Physician Reimbursement Primer for Cardiac ... - Boston Scientific
Physician Reimbursement Primer for Cardiac ... - Boston Scientific
Physician Reimbursement Primer for Cardiac ... - Boston Scientific
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Contents<br />
Chapter 4: Hospital and <strong>Physician</strong> Office<br />
Billing Processes.........................................23<br />
� Hospital Coding and Charge Capture .................................................................... 23<br />
Chargemaster-Driven Systems............................................................................ 23<br />
HIM Review.......................................................................................................... 24<br />
� Superbills................................................................................................................ 24<br />
Chapter 5: Coding Overview ..........................25<br />
� Pacemaker ............................................................................................................. 25<br />
Permanent Pacemaker Initial Implantation (33206–33208) ................................ 25<br />
Pacemaker Generator Replacement (33212, 33213).......................................... 25<br />
Pacemaker Generator Upgrade (33214) ............................................................. 26<br />
Pacemaker Removal (33233) .............................................................................. 26<br />
Pacemaker Lead (Electrode) Insertion (33216, 33217)....................................... 26<br />
Pacemaker Biventricular Lead (Electrode) Placement Into <strong>Cardiac</strong> Venous<br />
System (33224, 33225) ................................................................................. 27<br />
Pacemaker Lead (Electrode) Repositioning (33215, 33226)............................... 28<br />
Pacemaker Lead (Electrode) Removal (33234, 33235) ...................................... 28<br />
Pacemaker Lead (Electrode) Repair (33218, 33220).......................................... 29<br />
Pacemaker Revision to Skin Pocket—Pacemaker Generators (33222) ............. 30<br />
Temporary Pacing (33210, 33211) ...................................................................... 30<br />
� Implantable Cardioverter-Defibrillator (ICD)........................................................... 31<br />
ICD Initial Implant (33249) ................................................................................... 31<br />
ICD Generator Replacement (33240).................................................................. 32<br />
ICD Generator Removal (33241)......................................................................... 32<br />
ICD Pacemaker Generator Lead (Electrode) Insertion (33216, 33217) .............. 32<br />
ICD Pacemaker Generator Biventricular Lead (Electrode) Placement Into<br />
<strong>Cardiac</strong> Venous System (33224, 33225) ...................................................... 33<br />
ICD Pacemaker Generator Lead (Electrode) Repositioning (33215, 33226) ...... 34<br />
ICD Pacemaker Generator Lead Removal (Extraction) (33244) ......................... 34<br />
ICD Pacemaker Generator Lead (Electrode) Repair (33218, 33220) ................. 35<br />
ICD Pacemaker Generator Revision to Skin Pocket (33223).............................. 35<br />
� Testing Device and Leads...................................................................................... 36<br />
Testing Device and Leads (93640, 93641).......................................................... 36<br />
� Non-Invasive and Invasive Program Stimulation (NIPS) ....................................... 37<br />
EP Study to Evaluate Therapy (93624) ............................................................... 37<br />
EP Study to Evaluate ICD System (93642) ......................................................... 37<br />
EP Study to Evaluate Pacemaker (93724) .......................................................... 37<br />
� Diagnostic EP Testing............................................................................................ 38<br />
Single-Site Studies (93600–93603, 93610, 93612, 93618)................................. 38<br />
Esophageal Electrocardiography (93615, 93616) ............................................... 38<br />
Mapping (Intracardiac) (93609, 93613) ............................................................... 39<br />
Comprehensive EP Studies (93619, 93620) ....................................................... 39<br />
Add-on Codes (93621, 93622, 93623) ................................................................ 40<br />
� Ablation .................................................................................................................. 41<br />
iv <strong>Physician</strong> <strong>Reimbursement</strong> <strong>Primer</strong> <strong>for</strong> <strong>Cardiac</strong> Rhythm Management
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