20 facility and physician billing guide · $537 $6,556 apc 5194 $15,938 $10,181 with transcatheter...

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20 20 Facility and Physician Billing Guide Vascular Products Physician Outpatient Billing Codes Clinicians and outpatient facilities use Current Procedural Terminology (CPT 1 ) codes to bill for procedures and services. Each CPT code is assigned unique relative value units (RVUs), which are used to determine payment by the Centers for Medicare & Medicaid Services (CMS). Some commonly billed CPT codes used to describe procedures related to Edwards Lifesciences’ Vascular technologies (e.g., Fogarty catheters) are listed below. 2 This list may not be comprehensive or complete. These procedures may be subject to the CMS multiple procedure payment reduction rule. When applicable, a payment reduction of 50% is applied to all payment amounts except the procedure with the greatest RVUs, which is paid at 100% unless exempt by CPT instructions or payer policy. This rule does not normally apply to radiologic procedures. Procedures related to the use of Edwards Lifesciences’ technologies (e.g., Fogarty catheters) are often performed in a facility setting, including an outpatient hospital department (HOPD, Place of Service (POS) code 19 or 22), Ambulatory Surgery Center (ASC, POS code 24), or a Vascular Access Center (which can be licensed as POS 11, 22, or 24). Reimbursement is determined based upon services rendered and varies by POS. The following are commonly billed codes and associated national average Medicare payment amounts. This list may not be comprehensive and complete. $1,18 7 Facility Only n/a n/a Thromboendarterectomy, including patch graft, if performed; carotid, vertebral, subclavian, by neck incision 35301 $168 Facility Only n/a n/a Reoperation, carotid, thromboendarterectomy, more than 1 month after original operation (list separately in addition to code for primary procedure) 35390 5 $250 $1, 334 APC 5192 $4, 953 $2, 142 With transluminal balloon angioplasty, peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty 36902 7 $332 $5, 281 APC 5193 $9, 907 $6, 319 With transcatheter placement of intravascular stent(s), peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the stenting, and all angioplasty within the peripheral dialysis segment 36903 8 $17 7 $712 APC 5182 $ 1, 631 $ 5 7 3 Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and cathers placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report 36901 6 CPT Code Description Medicare National Average Physician Payment 4 Facility Setting (Various POSs) HOPD (POS 19 or 22) Non- Facility Setting (Including POS 11) ASC (POS 24) Medicare National Average Facility Payment Interventional Procedures 3

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Page 1: 20 Facility and Physician Billing Guide · $537 $6,556 APC 5194 $15,938 $10,181 With transcatheter placement of intravascular stent(s), peripheral dialysis segment, including all

2020 Facility and Physician Billing Guide Vascular Products

Physician Outpatient Billing CodesClinicians and outpatient facilities use Current Procedural Terminology (CPT1) codes to bill for procedures and services. Each CPT code is assigned unique relative value units (RVUs), which are used to determine payment by the Centers for Medicare & Medicaid Services (CMS). Some commonly billed CPT codes used to describe procedures related to Edwards Lifesciences’ Vascular technologies (e.g., Fogarty catheters) are listed below.2 This list may not be comprehensive or complete. These procedures may be subject to the CMS multiple procedure payment reduction rule. When applicable, a payment reduction of 50% is applied to all payment amounts except the procedure with the greatest RVUs, which is paid at 100% unless exempt by CPT instructions or payer policy. This rule does not normally apply to radiologic procedures.

Procedures related to the use of Edwards Lifesciences’ technologies (e.g., Fogarty catheters) are often performed in a facility setting, including an outpatient hospital department (HOPD, Place of Service (POS) code 19 or 22), Ambulatory Surgery Center (ASC, POS code 24), or a Vascular Access Center (which can be licensed as POS 11, 22, or 24). Reimbursement is determined based upon services rendered and varies by POS. The following are commonly billed codes and associated national average Medicare payment amounts. This list may not be comprehensive and complete.

$1,187 Facility Only n/a n/aThromboendarterectomy, including patch graft, if performed;

carotid, vertebral, subclavian, by neck incision35301

$168 Facility Only n/a n/a

Reoperation, carotid, thromboendarterectomy, more than 1 month after original operation (list separately in addition to code for primary procedure)

353905

$250 $1,334 APC 5192 $4,953 $2,142

With transluminal balloon angioplasty, peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty

369027

$332 $5,281 APC 5193 $9,907 $6,319

With transcatheter placement of intravascular stent(s), peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the stenting, and all angioplasty within the peripheral dialysis segment

369038

$177 $712 APC 5182 $1,631 $573

Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and cathers placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report

369016

CPT Code

Description

Medicare National Average

Physician Payment4

Facility Setting

(Various POSs)

HOPD (POS 19 or 22)

Non-Facility Setting

(Including POS 11)

ASC(POS 24)

Medicare National Average Facility Payment

Interventional Procedures3

Page 2: 20 Facility and Physician Billing Guide · $537 $6,556 APC 5194 $15,938 $10,181 With transcatheter placement of intravascular stent(s), peripheral dialysis segment, including all

$646 Facility Only

APC 5184 $4,596 $2,322

Thrombectomy, open, arteriovenous fistula without revision, autogenous or non-autogenous dialysis graft (separate procedure)

36831

$793 Facility Only

APC 5184 $4,596 $2,322

Revision, open, arteriovenous fistula; with thrombectomy, autogenous or non-autogenous dialysis graft (separate procedure)

36832

$354 Facility Only

APC 5183 $2,771 $1,721

Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day

37212

$465 $2,481 APC 5193 $9,907 $4,183

With transluminal balloon angioplasty, peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty

3690510

$537 $6,556 APC 5194 $15,938 $10,181

With transcatheter placement of intravascular stent(s), peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the stenting, and all angioplasty within the peripheral dialysis circuit

3690611

$388 $1,976 APC 5192 $4,953 $2,875

Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angiography, fluoroscopic guidance, catheter placement(s), and intraprocedural pharmacological thrombolytic injection(s)

369049

CPT Code

Description

Medicare National Average

Physician Payment4

Facility Setting

(Various POSs)

HOPD (POS 19 or 22)

Non-Facility Setting

(Including POS 11)

ASC(POS 24)

Medicare National Average Facility Payment

$405 Facility Only

APC 5184 $4,596 $2,322

Transcatheter therapy, arterial infusion for thrombolysis other than coronary or intracranial, any method, including radiological supervision and interpretation, initial treatment day

37211

$244 Facility Only

APC 5182 $1,631 n/a

Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during course of thrombolytic therapy, including follow-up catheter contrast injection, position change, or exchange, when performed

37213

$129 Facility Only

APC 5182 $1,631 n/a

Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during course of thrombolytic therapy, including follow-up catheter contrast injection, position change, or exchange, when performed; cessation of thrombolysis including removal of catheter and vessel closure by any method

37214

Interventional Procedures3

Page 3: 20 Facility and Physician Billing Guide · $537 $6,556 APC 5194 $15,938 $10,181 With transcatheter placement of intravascular stent(s), peripheral dialysis segment, including all

C2628

Revenue Codes13 and HCPCS CodesRevenue codes help hospitals categorize services provided by revenue center. Medicare utilizes revenue codes for cost reporting purposes. It may be appropriate for hospitals to capture the cost of products used for these procedures for payer reporting or cost accounting purposes as expenses within Revenue Code 0278 (Medical/Surgical Supply – Other Implants) on the hospital UB-04 billing form. CMS uses C-codes under the Outpatient Prospective Payment System (OPPS) to track device cost information for future APC rate-setting purposes. No additional facility payment is associated with these codes. CMS may reject hospital claims if the appropriate C codes used to report device costs are not identified on the claim. Edwards Lifesciences’ Vascular technologies can be used in both the inpatient and outpatient setting. C codes which may apply to the use of these products in the outpatient setting are listed below. Procedure codes associated with these products are not necessarily included within this document.

Fogarty and Fogarty Fortis thrombectomy and embolectomy catheters: 120602F-120807F, 12A0602F-12A0807F, 120404FF, 120804FF, 12TLW403F-12TLW807F, 320806F-32080810F, 140806-1408010, 160245F, 160246F, NL2EMB40-NL7EMB80

Thrombectomy/Embolectomy CatheterC1757

620403F, 620404F, 620405F, 62080814F, 62080822FCatheter, occlusion

HCPCS Code

Description Edwards Product Examples

C1768 Duravess Bovine Pericardial Vascular Patch:DP1X6, DP08X8, DP2X9Graft, Vascular

Page 4: 20 Facility and Physician Billing Guide · $537 $6,556 APC 5194 $15,938 $10,181 With transcatheter placement of intravascular stent(s), peripheral dialysis segment, including all

Extirpation of Matter from Right Common Carotid Artery, Bifurcation, Open Approach03CH0Z6

Extirpation of Matter from Right Common Carotid Artery, Bifurcation, Percutaneous Endoscopic Approach03CH4Z6

Extirpation of Matter from Left Common Carotid Artery, Bifurcation, Open Approach03CJ0Z6

Extirpation of Matter from Left Common Carotid Artery, Bifurcation, Percutaneous Endoscopic Approach03CJ4Z6

Extirpation of Matter from Right Internal Carotid Artery, Bifurcation, Open Approach03CK0Z6

Extirpation of Matter from Right Internal Carotid Artery, Bifurcation, Percutaneous Endoscopic Approach03CK4Z6

Extirpation of Matter from Left Internal Carotid Artery, Bifurcation, Open Approach03CL0Z6

Extirpation of Matter from Left Internal Carotid Artery, Bifurcation, Percutaneous Endoscopic Approach03CL4Z6

Extirpation of Matter from Right External Carotid Artery, Bifurcation, Open Approach03CM0Z6

Extirpation of Matter from Right External Carotid Artery, Bifurcation, Percutaneous Endoscopic Approach03CM4Z6

Extirpation of Matter from Left External Carotid Artery, Bifurcation, Open Approach03CN0Z6

Extirpation of Matter from Left External Carotid Artery, Bifurcation, Percutaneous Endoscopic Approach03CN4Z6

Extirpation of Matter from Right Vertebral Artery, Bifurcation, Open Approach03CP0Z6

