Reimbursement

Tools

2012 Hospital Inpatient Coding and Reimbursement

Provides coding and payment information for mechanical thrombectomy / Merci Retrieval Procedure. Includes 2011 national average MS-DRG payment rates, and a Medicare policy update for the Inpatient Prospective Payment System.Intended For: Lab managers, hospital administration, billers and coders for the hospital.

C-Code List

Provides a list of C-codes associated with each component of the Merci Retrieval System. C-codes are assigned by Medicare for device categories and are used to report devices on outpatient claims. These codes are NOT used for billing an inpatient procedure, but are often used by hospitals as a means to track inventory.Intended For: Hospital purchasing department, lab managers.

2009 Physician Payment Calculator

Provides national average and geography-specific physician fee schedule payment rates for various endovascular neurological procedures related to stroke care.Intended For: Physicians, physician office coders and billers.

2009 Physician Coding Guide

Provides a comprehensive overview of component coding for mechanical thrombectomy / embolectomy. Includes discussion on selective catheterization, angiography codes and surgical / procedural codes. Example cases with dictation and appropriate coding offer valuable learning tools.Intended For: Physicians, physician office coders and billers.

Coding Cards
Hospital Coding Card - provides quick reference of generally accepted codes used by hospitals for a Merci Retrieval Procedure.

Physician Coding Card - provides quick reference of generally accepted codes used by physicians for a Merci Retrieval Procedure.

Case Examples

Procedure reports are presented here as examples of percutaneous mechanical thrombectomy using the Merci Retrieval System™

The examples outline the ICD-9-CM diagnosis codes and CPT procedure codes that physicians might assign for each case. Discussion on code selection is also provided. These example cases may be helpful to physicians and other providers in coding percutaneous thrombectomy.

Though drawn from actual cases, these are presented as examples only. Within their practice, physicians and other providers must be certain to assign codes only after careful review of the documentation for each case and consideration of coding guidelines from professional sources, with attention to payor policies and requirements.

For additional examples and a more complete discussion on CPT coding for Mechanical Embolectomy, please refer to the 2010 Physician Coding Guide.

To review billing examples, please click on the links below.
Case Example 1
Case Example 2

The presence of an ICD-9 code, CPT code or Revenue code does not by itself guarantee coverage or payment at a particular level. Insurers have widely varying coverage and payment policies. You should always confirm with individual insurance companies the codes to bill and the coverage policies that will apply to a particular patient.

Concentric Medical, Inc. does not guarantee that the use of information presented above will ensure coverage or payment for the product or the procedure. This document is for educational purposes only. Physicians and hospitals should use independent judgment when selecting codes that most appropriately describe the services rendered to a patient. Physicians and hospitals are responsible for compliance with individual insurance company billing and reimbursement requirements.

APM0308_B_3466, 2008-11