Updated reimbursement for EKOS procedures
The Centers for Medicare & Medicaid Services (CMS) released the fiscal year 2023 Hospital Inpatient Prospective Payment System (IPPS) final rates and policies. Effective October 1, 2022, two EKOS procedure codes used for pulmonary embolism treatment saw an increase in reimbursement of nearly 9%, while the third increased by 2.4%. Reimbursement for EKOS peripheral vascular procedure codes (including DVT treatment) increased by almost 5%.
for pulmonary embolism procedures
for vascular procedures
Since the fiscal year 2020, qualifying pulmonary embolism procedures increased by +168% and qualifying vascular procedures increased by +227%. The coding guide shows you how to map codes to the appropriate diagnosis-related groups.
*Weighted averages based on distribution of MS-DRGs from CMS’ Final IPPS FY 2021, MedPAR Vol 7b