Extirpation of Matter from Right Vertebral Artery, Bifurcation, Percutaneous Endoscopic Approach03CP4Z6

Extirpation of Matter from Left Vertebral Artery, Bifurcation, Open Approach03CQ0Z6

Extirpation of Matter from Left Vertebral Artery, Bifurcation, Percutaneous Endoscopic Approach03CQ4Z6

Extirpation of Matter from Face Artery, Bifurcation, Open Approach03CR0Z6

Extirpation of Matter from Face Artery, Bifurcation, Percutaneous Approach03CR3Z6

Extirpation of Matter from Face Artery, Bifurcation, Percutaneous Endoscopic Approach03CR4Z6

Extirpation of Matter from Right Temporal Artery, Bifurcation, Open Approach03CS0Z6

Extirpation of Matter from Right Temporal Artery, Bifurcation, Percutaneous Approach03CS3Z6

Extirpation of Matter from Right Temporal Artery, Bifurcation, Percutaneous Endoscopic Approach03CS4Z6

Extirpation of Matter from Left Temporal Artery, Bifurcation, Open Approach03CT0Z6

Extirpation of Matter from Left Temporal Artery, Bifurcation, Percutaneous Approach03CT3Z6

Extirpation of Matter from Left Temporal Artery, Bifurcation, Percutaneous Endoscopic Approach03CT4Z6

Extirpation of Matter from Right Thyroid Artery, Bifurcation, Open Approach03CU0Z6

Extirpation of Matter from Right Thyroid Artery, Bifurcation, Percutaneous Approach03CU3Z6

Extirpation of Matter from Right Thyroid Artery, Bifurcation, Percutaneous Endoscopic Approach03CU4Z6

Extirpation of Matter from Left Thyroid Artery, Bifurcation, Open Approach03CV0Z6

Extirpation of Matter from Left Thyroid Artery, Bifurcation, Percutaneous Approach03CV3Z6

Extirpation of Matter from Left Thyroid Artery, Bifurcation, Percutaneous Endoscopic Approach03CV4Z6

Insertion of Infusion Device into Thoracic Aorta, Descending, Open Approach02HW03Z

Insertion of Infusion Device into Thoracic Aorta, Descending, Percutaneous Approach02HW33Z

Insertion of Infusion Device into Thoracic Aorta, Descending, Percutaneous Endoscopic Approach02HW43Z

Extirpation of Matter from Upper Artery, Bifurcation, Open Approach03CY0Z6

Extirpation of Matter from Upper Artery, Bifurcation, Percutaneous Approach03CY3Z6

Extirpation of Matter from Upper Artery, Bifurcation, Percutaneous Endoscopic Approach03CY4Z6

Extirpation of Matter from Lower Artery, Bifurcation, Open Approach04CY0Z6

ICD-10 Procedure Code15

Description

Inpatient Hospital Billing CodesMedicare inpatient hospital reimbursement is based upon the Medicare Severity Diagnostic-Related Group (MS-DRG) classification system, which assigns MS-DRGs based on ICD-10 diagnosis and procedure codes. The compliance date for mandatory use of ICD-10 codes was October 1, 2015.14

Page 5: 20 Facility and Physician Billing Guide · $537 $6,556 APC 5194 $15,938 $10,181 With transcatheter placement of intravascular stent(s), peripheral dialysis segment, including all

Extirpation of Matter from Lower Artery, Bifurcation, Percutaneous Approach04CY3Z6

Extirpation of Matter from Lower Artery, Bifurcation, Percutaneous Endoscopic Approach04CY4Z6

Excision of Right External Carotid Artery, Percutaneous Endoscopic Approach03BM4ZZ

Excision of Left External Carotid Artery, Open Approach03BN0ZZ

Excision of Left External Carotid Artery, Percutaneous Endoscopic Approach03BN4ZZ

Excision of Right Vertebral Artery, Open Approach03BP0ZZ

Excision of Right Vertebral Artery, Percutaneous Endoscopic Approach03BP4ZZ

Excision of Left Vertebral Artery, Open Approach03BQ0ZZ

Excision of Left Vertebral Artery, Percutaneous Endoscopic Approach03BQ4ZZ

Excision of Face Artery, Open Approach03BR0ZZ

Excision of Face Artery, Percutaneous Endoscopic Approach03BR4ZZ

Excision of Right Temporal Artery, Open Approach03BS0ZZ

Excision of Right Temporal Artery, Percutaneous Endoscopic Approach03BS4ZZ

Excision of Left Temporal Artery, Open Approach03BT0ZZ

Excision of Left Temporal Artery, Percutaneous Endoscopic Approach03BT4ZZ

Excision of Right Thyroid Artery, Open Approach03BU0ZZ

Excision of Right Thyroid Artery, Percutaneous Endoscopic Approach03BU4ZZ

Excision of Left Thyroid Artery, Open Approach03BV0ZZ

Excision of Left Thyroid Artery, Percutaneous Endoscopic Approach03BV4ZZ

Excision of Right Internal Jugular Vein, Open Approach05BM0ZZ

Excision of Right Internal Jugular Vein, Percutaneous Endoscopic Approach05BM4ZZ

Excision of Left Internal Jugular Vein, Open Approach05BN0ZZ

Excision of Left Internal Jugular Vein, Percutaneous Endoscopic Approach05BN4ZZ

Excision of Right External Jugular Vein, Open Approach05BP0ZZ

Excision of Right External Jugular Vein, Percutaneous Endoscopic Approach05BP4ZZ

Excision of Left External Jugular Vein, Open Approach05BQ0ZZ

Excision of Left External Jugular Vein, Percutaneous Endoscopic Approach05BQ4ZZ

Excision of Right Vertebral Vein, Open Approach05BR0ZZ

Excision of Right Vertebral Vein, Percutaneous Endoscopic Approach05BR4ZZ

Excision of Left Vertebral Vein, Open Approach05BS0ZZ

Excision of Left Vertebral Vein, Percutaneous Endoscopic Approach05BS4ZZ

Excision of Right Face Vein, Open Approach05BT0ZZ

Excision of Right Face Vein, Percutaneous Endoscopic Approach05BT4ZZ

Excision of Left Face Vein, Open Approach05BV0ZZ

Excision of Left Face Vein, Percutaneous Endoscopic Approach05BV4ZZ

Replacement of Right Common Carotid Artery with Autologous Tissue Substitute, Open Approach03RH07Z

Replacement of Right Common Carotid Artery with Synthetic Substitute, Open Approach03RH0JZ

Replacement of Right Common Carotid Artery with Nonautologous Tissue Substitute, Open Approach03RH0KZ

Replacement of Right Common Carotid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach03RH47Z

Replacement of Right Common Carotid Artery with Synthetic Substitute, Percutaneous Endoscopic Approach03RH4JZ

Replacement of Right Common Carotid Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach03RH4KZ

ICD-10 Procedure Code15

Description

Page 6: 20 Facility and Physician Billing Guide · $537 $6,556 APC 5194 $15,938 $10,181 With transcatheter placement of intravascular stent(s), peripheral dialysis segment, including all

Replacement of Left Common Carotid Artery with Autologous Tissue Substitute, Open Approach03RJ07Z

Replacement of Left Common Carotid Artery with Synthetic Substitute, Open Approach03RJ0JZ

Replacement of Left Common Carotid Artery with Nonautologous Tissue Substitute, Open Approach03RJ0KZ

Replacement of Left Common Carotid Artery with Synthetic Substitute, Percutaneous Endoscopic Approach03RJ4JZ

Replacement of Right Internal Carotid Artery with Autologous Tissue Substitute, Open Approach03RK07Z

Replacement of Right Internal Carotid Artery with Synthetic Substitute, Open Approach03RK0JZ

Replacement of Right Internal Carotid Artery with Nonautologous Tissue Substitute, Open Approach03RK0KZ

Replacement of Right Internal Carotid Artery with Synthetic Substitute, Percutaneous Endoscopic Approach03RK4JZ

Replacement of Right Internal Carotid Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach03RK4KZ

Replacement of Left Internal Carotid Artery with Autologous Tissue Substitute, Open Approach03RL07Z

Replacement of Left Internal Carotid Artery with Synthetic Substitute, Open Approach03RL0JZ

Replacement of Left Internal Carotid Artery with Nonautologous Tissue Substitute, Open Approach03RL0KZ

Replacement of Left Internal Carotid Artery with Synthetic Substitute, Percutaneous Endoscopic Approach03RL4JZ

Replacement of Right External Carotid Artery with Autologous Tissue Substitute, Open Approach03RM07Z

Replacement of Right External Carotid Artery with Synthetic Substitute, Open Approach03RM0JZ

Replacement of Right External Carotid Artery with Nonautologous Tissue Substitute, Open Approach03RM0KZ

Replacement of Right External Carotid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach03RM47Z

Replacement of Right External Carotid Artery with Synthetic Substitute, Percutaneous Endoscopic Approach03RM4JZ

Replacement of Left External Carotid Artery with Autologous Tissue Substitute, Open Approach03RN07Z

Replacement of Left External Carotid Artery with Synthetic Substitute, Open Approach03RN0JZ

Replacement of Left External Carotid Artery with Nonautologous Tissue Substitute, Open Approach03RN0KZ

Replacement of Left External Carotid Artery with Synthetic Substitute, Percutaneous Endoscopic Approach03RN4JZ

Replacement of Right Vertebral Artery with Synthetic Substitute, Percutaneous Endoscopic Approach03RP4JZ

Replacement of Right Vertebral Artery with Autologous Tissue Substitute, Open Approach03RP07Z

Replacement of Right Vertebral Artery with Synthetic Substitute, Open Approach03RP0JZ

Replacement of Right Vertebral Artery with Nonautologous Tissue Substitute, Open Approach03RP0KZ

Replacement of Right Vertebral Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach03RP47Z

Replacement of Left External Carotid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach03RN47Z

Replacement of Left External Carotid Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach03RN4KZ

Replacement of Right Vertebral Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach03RP4KZ

Replacement of Right External Carotid Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach03RM4KZ

Replacement of Left Internal Carotid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach03RL47Z

Replacement of Left Internal Carotid Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach03RL4KZ

Replacement of Left Common Carotid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach03RJ47Z

