REIMBURSEMENT CODING AND PAYMENT GUIDES
To ensure that a patient meets the medically necessary policy criteria, or to find out if coverage prior authorization/predetermination is required, please contact the patient’s payer directly. Medtronic provides this information for your convenience only. It is the responsibility of the provider to determine coverage and submit appropriate codes, modifiers, and charges for the services rendered. The information below provides assistance for FDA approved or cleared indications.
The coding includes information on the diagnosis and procedure codes applicable to all sites-of-service to be used when billing, along with Medicare national average payment rates. For specific coding assistance with your facility, please contact your Medtronic sales or health economics representative.
LCD Requirement Sample Checklists (By MAC) and additional resources
Please utilize the below checklists to confirm that LCD requirements are met. These resources are made available by Medtronic to assist healthcare professionals in completing the reimbursement process. Additionally, Medtronic provides reimbursement resources for patients with no previous history of osteoporosis.
VCF Medicare Coverage - (11:56)
Learn more about Medicare coverage and reimbursement for VCF.
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