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Discover the economic benefit of

EXALT™ Model D

EXALTTM Model D Single-Use Duodenoscope / Economic Impact


A cost-effective alternative to reusable duodenoscopes

The clinical data of the EXALT Model D Single-Use Duodenoscope is clear – and so is the economic impact on your facility and your practice. Model D can be an economically viable, cost-effective solution due to:

  • Separate Medicare device reimbursement in all settings of care
  • Elimination of reprocessing costs associated with reusable duodenoscopes
  • Reduction of operational costs due to ineffective reprocessing and decreased infection risk 

Cost coverage thanks to Medicare device-specific reimbursement

Boston Scientific aims to make EXALT Model D an economically viable option for endoscopic retrograde cholangiopancreatography (ERCP) procedures, and we continue to lead the effort to secure appropriate coding and payment to facilitate patient access. 

To ensure Medicare beneficiaries have access to single-use duodenoscopes, the Centers for Medicare & Medicaid Services (CMS) approved our applications for a New Technology Add on Payment and Transitional Pass through Payment. That means all Medicare cases – which represent over 40% of ERCPs performed in the U.S. each year1 – can now be eligible for device reimbursement. 

Learn about the positive news impacting EXALT Model D reimbursement. Watch now.

Please note, commercial payer coverage and payment depends on an individual hospital's contractual agreement with its payers. While commercial payers are not required to follow Medicare coverage, many may choose to do so. We recommend reaching out to your commercial payers to understand commercial payer reimbursement for EXALT Model D.

New Technology Add-on Payment (NTAP)

  • Medicare Hospital Inpatient NTAP: CMS approved Boston Scientific's application for NTAP applicable to EXALT Model D. NTAP is intended to facilitate Medicare patient access to new and innovative devices, like EXALT Model D, by providing eligible cases with additional device payment over and above the MS-DRG payment for a Medicare hospital inpatient admission. Effective October 1, 2021.

  • Inpatient ICD-10-PCS Procedure Codes: In response to our request, CMS created two unique ICD-10-PCS procedure codes for hospitals to facilitate reporting the use of single use duodenoscopes, including EXALT Model D, in the hospital inpatient setting. Effective October 1, 2021.  
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Transitional Pass-through (TPT) Payment

The TPT payment category for single-use scopes used in ERCP procedures provides device-specific payment for hospitals – and can make EXALT Model D an economically viable option for your facility. 


Avoid the hidden costs of reprocessing

Properly reprocessing a reusable duodenoscope includes more than 100 distinct steps. From pre-cleaning to high-level disinfection to drying, each labor-intensive step introduces the opportunity for contamination – and more costs. With EXALT Model D Single-Use Duodenoscope, you can drive down operational costs by reducing infection risk due to ineffective reprocessing and enabling staff to focus on other tasks.

Icon of hand wiping with scrubber with words "pre-clean" Icon of leaky curved pipe with words "leak test" Icon of hand cleaning with scrubber with words "manual clean". Icon of eye with words "visual inspection". Icon of viruses under cross-out symbol with letters "HLD". Icon of fan with word "drying"

Single-Use Duodenoscopes: The Economics | Dr. Ananya Das

In this episode of GI EndoCast, Dr. Ananya Das, Interventional Endoscopy, Professorof Medicine at University of Arizona and Creighton University, discusses:

 Risks and economic costs of contamination and infection with reusable scopes 
 Results of his research on the cost-effectiveness of single-use duodenoscopes
 Potential cost impact of single-use scopes to reduce infection/mortality rates and ICU stays 
 CMS changes to TPT payment for single-use duodenoscopes used during ERCP procedures  

Dr. Ananya Das is a paid consultant for Boston Scientific.


Physician perspectives

Duodenoscope costs

Dr. Kenneth Binmoeller discusses the real-world costs and expenses of reusable versus single-use duodenoscopes.

Dr. Binmoeller is a paid consultant for Boston Scientific.


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