Replacement of Left Common Carotid Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach03RJ4KZ

Replacement of Right Internal Carotid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach03RK47Z

ICD-10 Procedure Code15

Description

Page 7: 20 Facility and Physician Billing Guide · $537 $6,556 APC 5194 $15,938 $10,181 With transcatheter placement of intravascular stent(s), peripheral dialysis segment, including all

Replacement of Left Vertebral Artery with Autologous Tissue Substitute, Open Approach03RQ07Z

Replacement of Left Vertebral Artery with Synthetic Substitute, Open Approach03RQ0JZ

Replacement of Left Vertebral Artery with Nonautologous Tissue Substitute, Open Approach03RQ0KZ

Replacement of Left Vertebral Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach03RQ47Z

Replacement of Left Vertebral Artery with Synthetic Substitute, Percutaneous Endoscopic Approach03RQ4JZ

Replacement of Left Vertebral Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach03RQ4KZ

Replacement of Face Artery with Autologous Tissue Substitute, Open Approach03RR07Z

Replacement of Face Artery with Synthetic Substitute, Open Approach03RR0JZ

Replacement of Face Artery with Nonautologous Tissue Substitute, Open Approach03RR0KZ

Replacement of Face Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach03RR47Z

Replacement of Face Artery with Synthetic Substitute, Percutaneous Endoscopic Approach03RR4JZ

Replacement of Face Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach03RR4KZ

Replacement of Right Temporal Artery with Autologous Tissue Substitute, Open Approach03RS07Z

Replacement of Right Temporal Artery with Synthetic Substitute, Open Approach03RS0JZ

Replacement of Right Temporal Artery with Nonautologous Tissue Substitute, Open Approach03RS0KZ

Replacement of Right Temporal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach03RS47Z

Replacement of Right Temporal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach03RS4JZ

Replacement of Right Temporal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach03RS4KZ

Replacement of Left Temporal Artery with Autologous Tissue Substitute, Open Approach03RT07Z

Replacement of Left Temporal Artery with Synthetic Substitute, Open Approach03RT0JZ

Replacement of Left Temporal Artery with Nonautologous Tissue Substitute, Open Approach03RT0KZ

Replacement of Left Temporal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach03RT47Z

Replacement of Left Temporal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach03RT4JZ

Replacement of Left Temporal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach03RT4KZ

Replacement of Right Thyroid Artery with Autologous Tissue Substitute, Open Approach03RU07Z

Replacement of Right Thyroid Artery with Synthetic Substitute, Open Approach03RU0JZ

Replacement of Right Thyroid Artery with Nonautologous Tissue Substitute, Open Approach03RU0KZ

Replacement of Right Thyroid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach03RU47Z

Replacement of Right Thyroid Artery with Synthetic Substitute, Percutaneous Endoscopic Approach03RU4JZ

Replacement of Right Thyroid Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach03RU4KZ

Replacement of Left Thyroid Artery with Autologous Tissue Substitute, Open Approach03RV07Z

Replacement of Left Thyroid Artery with Synthetic Substitute, Open Approach03RV0JZ

Replacement of Left Thyroid Artery with Nonautologous Tissue Substitute, Open Approach03RV0KZ

Replacement of Left Thyroid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach03RV47Z

Replacement of Left Thyroid Artery with Synthetic Substitute, Percutaneous Endoscopic Approach03RV4JZ

Replacement of Left Thyroid Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach03RV4KZ

Replacement of Right Internal Jugular Vein with Autologous Tissue Substitute, Open Approach05RM07Z

Replacement of Right Internal Jugular Vein with Synthetic Substitute, Open Approach05RM0JZ

Replacement of Right Internal Jugular Vein with Nonautologous Tissue Substitute, Open Approach05RM0KZ

Replacement of Right Internal Jugular Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach05RM47Z

ICD-10 Procedure Code15

Description

Page 8: 20 Facility and Physician Billing Guide · $537 $6,556 APC 5194 $15,938 $10,181 With transcatheter placement of intravascular stent(s), peripheral dialysis segment, including all

Replacement of Right Internal Jugular Vein with Synthetic Substitute, Percutaneous Endoscopic Approach05RM4JZ

Replacement of Right Internal Jugular Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach05RM4KZ

Replacement of Left Internal Jugular Vein with Autologous Tissue Substitute, Open Approach05RN07Z

Replacement of Left Internal Jugular Vein with Synthetic Substitute, Open Approach05RN0JZ

Replacement of Left Internal Jugular Vein with Nonautologous Tissue Substitute, Open Approach05RN0KZ

Replacement of Left Internal Jugular Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach05RN47Z

Replacement of Left Internal Jugular Vein with Synthetic Substitute, Percutaneous Endoscopic Approach05RN4JZ

Replacement of Left Internal Jugular Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach05RN4KZ

Replacement of Right External Jugular Vein with Autologous Tissue Substitute, Open Approach05RP07Z

Replacement of Right External Jugular Vein with Synthetic Substitute, Open Approach05RP0JZ

Replacement of Right External Jugular Vein with Nonautologous Tissue Substitute, Open Approach05RP0KZ

Replacement of Right External Jugular Vein with Synthetic Substitute, Percutaneous Endoscopic Approach05RP4JZ

Replacement of Right External Jugular Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach05RP4KZ

Replacement of Left External Jugular Vein with Autologous Tissue Substitute, Open Approach05RQ07Z

Replacement of Left External Jugular Vein with Synthetic Substitute, Open Approach05RQ0JZ

Replacement of Left External Jugular Vein with Nonautologous Tissue Substitute, Open Approach05RQ0KZ

Replacement of Left External Jugular Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach05RQ47Z

Replacement of Left External Jugular Vein with Synthetic Substitute, Percutaneous Endoscopic Approach05RQ4JZ

Replacement of Left External Jugular Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach05RQ4KZ

Replacement of Right Vertebral Vein with Autologous Tissue Substitute, Open Approach05RR07Z

Replacement of Right Vertebral Vein with Synthetic Substitute, Open Approach05RR0JZ

Replacement of Right Vertebral Vein with Nonautologous Tissue Substitute, Open Approach05RR0KZ

Replacement of Right Vertebral Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach05RR47Z

Replacement of Right Vertebral Vein with Synthetic Substitute, Percutaneous Endoscopic Approach05RR4JZ

Replacement of Right Vertebral Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach05RR4KZ

Replacement of Left Vertebral Vein with Autologous Tissue Substitute, Open Approach05RS07Z

Replacement of Left Vertebral Vein with Synthetic Substitute, Open Approach05RS0JZ

Replacement of Left Vertebral Vein with Nonautologous Tissue Substitute, Open Approach05RS0KZ

Replacement of Left Vertebral Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach05RS47Z

Replacement of Left Vertebral Vein with Synthetic Substitute, Percutaneous Endoscopic Approach05RS4JZ

Replacement of Left Vertebral Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach05RS4KZ

Replacement of Right Face Vein with Autologous Tissue Substitute, Open Approach05RT07Z

Replacement of Right Face Vein with Synthetic Substitute, Open Approach05RT0JZ

Replacement of Right Face Vein with Nonautologous Tissue Substitute, Open Approach05RT0KZ

Replacement of Right Face Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach05RT47Z

Replacement of Right Face Vein with Synthetic Substitute, Percutaneous Endoscopic Approach05RT4JZ

Replacement of Right Face Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach05RT4KZ

Replacement of Left Face Vein with Autologous Tissue Substitute, Open Approach05RV07Z

Replacement of Right External Jugular Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach05RP47Z

ICD-10 Procedure Code15

Description

Page 9: 20 Facility and Physician Billing Guide · $537 $6,556 APC 5194 $15,938 $10,181 With transcatheter placement of intravascular stent(s), peripheral dialysis segment, including all

Replacement of Left Face Vein with Synthetic Substitute, Open Approach05RV0JZ

Replacement of Left Face Vein with Nonautologous Tissue Substitute, Open Approach05RV0KZ

Replacement of Left Face Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach05RV47Z

Replacement of Left Face Vein with Synthetic Substitute, Percutaneous Endoscopic Approach05RV4JZ

Replacement of Left Face Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach05RV4KZ

Replacement of Esophageal Vein with Autologous Tissue Substitute, Open Approach06R307Z

Replacement of Esophageal Vein with Synthetic Substitute, Open Approach06R30JZ

Replacement of Esophageal Vein with Nonautologous Tissue Substitute, Open Approach06R30KZ

Replacement of Esophageal Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach06R347Z

Replacement of Esophageal Vein with Synthetic Substitute, Percutaneous Endoscopic Approach06R34JZ

Replacement of Esophageal Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach06R34KZ

Insertion of Infusion Device into Pulmonary Trunk, Open Approach02HP03Z

Insertion of Infusion Device into Pulmonary Trunk, Percutaneous Approach02HP33Z

Insertion of Infusion Device into Pulmonary Trunk, Percutaneous Endoscopic Approach02HP43Z

Insertion of Infusion Device into Right Pulmonary Artery, Open Approach02HQ03Z

Insertion of Infusion Device into Right Pulmonary Artery, Percutaneous Approach02HQ33Z

Insertion of Infusion Device into Right Pulmonary Artery, Percutaneous Endoscopic Approach02HQ43Z

Insertion of Infusion Device into Left Pulmonary Artery, Open Approach02HR03Z

Insertion of Infusion Device into Left Pulmonary Artery, Percutaneous Approach02HR33Z

Insertion of Infusion Device into Left Pulmonary Artery, Percutaneous Endoscopic Approach02HR43Z

Insertion of Infusion Device into Right Internal Mammary Artery, Open Approach03H003Z

Insertion of Infusion Device into Right Internal Mammary Artery, Percutaneous Approach03H033Z

Insertion of Infusion Device into Right Internal Mammary Artery, Percutaneous Endoscopic Approach03H043Z

Insertion of Infusion Device into Left Internal Mammary Artery, Open Approach03H103Z

Insertion of Infusion Device into Left Internal Mammary Artery, Percutaneous Approach03H133Z

Insertion of Infusion Device into Left Internal Mammary Artery, Percutaneous Endoscopic Approach03H143Z

