Basics of ReimbursementCRM C-Codes
Cardiac Rhythm Management C-Codes for Medical Devices
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EP C-Codes
Electrophysiology C-Codees for Medical Devices
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Reimbursement
Boston Scientific Cardiac Rhythm Management (CRM) offers resources for hospitals, physicians, clinicians, and reimbursement professionals seeking a better understanding of reimbursement for CRM and Electrophysiology procedures. For questions on coding, coverage, and reimbursement for CRM and EP therapies, contact our reimbursement customer support line at 1.800.CARDIAC (227.3422).
Latest News and Updates
2010 Final Physician Fee Schedule Rule
Medicare released final changes to the physicians reimbursement rates effective January 2010 to December 2010. Payment rates decreased on average from 3 to 6%. EP procedure payments decreased on average from 9% to 12%. Medicare also removed specialty consult fees and will require specialists to use regular office visit fees.
2010 Final Outpatient and ASC Rule
Medicare released final changes to the outpatient and ASC reimbursement rates effective January 2010 to December 2010. The 2010 payment rates are positive news for CRM and EP procedures especially in light of broader healthcare reform pressures. Rates were either stable or increased from 2009 payment amounts.
2010 Inpatient Prospective Payment System (IPPS) Final Rule
Medicare released final changes to the hospital inpatient reimbursement rates effective October 2009 to September 2010. Inpatient payment rates will increase by an average of 2.1% despite expectations that Medicare would implement a 1.9% reduction in payment.
Device Monitoring Codes
View resources for CPT codes and payment rates related to cardiac device monitoring, including an implantable cardiovascular Monitor (ICM) code that physicians can use when monitoring the cardiac health care of their patients. Note that all cardiac device monitoring codes changed as of January 1, 2009.
FAQ on Device Monitoring Procedures & Codes
Questions and answers to help understand the code changes of 2009.
Quick Reference Guide for CRM Device Monitoring Procedures
Summary of changes to the device monitoring codes that includes a table highlighting base payment rates, code descriptors, and frequency guidelines for each CPT code.
Cost-Effectiveness of Cardiac Resynchronization Therapy in the COMPANION Trial
JACC article that examines the cost effectiveness of cardiac resynchronization therapy (CRT) in the COMPANION trial population.
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Reimbursement Disclaimer
Reimbursement Support
Ask your CRM and EP Reimbursement questions by calling 1.800.CARDIAC (227.3422) and ask for the Reimbursement Customer Support Line.
CRM10-1525-1190