determine medical necessity and to submit appropriate codes and charges for care provided. Medtronic makes no guarantee that the use of this information will prevent differences of opinion or disputes with Medicare or other payers as to the correct form of billing or the amount that will be paid to providers of service. Please contact your Medicare contractor, other payers, reimbursement specialists and/or legal counsel for interpretation of coding, coverage and payment policies. This document provides assistance for FDA approved or cleared indications. Where reimbursement is sought for use of a product that may be inconsistent with, or not expressly specified in, the FDA cleared or approved labeling (e.g., instructions for use, operator’s manual or package insert), consult with your billing advisors or payers on handling such billing issues. Some payers may have policies that make it inappropriate to submit claims for such items or related service.