Insertion of Infusion Device into Innominate Artery, Open Approach03H203Z

Insertion of Infusion Device into Innominate Artery, Percutaneous Approach03H233Z

Insertion of Infusion Device into Innominate Artery, Percutaneous Endoscopic Approach03H243Z

Insertion of Infusion Device into Right Subclavian Artery, Open Approach03H303Z

Insertion of Infusion Device into Right Subclavian Artery, Percutaneous Approach03H333Z

Insertion of Infusion Device into Right Subclavian Artery, Percutaneous Endoscopic Approach03H343Z

Insertion of Infusion Device into Left Subclavian Artery, Open Approach03H403Z

Insertion of Infusion Device into Left Subclavian Artery, Percutaneous Approach03H433Z

Insertion of Infusion Device into Left Subclavian Artery, Percutaneous Endoscopic Approach03H443Z

Insertion of Infusion Device into Right Axillary Artery, Open Approach03H503Z

Insertion of Infusion Device into Right Axillary Artery, Percutaneous Approach03H533Z

Insertion of Infusion Device into Right Axillary Artery, Percutaneous Endoscopic Approach03H543Z

Insertion of Infusion Device into Left Axillary Artery, Open Approach03H603Z

Insertion of Infusion Device into Left Axillary Artery, Percutaneous Approach03H633Z

Insertion of Infusion Device into Left Axillary Artery, Percutaneous Endoscopic Approach03H643Z

Insertion of Infusion Device into Right Brachial Artery, Open Approach03H703Z

Insertion of Infusion Device into Right Brachial Artery, Percutaneous Approach03H733Z

ICD-10 Procedure Code15

Description

Page 10: 20 Facility and Physician Billing Guide · $537 $6,556 APC 5194 $15,938 $10,181 With transcatheter placement of intravascular stent(s), peripheral dialysis segment, including all

Insertion of Infusion Device into Right Brachial Artery, Percutaneous Endoscopic Approach03H743Z

Insertion of Infusion Device into Left Brachial Artery, Open Approach03H803Z

Insertion of Infusion Device into Left Brachial Artery, Percutaneous Approach03H833Z

Insertion of Infusion Device into Left Brachial Artery, Percutaneous Endoscopic Approach03H843Z

Insertion of Infusion Device into Right Ulnar Artery, Open Approach03H903Z

Insertion of Infusion Device into Right Ulnar Artery, Percutaneous Approach03H933Z

Insertion of Infusion Device into Right Ulnar Artery, Percutaneous Endoscopic Approach03H943Z

Insertion of Infusion Device into Left Ulnar Artery, Open Approach03HA03Z

Insertion of Infusion Device into Left Ulnar Artery, Percutaneous Approach03HA33Z

Insertion of Infusion Device into Left Ulnar Artery, Percutaneous Endoscopic Approach03HA43Z

Insertion of Infusion Device into Right Radial Artery, Open Approach03HB03Z

Insertion of Infusion Device into Right Radial Artery, Percutaneous Approach03HB33Z

Insertion of Infusion Device into Right Radial Artery, Percutaneous Endoscopic Approach03HB43Z

Insertion of Infusion Device into Left Radial Artery, Open Approach03HC03Z

Insertion of Infusion Device into Left Radial Artery, Percutaneous Approach03HC33Z

Insertion of Infusion Device into Left Radial Artery, Percutaneous Endoscopic Approach03HC43Z

Insertion of Infusion Device into Right Hand Artery, Open Approach03HD03Z

Insertion of Infusion Device into Right Hand Artery, Percutaneous Approach03HD33Z

Insertion of Infusion Device into Right Hand Artery, Percutaneous Endoscopic Approach03HD43Z

Insertion of Infusion Device into Left Hand Artery, Open Approach03HF03Z

Insertion of Infusion Device into Left Hand Artery, Percutaneous Approach03HF33Z

Insertion of Infusion Device into Left Hand Artery, Percutaneous Endoscopic Approach03HF43Z

Insertion of Infusion Device into Intracranial Artery, Open Approach03HG03Z

Insertion of Infusion Device into Intracranial Artery, Percutaneous Approach03HG33Z

Insertion of Infusion Device into Intracranial Artery, Percutaneous Endoscopic Approach03HG43Z

Insertion of Infusion Device into Right Common Carotid Artery, Open Approach03HH03Z

Insertion of Infusion Device into Right Common Carotid Artery, Percutaneous Approach03HH33Z

Insertion of Infusion Device into Right Common Carotid Artery, Percutaneous Endoscopic Approach03HH43Z

Insertion of Infusion Device into Left Common Carotid Artery, Open Approach03HJ03Z

Insertion of Infusion Device into Left Common Carotid Artery, Percutaneous Approach03HJ33Z

Insertion of Infusion Device into Left Common Carotid Artery, Percutaneous Endoscopic Approach03HJ43Z

Insertion of Infusion Device into Right Internal Carotid Artery, Open Approach03HK03Z

Insertion of Infusion Device into Right Internal Carotid Artery, Percutaneous Approach03HK33Z

Insertion of Infusion Device into Right Internal Carotid Artery, Percutaneous Endoscopic Approach03HK43Z

Insertion of Infusion Device into Left Internal Carotid Artery, Open Approach03HL03Z

Insertion of Infusion Device into Left Internal Carotid Artery, Percutaneous Approach03HL33Z

Insertion of Infusion Device into Left Internal Carotid Artery, Percutaneous Endoscopic Approach03HL43Z

Insertion of Infusion Device into Right External Carotid Artery, Open Approach03HM03Z

Insertion of Infusion Device into Right External Carotid Artery, Percutaneous Approach03HM33Z

Insertion of Infusion Device into Right External Carotid Artery, Percutaneous Endoscopic Approach03HM43Z

Insertion of Infusion Device into Left External Carotid Artery, Open Approach03HN03Z

Insertion of Infusion Device into Left External Carotid Artery, Percutaneous Approach03HN33Z

ICD-10 Procedure Code15

Description

Page 11: 20 Facility and Physician Billing Guide · $537 $6,556 APC 5194 $15,938 $10,181 With transcatheter placement of intravascular stent(s), peripheral dialysis segment, including all

ICD-10 Procedure Code15

Description

Insertion of Infusion Device into Left External Carotid Artery, Percutaneous Endoscopic Approach03HN43Z

Insertion of Infusion Device into Right Vertebral Artery, Open Approach03HP03Z

Insertion of Infusion Device into Right Vertebral Artery, Percutaneous Approach03HP33Z

Insertion of Infusion Device into Right Vertebral Artery, Percutaneous Endoscopic Approach03HP43Z

Insertion of Infusion Device into Left Vertebral Artery, Open Approach03HQ03Z

Insertion of Infusion Device into Left Vertebral Artery, Percutaneous Approach03HQ33Z

Insertion of Infusion Device into Left Vertebral Artery, Percutaneous Endoscopic Approach03HQ43Z

Insertion of Infusion Device into Face Artery, Open Approach03HR03Z

Insertion of Infusion Device into Face Artery, Percutaneous Approach03HR33Z

Insertion of Infusion Device into Face Artery, Percutaneous Endoscopic Approach03HR43Z

Insertion of Infusion Device into Right Temporal Artery, Open Approach03HS03Z

Insertion of Infusion Device into Right Temporal Artery, Percutaneous Approach03HS33Z

Insertion of Infusion Device into Right Temporal Artery, Percutaneous Endoscopic Approach03HS43Z

Insertion of Infusion Device into Left Temporal Artery, Open Approach03HT03Z

Insertion of Infusion Device into Left Temporal Artery, Percutaneous Approach03HT33Z

Insertion of Infusion Device into Left Temporal Artery, Percutaneous Endoscopic Approach03HT43Z

Insertion of Infusion Device into Right Thyroid Artery, Open Approach03HU03Z

Insertion of Infusion Device into Right Thyroid Artery, Percutaneous Approach03HU33Z

Insertion of Infusion Device into Right Thyroid Artery, Percutaneous Endoscopic Approach03HU43Z

Insertion of Infusion Device into Left Thyroid Artery, Open Approach03HV03Z

Insertion of Infusion Device into Left Thyroid Artery, Percutaneous Approach03HV33Z

Insertion of Infusion Device into Left Thyroid Artery, Percutaneous Endoscopic Approach03HV43Z

Insertion of Infusion Device into Upper Artery, Open Approach03HY03Z

Insertion of Infusion Device into Upper Artery, Percutaneous Approach03HY33Z

Insertion of Infusion Device into Upper Artery, Percutaneous Endoscopic Approach03HY43Z

Insertion of Infusion Device into Abdominal Aorta, Open Approach04H003Z

Insertion of Infusion Device into Abdominal Aorta, Percutaneous Approach04H033Z

Insertion of Infusion Device into Abdominal Aorta, Percutaneous Endoscopic Approach04H043Z

Insertion of Infusion Device into Celiac Artery, Open Approach04H103Z

Insertion of Infusion Device into Celiac Artery, Percutaneous Approach04H133Z

Insertion of Infusion Device into Celiac Artery, Percutaneous Endoscopic Approach04H143Z

Insertion of Infusion Device into Gastric Artery, Open Approach04H203Z

Insertion of Infusion Device into Gastric Artery, Percutaneous Approach04H233Z

Insertion of Infusion Device into Gastric Artery, Percutaneous Endoscopic Approach04H243Z

Insertion of Infusion Device into Hepatic Artery, Open Approach04H303Z

Insertion of Infusion Device into Hepatic Artery, Percutaneous Approach04H333Z

Insertion of Infusion Device into Hepatic Artery, Percutaneous Endoscopic Approach04H343Z

Insertion of Infusion Device into Splenic Artery, Open Approach04H403Z

Insertion of Infusion Device into Splenic Artery, Percutaneous Approach04H433Z

Insertion of Infusion Device into Splenic Artery, Percutaneous Endoscopic Approach04H443Z

Insertion of Infusion Device into Superior Mesenteric Artery, Open Approach04H503Z

Insertion of Infusion Device into Superior Mesenteric Artery, Percutaneous Approach04H533Z

Insertion of Infusion Device into Superior Mesenteric Artery, Percutaneous Endoscopic Approach04H543Z

Page 12: 20 Facility and Physician Billing Guide · $537 $6,556 APC 5194 $15,938 $10,181 With transcatheter placement of intravascular stent(s), peripheral dialysis segment, including all

ICD-10 Procedure Code15

Description

Insertion of Infusion Device into Right Colic Artery, Open Approach04H603Z

Insertion of Infusion Device into Right Colic Artery, Percutaneous Approach04H633Z

Insertion of Infusion Device into Right Colic Artery, Percutaneous Endoscopic Approach04H643Z

Insertion of Infusion Device into Left Colic Artery, Open Approach04H703Z

Insertion of Infusion Device into Left Colic Artery, Percutaneous Approach04H733Z

Insertion of Infusion Device into Left Colic Artery, Percutaneous Endoscopic Approach04H743Z

Insertion of Infusion Device into Middle Colic Artery, Open Approach04H803Z

Insertion of Infusion Device into Middle Colic Artery, Percutaneous Approach04H833Z

Insertion of Infusion Device into Middle Colic Artery, Percutaneous Endoscopic Approach04H843Z

Insertion of Infusion Device into Right Renal Artery, Open Approach04H903Z

Insertion of Infusion Device into Right Renal Artery, Percutaneous Approach04H933Z

Insertion of Infusion Device into Right Renal Artery, Percutaneous Endoscopic Approach04H943Z

Insertion of Infusion Device into Left Renal Artery, Open Approach04HA03Z

Insertion of Infusion Device into Left Renal Artery, Percutaneous Approach04HA33Z

Insertion of Infusion Device into Left Renal Artery, Percutaneous Endoscopic Approach04HA43Z

Insertion of Infusion Device into Inferior Mesenteric Artery, Open Approach04HB03Z

Insertion of Infusion Device into Inferior Mesenteric Artery, Percutaneous Approach04HB33Z

Insertion of Infusion Device into Inferior Mesenteric Artery, Percutaneous Endoscopic Approach04HB43Z

Insertion of Infusion Device into Right Common Iliac Artery, Open Approach04HC03Z

Insertion of Infusion Device into Right Common Iliac Artery, Percutaneous Approach04HC33Z

Insertion of Infusion Device into Right Common Iliac Artery, Percutaneous Endoscopic Approach04HC43Z

Insertion of Infusion Device into Left Common Iliac Artery, Open Approach04HD03Z

Insertion of Infusion Device into Left Common Iliac Artery, Percutaneous Approach04HD33Z

Insertion of Infusion Device into Left Common Iliac Artery, Percutaneous Endoscopic Approach04HD43Z

Insertion of Infusion Device into Right Internal Iliac Artery, Open Approach04HE03Z

Insertion of Infusion Device into Right Internal Iliac Artery, Percutaneous Approach04HE33Z

Insertion of Infusion Device into Right Internal Iliac Artery, Percutaneous Endoscopic Approach04HE43Z

Insertion of Infusion Device into Left Internal Iliac Artery, Open Approach04HF03Z

Insertion of Infusion Device into Left Internal Iliac Artery, Percutaneous Approach04HF33Z

Insertion of Infusion Device into Left Internal Iliac Artery, Percutaneous Endoscopic Approach04HF43Z

Insertion of Infusion Device into Right External Iliac Artery, Open Approach04HH03Z

Insertion of Infusion Device into Right External Iliac Artery, Percutaneous Approach04HH33Z

Insertion of Infusion Device into Right External Iliac Artery, Percutaneous Endoscopic Approach04HH43Z

Insertion of Infusion Device into Left External Iliac Artery, Open Approach04HJ03Z

Insertion of Infusion Device into Left External Iliac Artery, Percutaneous Approach04HJ33Z

Insertion of Infusion Device into Left External Iliac Artery, Percutaneous Endoscopic Approach04HJ43Z

Insertion of Infusion Device into Right Femoral Artery, Open Approach04HK03Z

Insertion of Infusion Device into Right Femoral Artery, Percutaneous Approach04HK33Z

Insertion of Infusion Device into Right Femoral Artery, Percutaneous Endoscopic Approach04HK43Z

Insertion of Infusion Device into Left Femoral Artery, Open Approach04HL03Z

Insertion of Infusion Device into Left Femoral Artery, Percutaneous Approach04HL33Z

Insertion of Infusion Device into Left Femoral Artery, Percutaneous Endoscopic Approach04HL43Z

Insertion of Infusion Device into Right Popliteal Artery, Open Approach04HM03Z

Page 13: 20 Facility and Physician Billing Guide · $537 $6,556 APC 5194 $15,938 $10,181 With transcatheter placement of intravascular stent(s), peripheral dialysis segment, including all

ICD-10 Procedure Code15

Description

Insertion of Infusion Device into Right Popliteal Artery, Percutaneous Approach04HM33Z

Insertion of Infusion Device into Right Popliteal Artery, Percutaneous Endoscopic Approach04HM43Z

Insertion of Infusion Device into Left Popliteal Artery, Open Approach04HN03Z

Insertion of Infusion Device into Left Popliteal Artery, Percutaneous Approach04HN33Z

Insertion of Infusion Device into Left Popliteal Artery, Percutaneous Endoscopic Approach04HN43Z

Insertion of Infusion Device into Right Anterior Tibial Artery, Open Approach04HP03Z

Insertion of Infusion Device into Right Anterior Tibial Artery, Percutaneous Approach04HP33Z

Insertion of Infusion Device into Right Anterior Tibial Artery, Percutaneous Endoscopic Approach04HP43Z

Insertion of Infusion Device into Left Anterior Tibial Artery, Open Approach04HQ03Z

Insertion of Infusion Device into Left Anterior Tibial Artery, Percutaneous Approach04HQ33Z

Insertion of Infusion Device into Left Anterior Tibial Artery, Percutaneous Endoscopic Approach04HQ43Z

Insertion of Infusion Device into Right Posterior Tibial Artery, Open Approach04HR03Z

Insertion of Infusion Device into Right Posterior Tibial Artery, Percutaneous Approach04HR33Z

Insertion of Infusion Device into Right Posterior Tibial Artery, Percutaneous Endoscopic Approach04HR43Z

Insertion of Infusion Device into Left Posterior Tibial Artery, Open Approach04HS03Z

Insertion of Infusion Device into Left Posterior Tibial Artery, Percutaneous Approach04HS33Z

Insertion of Infusion Device into Left Posterior Tibial Artery, Percutaneous Endoscopic Approach04HS43Z

Insertion of Infusion Device into Right Peroneal Artery, Open Approach04HT03Z

Insertion of Infusion Device into Right Peroneal Artery, Percutaneous Approach04HT33Z

Insertion of Infusion Device into Right Peroneal Artery, Percutaneous Endoscopic Approach04HT43Z

Insertion of Infusion Device into Left Peroneal Artery, Open Approach04HU03Z

Insertion of Infusion Device into Left Peroneal Artery, Percutaneous Approach04HU33Z

Insertion of Infusion Device into Left Peroneal Artery, Percutaneous Endoscopic Approach04HU43Z

Insertion of Infusion Device into Right Foot Artery, Open Approach04HV03Z

Insertion of Infusion Device into Right Foot Artery, Percutaneous Approach04HV33Z

Insertion of Infusion Device into Right Foot Artery, Percutaneous Endoscopic Approach04HV43Z

Insertion of Infusion Device into Left Foot Artery, Open Approach04HW03Z

Insertion of Infusion Device into Left Foot Artery, Percutaneous Approach04HW33Z

Insertion of Infusion Device into Left Foot Artery, Percutaneous Endoscopic Approach04HW43Z

Insertion of Infusion Device into Lower Artery, Open Approach04HY03Z

Insertion of Infusion Device into Lower Artery, Percutaneous Approach04HY33Z

Insertion of Infusion Device into Lower Artery, Percutaneous Endoscopic Approach04HY43Z

Insertion of Infusion Device into Right Atrium, Percutaneous Approach02H633Z

Insertion of Infusion Device into Right Ventricle, Percutaneous Approach02HK33Z

Insertion of Infusion Device into Right Pulmonary Vein, Open Approach02HS03Z

Insertion of Infusion Device into Right Pulmonary Vein, Percutaneous Approach02HS33Z

Insertion of Infusion Device into Right Pulmonary Vein, Percutaneous Endoscopic Approach02HS43Z

Insertion of Infusion Device into Left Pulmonary Vein, Open Approach02HT03Z

Insertion of Infusion Device into Left Pulmonary Vein, Percutaneous Approach02HT33Z

Insertion of Infusion Device into Left Pulmonary Vein, Percutaneous Endoscopic Approach02HT43Z

Insertion of Infusion Device into Superior Vena Cava, Open Approach02HV03Z

Insertion of Infusion Device into Superior Vena Cava, Percutaneous Approach02HV33Z

Insertion of Infusion Device into Superior Vena Cava, Percutaneous Endoscopic Approach02HV43Z

Page 14: 20 Facility and Physician Billing Guide · $537 $6,556 APC 5194 $15,938 $10,181 With transcatheter placement of intravascular stent(s), peripheral dialysis segment, including all

Insertion of Infusion Device into Azygos Vein, Open Approach

Insertion of Infusion Device into Azygos Vein, Percutaneous Approach

Insertion of Infusion Device into Azygos Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Hemiazygos Vein, Open Approach

Insertion of Infusion Device into Hemiazygos Vein, Percutaneous Approach

Insertion of Infusion Device into Hemiazygos Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Right Innominate Vein, Open Approach

Insertion of Infusion Device into Right Innominate Vein, Percutaneous Approach

Insertion of Infusion Device into Right Innominate Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Left Innominate Vein, Open Approach

Insertion of Infusion Device into Left Innominate Vein, Percutaneous Approach

Insertion of Infusion Device into Left Innominate Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Right Subclavian Vein, Open Approach

Insertion of Infusion Device into Right Subclavian Vein, Percutaneous Approach

Insertion of Infusion Device into Right Subclavian Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Left Subclavian Vein, Open Approach

Insertion of Infusion Device into Left Subclavian Vein, Percutaneous Approach

Insertion of Infusion Device into Left Subclavian Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Right Axillary Vein, Open Approach

Insertion of Infusion Device into Right Axillary Vein, Percutaneous Approach

Insertion of Infusion Device into Right Axillary Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Left Axillary Vein, Open Approach

Insertion of Infusion Device into Left Axillary Vein, Percutaneous Approach

Insertion of Infusion Device into Left Axillary Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Right Brachial Vein, Open Approach

Insertion of Infusion Device into Right Brachial Vein, Percutaneous Approach

Insertion of Infusion Device into Right Brachial Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Left Brachial Vein, Open Approach

Insertion of Infusion Device into Left Brachial Vein, Percutaneous Approach

Insertion of Infusion Device into Left Brachial Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Right Basilic Vein, Open Approach

Insertion of Infusion Device into Right Basilic Vein, Percutaneous Approach

Insertion of Infusion Device into Right Basilic Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Left Basilic Vein, Open Approach

Insertion of Infusion Device into Left Basilic Vein, Percutaneous Approach

Insertion of Infusion Device into Left Basilic Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Right Cephalic Vein, Open Approach

Insertion of Infusion Device into Right Cephalic Vein, Percutaneous Approach

Insertion of Infusion Device into Right Cephalic Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Left Cephalic Vein, Open Approach

Insertion of Infusion Device into Left Cephalic Vein, Percutaneous Approach

Insertion of Infusion Device into Left Cephalic Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Right Hand Vein, Open Approach

05H003Z

05H033Z

05H043Z

05H103Z

05H133Z

05H143Z

05H303Z

05H333Z

05H343Z

05H403Z

05H433Z

05H443Z

05H503Z

05H533Z

05H543Z

05H603Z

05H633Z

05H643Z

05H703Z

05H733Z

05H743Z

05H803Z

05H833Z

05H843Z

05H903Z

05H933Z

05H943Z

05HA03Z

05HA33Z

05HA43Z

05HB03Z

05HB33Z

05HB43Z

05HC03Z

05HC33Z

05HC43Z

05HD03Z

05HD33Z

05HD43Z

05HF03Z

05HF33Z

05HF43Z

05HG03Z

ICD-10 Procedure Code15

Description

Page 15: 20 Facility and Physician Billing Guide · $537 $6,556 APC 5194 $15,938 $10,181 With transcatheter placement of intravascular stent(s), peripheral dialysis segment, including all

Insertion of Infusion Device into Right Hand Vein, Percutaneous Approach

Insertion of Infusion Device into Right Hand Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Left Hand Vein, Open Approach

Insertion of Infusion Device into Left Hand Vein, Percutaneous Approach

Insertion of Infusion Device into Left Hand Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Intracranial Vein, Open Approach

Insertion of Infusion Device into Intracranial Vein, Percutaneous Approach

Insertion of Infusion Device into Intracranial Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Right Internal Jugular Vein, Open Approach

Insertion of Infusion Device into Right Internal Jugular Vein, Percutaneous Approach

Insertion of Infusion Device into Right Internal Jugular Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Left Internal Jugular Vein, Open Approach

Insertion of Infusion Device into Left Internal Jugular Vein, Percutaneous Approach

Insertion of Infusion Device into Left Internal Jugular Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Right External Jugular Vein, Open Approach

Insertion of Infusion Device into Right External Jugular Vein, Percutaneous Approach

Insertion of Infusion Device into Right External Jugular Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Left External Jugular Vein, Open Approach

Insertion of Infusion Device into Left External Jugular Vein, Percutaneous Approach

Insertion of Infusion Device into Left External Jugular Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Right Vertebral Vein, Open Approach

Insertion of Infusion Device into Right Vertebral Vein, Percutaneous Approach

Insertion of Infusion Device into Right Vertebral Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Left Vertebral Vein, Open Approach

Insertion of Infusion Device into Left Vertebral Vein, Percutaneous Approach

Insertion of Infusion Device into Left Vertebral Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Right Face Vein, Open Approach

Insertion of Infusion Device into Right Face Vein, Percutaneous Approach

Insertion of Infusion Device into Right Face Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Left Face Vein, Open Approach

Insertion of Infusion Device into Left Face Vein, Percutaneous Approach

Insertion of Infusion Device into Left Face Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Upper Vein, Open Approach

Insertion of Infusion Device into Upper Vein, Percutaneous Approach

Insertion of Infusion Device into Upper Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Inferior Vena Cava, Open Approach

Insertion of Infusion Device into Inferior Vena Cava, Percutaneous Approach

Insertion of Infusion Device into Inferior Vena Cava, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Splenic Vein, Open Approach

Insertion of Infusion Device into Splenic Vein, Percutaneous Approach

Insertion of Infusion Device into Splenic Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Gastric Vein, Open Approach

Insertion of Infusion Device into Gastric Vein, Percutaneous Approach

05HG33Z

05HG43Z

05HH03Z

05HH33Z

05HH43Z

05HL03Z

05HL33Z

05HL43Z

05HM03Z

05HM33Z

05HM43Z

05HN03Z

05HN33Z

05HN43Z

05HP03Z

05HP33Z

05HP43Z

05HQ03Z

05HQ33Z

05HQ43Z

05HR03Z

05HR33Z

05HR43Z

05HS03Z

05HS33Z

05HS43Z

05HT03Z

05HT33Z

05HT43Z

05HV03Z

05HV33Z

05HV43Z

05HY03Z

05HY33Z

05HY43Z

06H003Z

06H033Z

06H043Z

06H103Z

06H133Z

06H143Z

06H203Z

06H233Z

ICD-10 Procedure Code15

Description

Page 16: 20 Facility and Physician Billing Guide · $537 $6,556 APC 5194 $15,938 $10,181 With transcatheter placement of intravascular stent(s), peripheral dialysis segment, including all

Insertion of Infusion Device into Gastric Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Esophageal Vein, Open Approach

Insertion of Infusion Device into Esophageal Vein, Percutaneous Approach

Insertion of Infusion Device into Esophageal Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Hepatic Vein, Open Approach

Insertion of Infusion Device into Hepatic Vein, Percutaneous Approach

Insertion of Infusion Device into Hepatic Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Superior Mesenteric Vein, Open Approach

Insertion of Infusion Device into Superior Mesenteric Vein, Percutaneous Approach

Insertion of Infusion Device into Superior Mesenteric Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Inferior Mesenteric Vein, Open Approach

Insertion of Infusion Device into Inferior Mesenteric Vein, Percutaneous Approach

Insertion of Infusion Device into Inferior Mesenteric Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Colic Vein, Open Approach

Insertion of Infusion Device into Colic Vein, Percutaneous Approach

Insertion of Infusion Device into Colic Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Portal Vein, Open Approach

Insertion of Infusion Device into Portal Vein, Percutaneous Approach

Insertion of Infusion Device into Portal Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Right Renal Vein, Open Approach

Insertion of Infusion Device into Right Renal Vein, Percutaneous Approach

Insertion of Infusion Device into Right Renal Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Left Renal Vein, Open Approach

Insertion of Infusion Device into Left Renal Vein, Percutaneous Approach

Insertion of Infusion Device into Left Renal Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Right Common Iliac Vein, Open Approach

Insertion of Infusion Device into Right Common Iliac Vein, Percutaneous Approach

Insertion of Infusion Device into Right Common Iliac Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Left Common Iliac Vein, Open Approach

Insertion of Infusion Device into Left Common Iliac Vein, Percutaneous Approach

Insertion of Infusion Device into Left Common Iliac Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Right External Iliac Vein, Open Approach

Insertion of Infusion Device into Right External Iliac Vein, Percutaneous Approach

Insertion of Infusion Device into Right External Iliac Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Left External Iliac Vein, Open Approach

Insertion of Infusion Device into Left External Iliac Vein, Percutaneous Approach

Insertion of Infusion Device into Left External Iliac Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Right Hypogastric Vein, Open Approach

Insertion of Infusion Device into Right Hypogastric Vein, Percutaneous Approach

Insertion of Infusion Device into Right Hypogastric Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Left Hypogastric Vein, Open Approach

Insertion of Infusion Device into Left Hypogastric Vein, Percutaneous Approach

Insertion of Infusion Device into Left Hypogastric Vein, Percutaneous Endoscopic Approach

06H243Z

06H303Z

06H333Z

06H343Z

06H403Z

06H433Z

06H443Z

06H503Z

06H533Z

06H543Z

06H603Z

06H633Z

06H643Z

06H703Z

06H733Z

06H743Z

06H803Z

06H833Z

06H843Z

06H903Z

06H933Z

06H943Z

06HB03Z

06HB33Z

06HB43Z

06HC03Z

06HC33Z

06HC43Z

06HD03Z

06HD33Z

06HD43Z

06HF03Z

06HF33Z

06HF43Z

06HG03Z

06HG33Z

06HG43Z

06HH03Z

06HH33Z

06HH43Z

06HJ03Z

06HJ33Z

06HJ43Z

ICD-10 Procedure Code15

Description

Page 17: 20 Facility and Physician Billing Guide · $537 $6,556 APC 5194 $15,938 $10,181 With transcatheter placement of intravascular stent(s), peripheral dialysis segment, including all

Insertion of Infusion Device into Right Femoral Vein, Open Approach

Insertion of Infusion Device into Right Femoral Vein, Percutaneous Approach

Insertion of Infusion Device into Right Femoral Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Left Femoral Vein, Open Approach

Insertion of Infusion Device into Left Femoral Vein, Percutaneous Approach

Insertion of Infusion Device into Left Femoral Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Right Greater Saphenous Vein, Open Approach

Insertion of Infusion Device into Right Greater Saphenous Vein, Percutaneous Approach

Insertion of Infusion Device into Right Greater Saphenous Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Left Greater Saphenous Vein, Open Approach

Insertion of Infusion Device into Left Greater Saphenous Vein, Percutaneous Approach

Insertion of Infusion Device into Left Greater Saphenous Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Right Lesser Saphenous Vein, Open Approach

Insertion of Infusion Device into Right Lesser Saphenous Vein, Percutaneous Approach

Insertion of Infusion Device into Right Lesser Saphenous Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Left Lesser Saphenous Vein, Open Approach

Insertion of Infusion Device into Left Lesser Saphenous Vein, Percutaneous Approach

Insertion of Infusion Device into Left Lesser Saphenous Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Right Foot Vein, Open Approach

Insertion of Infusion Device into Right Foot Vein, Percutaneous Approach

Insertion of Infusion Device into Right Foot Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Left Foot Vein, Open Approach

Insertion of Infusion Device into Left Foot Vein, Percutaneous Approach

Insertion of Infusion Device into Left Foot Vein, Percutaneous Endoscopic Approach

Insertion of Infusion Device into Lower Vein, Open Approach

Insertion of Infusion Device into Lower Vein, Percutaneous Approach

Insertion of Infusion Device into Lower Vein, Percutaneous Endoscopic Approach

Insertion of Tunneled Vascular Access Device into Chest Subcutaneous Tissue and Fascia, Open Approach

Insertion of Tunneled Vascular Access Device into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach

Insertion of Tunneled Vascular Access Device into Abdomen Subcutaneous Tissue and Fascia, Open Approach

Insertion of Tunneled Vascular Access Device into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach

Insertion of Tunneled Vascular Access Device into Right Upper Arm Subcutaneous Tissue and Fascia, Open Approach

Insertion of Tunneled Vascular Access Device into Right Upper Arm Subcutaneous Tissue and Fascia, Percutaneous Approach

Insertion of Tunneled Vascular Access Device into Left Upper Arm Subcutaneous Tissue and Fascia, Open Approach

Insertion of Tunneled Vascular Access Device into Left Upper Arm Subcutaneous Tissue and Fascia, Percutaneous Approach

Insertion of Tunneled Vascular Access Device into Right Lower Arm Subcutaneous Tissue and Fascia, Open Approach

Insertion of Tunneled Vascular Access Device into Right Lower Arm Subcutaneous Tissue and Fascia, Percutaneous Approach

Insertion of Tunneled Vascular Access Device into Left Lower Arm Subcutaneous Tissue and Fascia, Open Approach

Insertion of Tunneled Vascular Access Device into Left Lower Arm Subcutaneous Tissue and Fascia, Percutaneous Approach

Insertion of Tunneled Vascular Access Device into Right Upper Leg Subcutaneous Tissue and Fascia, Open Approach

06HM03Z

06HM33Z

06HM43Z

06HN03Z

06HN33Z

06HN43Z

06HP03Z

06HP33Z

06HP43Z

06HQ03Z

06HQ33Z

06HQ43Z

06HR03Z

06HR33Z

06HR43Z

06HS03Z

06HS33Z

06HS43Z

06HT03Z

06HT33Z

06HT43Z

06HV03Z

06HV33Z

06HV43Z

06HY03Z

06HY33Z

06HY43Z

0JH60XZ

0JH63XZ

0JH80XZ

0JH83XZ

0JHD0XZ

0JHD3XZ

0JHF0XZ

0JHF3XZ

0JHG0XZ

0JHG3XZ

0JHH0XZ

0JHH3XZ

0JHL0XZ

ICD-10 Procedure Code15

Description

Insertion of Tunneled Vascular Access Device into Right Upper Leg Subcutaneous Tissue and Fascia, Percutaneous Approach

Insertion of Tunneled Vascular Access Device into Left Upper Leg Subcutaneous Tissue and Fascia, Open Approach

Insertion of Tunneled Vascular Access Device into Left Upper Leg Subcutaneous Tissue and Fascia, Percutaneous Approach

0JHL3XZ

0JHM0XZ

0JHM3XZ

Page 18: 20 Facility and Physician Billing Guide · $537 $6,556 APC 5194 $15,938 $10,181 With transcatheter placement of intravascular stent(s), peripheral dialysis segment, including all

ICD-10 Procedure Code15

Description

Insertion of Tunneled Vascular Access Device into Right Lower Leg Subcutaneous Tissue and Fascia, Open Approach

Insertion of Tunneled Vascular Access Device into Right Lower Leg Subcutaneous Tissue and Fascia, Percutaneous Approach

Insertion of Tunneled Vascular Access Device into Left Lower Leg Subcutaneous Tissue and Fascia, Open Approach

Insertion of Tunneled Vascular Access Device into Left Lower Leg Subcutaneous Tissue and Fascia, Percutaneous Approach

Bypass Innominate Artery to Upper Arm Vein with Autologous Venous Tissue, Open Approach

Bypass Innominate Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach

Bypass Innominate Artery to Upper Arm Vein with Autologous Arterial Tissue, Open Approach

Bypass Innominate Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach

Bypass Innominate Artery to Upper Arm Vein with Synthetic Substitute, Open Approach

Bypass Innominate Artery to Lower Arm Vein with Synthetic Substitute, Open Approach

Bypass Innominate Artery to Upper Arm Vein with Nonautologous Tissue Substitute, Open Approach

Bypass Innominate Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach

Bypass Innominate Artery to Upper Arm Vein, Open Approach

Bypass Innominate Artery to Lower Arm Vein, Open Approach

Bypass Right Subclavian Artery to Upper Arm Vein with Autologous Venous Tissue, Open Approach

Bypass Right Subclavian Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach

Bypass Right Subclavian Artery to Upper Arm Vein with Autologous Arterial Tissue, Open Approach

Bypass Right Subclavian Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach

Bypass Right Subclavian Artery to Upper Arm Vein with Synthetic Substitute, Open Approach

Bypass Right Subclavian Artery to Lower Arm Vein with Synthetic Substitute, Open Approach

Bypass Right Subclavian Artery to Upper Arm Vein with Nonautologous Tissue Substitute, Open Approach

Bypass Right Subclavian Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach

Bypass Right Subclavian Artery to Upper Arm Vein, Open Approach

Bypass Right Subclavian Artery to Lower Arm Vein, Open Approach

Bypass Left Subclavian Artery to Upper Arm Vein with Autologous Venous Tissue, Open Approach

Bypass Left Subclavian Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach

Bypass Left Subclavian Artery to Upper Arm Vein with Autologous Arterial Tissue, Open Approach

Bypass Left Subclavian Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach

Bypass Left Subclavian Artery to Upper Arm Vein with Synthetic Substitute, Open Approach

Bypass Left Subclavian Artery to Lower Arm Vein with Synthetic Substitute, Open Approach

Bypass Left Subclavian Artery to Upper Arm Vein with Nonautologous Tissue Substitute, Open Approach

Bypass Left Subclavian Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach

Bypass Left Subclavian Artery to Upper Arm Vein, Open Approach

Bypass Left Subclavian Artery to Lower Arm Vein, Open Approach

Bypass Right Axillary Artery to Upper Arm Vein with Autologous Venous Tissue, Open Approach

Bypass Right Axillary Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach

Bypass Right Axillary Artery to Upper Arm Vein with Autologous Arterial Tissue, Open Approach

Bypass Right Axillary Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach

Bypass Right Axillary Artery to Upper Arm Vein with Synthetic Substitute, Open Approach

Bypass Right Axillary Artery to Lower Arm Vein with Synthetic Substitute, Open Approach

0JHN0XZ

0JHN3XZ

0JHP0XZ

0JHP3XZ

031209D

031209F

03120AD

03120AF

03120JD

03120JF

03120KD

03120KF

03120ZD

03120ZF

031309D

031309F

03130AD

03130AF

03130JD

03130JF

03130KD

03130KF

03130ZD

03130ZF

031409D

031409F

03140AD

03140AF

03140JD

03140JF

03140KD

03140KF

03140ZD

03140ZF

031509D

031509F

03150AD

03150AF

03150JD

03150JF

Bypass Right Axillary Artery to Upper Arm Vein with Nonautologous Tissue Substitute, Open Approach

Bypass Right Axillary Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach

Bypass Right Axillary Artery to Upper Arm Vein, Open Approach

03150KD

03150KF

03150ZD

Page 19: 20 Facility and Physician Billing Guide · $537 $6,556 APC 5194 $15,938 $10,181 With transcatheter placement of intravascular stent(s), peripheral dialysis segment, including all

Bypass Right Axillary Artery to Lower Arm Vein, Open Approach

Bypass Left Axillary Artery to Upper Arm Vein with Autologous Venous Tissue, Open Approach

Bypass Left Axillary Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach

Bypass Left Axillary Artery to Upper Arm Vein with Autologous Arterial Tissue, Open Approach

Bypass Left Axillary Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach

Bypass Left Axillary Artery to Upper Arm Vein with Synthetic Substitute, Open Approach

Bypass Left Axillary Artery to Lower Arm Vein with Synthetic Substitute, Open Approach

Bypass Left Axillary Artery to Upper Arm Vein with Nonautologous Tissue Substitute, Open Approach

Bypass Left Axillary Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach

Bypass Left Axillary Artery to Upper Arm Vein, Open Approach

Bypass Left Axillary Artery to Lower Arm Vein, Open Approach

Bypass Right Brachial Artery to Upper Arm Vein with Autologous Venous Tissue, Open Approach

Bypass Right Brachial Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach

Bypass Right Brachial Artery to Upper Arm Vein with Autologous Arterial Tissue, Open Approach

Bypass Right Brachial Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach

Bypass Right Brachial Artery to Upper Arm Vein with Synthetic Substitute, Open Approach

Bypass Right Brachial Artery to Lower Arm Vein with Synthetic Substitute, Open Approach

Bypass Right Brachial Artery to Upper Arm Vein with Nonautologous Tissue Substitute, Open Approach

Bypass Right Brachial Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach

Bypass Right Brachial Artery to Upper Arm Vein, Open Approach

Bypass Right Brachial Artery to Lower Arm Vein, Open Approach

Bypass Left Brachial Artery to Upper Arm Vein with Autologous Venous Tissue, Open Approach

Bypass Left Brachial Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach

Bypass Left Brachial Artery to Upper Arm Vein with Autologous Arterial Tissue, Open Approach

Bypass Left Brachial Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach

Bypass Left Brachial Artery to Upper Arm Vein with Synthetic Substitute, Open Approach

Bypass Left Brachial Artery to Lower Arm Vein with Synthetic Substitute, Open Approach

Bypass Left Brachial Artery to Upper Arm Vein with Nonautologous Tissue Substitute, Open Approach

Bypass Left Brachial Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach

Bypass Left Brachial Artery to Upper Arm Vein, Open Approach

Bypass Left Brachial Artery to Lower Arm Vein, Open Approach

Bypass Right Ulnar Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach

Bypass Right Ulnar Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach

Bypass Right Ulnar Artery to Lower Arm Vein with Synthetic Substitute, Open Approach

Bypass Right Ulnar Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach

Bypass Right Ulnar Artery to Lower Arm Vein, Open Approach

Bypass Left Ulnar Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach

Bypass Left Ulnar Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach

Bypass Left Ulnar Artery to Lower Arm Vein with Synthetic Substitute, Open Approach

Bypass Left Ulnar Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach

03150ZF

031609D

031609F

03160AD

03160AF

03160JD

03160JF

03160KD

03160KF

03160ZD

03160ZF

031709D

031709F

03170AD

03170AF

03170JD

03170JF

03170KD

03170KF

03170ZD

03170ZF

031809D

031809F

03180AD

03180AF

03180JD

03180JF

03180KD

03180KF

03180ZD

03180ZF

031909F

03190AF

03190JF

03190KF

03190ZF

031A09F

031A0AF

031A0JF

031A0KF

ICD-10 Procedure Code15

Description

Bypass Left Ulnar Artery to Lower Arm Vein, Open Approach

Bypass Right Radial Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach

Bypass Right Radial Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach

031A0ZF

031B09F

031B0AF

Page 20: 20 Facility and Physician Billing Guide · $537 $6,556 APC 5194 $15,938 $10,181 With transcatheter placement of intravascular stent(s), peripheral dialysis segment, including all

Bypass Right Radial Artery to Lower Arm Vein with Synthetic Substitute, Open Approach

Bypass Right Radial Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach

Bypass Right Radial Artery to Lower Arm Vein, Open Approach

Bypass Left Radial Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach

Bypass Left Radial Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach

Bypass Left Radial Artery to Lower Arm Vein with Synthetic Substitute, Open Approach

Bypass Left Radial Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach

Bypass Left Radial Artery to Lower Arm Vein, Open Approach

Repair Upper Artery, Open Approach

Repair Upper Artery, Percutaneous Approach

Repair Upper Artery, Percutaneous Endoscopic Approach

Repair Lower Artery, Open Approach

Repair Lower Artery, Percutaneous Approach

Repair Lower Artery, Percutaneous Endoscopic Approach

Extirpation of Matter from Upper Vein, Open Approach

Extirpation of Matter from Upper Vein, Percutaneous Approach

Extirpation of Matter from Upper Vein, Percutaneous Endoscopic Approach

Repair Upper Vein, Open Approach

Repair Upper Vein, Percutaneous Approach

Repair Upper Vein, Percutaneous Endoscopic Approach

Extirpation of Matter from Lower Vein, Open Approach

Extirpation of Matter from Lower Vein, Percutaneous Approach

Extirpation of Matter from Lower Vein, Percutaneous Endoscopic Approach

Repair Lower Vein, Open Approach

Repair Lower Vein, Percutaneous Approach

Repair Lower Vein, Percutaneous Endoscopic Approach

Removal of Synthetic Substitute from Upper Artery, Open Approach

Removal of Synthetic Substitute from Upper Artery, Percutaneous Approach

Removal of Synthetic Substitute from Upper Artery, Percutaneous Endoscopic Approach

Revision of Synthetic Substitute in Upper Artery, Open Approach

Revision of Synthetic Substitute in Upper Artery, Percutaneous Approach

Revision of Synthetic Substitute in Upper Artery, Percutaneous Endoscopic Approach

Revision of Synthetic Substitute in Upper Artery, External Approach

031B0JF

031B0KF

031B0ZF

031C09F

031C0AF

031C0JF

031C0KF

031C0ZF

03QY0ZZ

03QY3ZZ

03QY4ZZ

04QY0ZZ

04QY3ZZ

04QY4ZZ

05CY0ZZ

05CY3ZZ

05CY4ZZ

05QY0ZZ

05QY3ZZ

05QY4ZZ

06CY0ZZ

06CY3ZZ

06CY4ZZ

06QY0ZZ

06QY3ZZ

06QY4ZZ

03PY0JZ

03PY3JZ

03PY4JZ

03WY0JZ

03WY3JZ

03WY4JZ

03WYXJZ

ICD-10 Procedure Code15

Description

Page 21: 20 Facility and Physician Billing Guide · $537 $6,556 APC 5194 $15,938 $10,181 With transcatheter placement of intravascular stent(s), peripheral dialysis segment, including all

References1. Current Procedural Terminology (CPT) copyright 1995-2019, American Medical Association (AMA). All rights reserved. CPT is a registered trademark of the AMA.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein. Applicable FARS/DFARS restrictions apply to government use.

2. Not all codes provided are applicable for the clinical scenarios in which Edwards Lifesciences’ Vascular technologies are used. The provider is responsible for selecting the most appropriate code(s) for the patient’s clinical presentation. When radiologic guidance is used for catheter placement, it may be appropriate to add applicable codes according to the service provided following correct coding guidelines. Services that are considered a component of another procedure may not always be coded and billed separately.

3. Where applicable, a physician may be required to report CPT codes for radiological supervision and interpretation with CPT codes for interventional procedures. The use of modifier-26 may be required with various radiological supervision and interpretation CPT codes unless radiological equipment is owned by the physician performing these services. Radiological services are often packaged and do not qualify for separate payment by Medicare when performed in conjunction with interventional procedures. Consult with coding and billing staff, as well as payer policy for further guidance.

4. For all Medicare payments for physician, hospital outpatient, and ASC services, the multiple procedure reduction rule may apply. Consult with coding and billing staff, and payer policy for further guidance. National average Medicare Physician payment is calculated using the Conversion Factor of $36.0896 per the Medicare Physician Fee Schedule for Calendar Year 2020 Final Rule issued November 15, 2019. National average is based on factors such as geography, teaching vs. non-teaching hospital, rural vs. urban area, etc. and your payment may be different based on these factors. This payment will differ for commercial payers. Payments are effective January 1, 2019 through December 31, 2019.

5. CPT code 35390 should be used in conjunction with 353016. CPT code 36901 should not be used in conjunction with 36833, 36902, 36903, 36904, 36905, or 369067. CPT code 36902 should not be used in conjunction with 36903, 36833, 36904, 36905, or 36906. Should not be reported more than once per operative session.8. CPT code 36903 should not be used in conjunction with 36833, 36904, 36905, or 36906. Should not be reported more than once per operative session. 9. CPT code 36904 should not be reported more than once per operative session. 10.CPT code 36905 should not be used in conjunction with 36904. Should not be reported more than once per operative session. 11.CPT code 36906 should not be used in conjunction with 36901, 36902, 36903, 36904, 36905. Should not be reported more than once per operative session. 12.Various radiological services are often packaged in APC payments and do not qualify for separate payment by Medicare when performed in conjunction with the

interventional procedure. For Medicare claims submission and processing, applicable device-related C codes must also be reported.13.National Uniform Billing Committee, American Hospital Association.14.Federal Register / Vol. 74, No. 11 / Friday, January 16, 2009 / Rules and Regulations: This final rule adopts modifications to two of the code set standards adopted in

the Transactions and Code Sets final rule published in the Federal Register pursuant to certain provisions of the Administrative Simplification subtitle of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Specifically, this final rule modifies the standard medical data code sets (hereinafter ‘‘code sets’’) for coding diagnoses and inpatient hospital procedures by concurrently adopting the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) for diagnosis coding, including the Official ICD-10-CM Guidelines for Coding and Reporting, as maintained and distributed by the U.S. Department of Health and Human Services (HHS), hereinafter referred to as ICD-10-CM, and the International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS) for inpatient hospital procedure coding, including the Official ICD-10-PCS Guidelines for Coding and Reporting, as maintained and distributed by the HHS, hereinafter referred to as ICD-10-PCS. These new codes replace the International Classification of Diseases, 9th Revision, Clinical Modification, Volumes 1 and 2, including the Official ICD-9-CM Guidelines for Coding and Reporting, hereinafter referred to as ICD-9-CM Volumes 1 and 2, and the International Classification of Diseases, 9th Revision, Clinical Modification, Volume 3, including the Official ICD-9-CM Guidelines for Coding and Reporting, hereinafter referred to as ICD-9-CM Volume 3, for diagnosis and procedure codes, respectively. DATES: The effective date of this regulation is March 17, 2009. The effective date is the date that the policies herein take effect, and new policies are considered to be officially adopted. The compliance date, which is different than the effective date, is the date on which entities are required to have implemented the policies adopted in this rule. The compliance date for this regulation is October 1, 2015.

15. International Classification of Diseases, 10th Revision, Procedure Coding System 2020.

CAUTION: Federal (United States) law restricts these devices to sale by or on the order of a physician. See instructions for use for full prescribing information, including indications, contraindications, warnings, precautions and adverse events.

Edwards, Edwards Lifesciences, the stylized E logo, Duravess, Fogarty, and Fogarty Fortis are trademarks or service marks of Edwards Lifesciences Corporation. All other trademarks are the property of their respective owners.

© 2020 Edwards Lifesciences Corporation. All rights reserved. PP—US-0126 v8.0

Edwards Lifesciences • One Edwards Way, Irvine CA 92614 USA • edwards.com

Disclaimer Reimbursement information provided by Edwards Lifesciences is gathered from third-party sources and is presented for informational purposes only. Edwards makes no representation, warranty or guarantee as to the timeliness, accuracy or completeness of the information and such information is not, and should not be construed as reimbursement, coding or legal advice. Any and all references to reimbursement codes are provided as examples only and are not intended to be a recommendation or advice as to the appropriate code for the a particular patient, diagnosis, product or procedure or a guarantee or promise of coverage or payment, nor does Edwards Lifesciences warranty that codes listed are appropriate in all related clinical scenarios. It is the responsibility of the provider to determine if coverage exists and what requirements are necessary for submitting a proper claim for reimbursement to a health plan or payer, including the appropriate code(s) for products provided or services rendered. Laws, regulations, and payer policies concerning reimbursement are complex and change frequently; service providers are responsible for all decisions relating to coding and reimbursement submissions. Medicare’s Correct Coding Initiative and commercial payer policies are reviewed and updated several times each year. Accordingly, Edwards strongly recommends consultation with payers, reimbursement specialists and/or legal counsel regarding appropriate product or procedure codes, coverage, and reimbursement matters.