biotronik · current 350975 setrox s 60 pacemaker lead c1898 lead, pacemaker, other than...

Revised March 2019

BIOTRONIKProduct and Medicare C-Code Cross Reference

biotronik.com

2

Disclaimer

Reimbursement related information provided by BIOTRONIK is obtained from third party sources. This information is provided for the convenience of the health care provider only and does not constitute reimbursement, legal or compliance advice. BIOTRONIK makes no representation or warranty regarding this information or its accuracy, completeness or applicability and assumes no responsibility for updating this information. BIOTRONIK specifically disclaims liability or responsibility for the results or consequences of any actions taken in reliance on information in this document. BIOTRONIK strongly encourages health care providers to submit accurate and appropriate claims for services and recommends that you consult directly with payers, certified reimbursement coding professionals, other reimbursement experts, and/or legal counsel regarding all coding, coverage, and payment issues.

3

BIOTRONIK Product and Medicare C-Code Cross Reference

SUMMARY/OVERVIEW:

• The Centers for Medicare and Medicaid Services (CMS) requires providers to report appropriate Healthcare Common Procedure Coding System (HCPCS) Level II codes (C Codes) for all procedures considered “device-dependent.”

• C-Codes are required by CMS for the purpose of collecting accurate charge data for current procedures, and for setting future payment rates.

• Hospital bills that include device-related CPT procedure codes without the appropriate accompanying C code(s) describing the device(s) used in the procedure are subject to denial.

• This product cross-reference includes a summary list of BIOTRONIK products. A comprehensive list of C-Codes is available. Click on the link below to view. https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets/Alpha-Numeric-HCPCS-Items/2019-Alpha-Numeric-HCPCS-File.html?DLPage=1&DLEntries=10&DLSort=0&DLSortDir=descending

https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets/Alpha-Numeric-HCPCS-Items/2019-Alpha-Numeric-HCPCS-File.html?DLPage=1&DLEntries=10&DLSort=0&DLSortDir=descending



4

StatusModel

Number Device Name/Description Device Category C Code HCPCS Level II Code Description

CARDIAC RHYTHM MONITORING

Pacemakers - Single Chamber

Current 394936 Etrinsa SR-T PPM SC C1786 Pacemaker, single chamber, rate-responsive (implantable)

Current 394971 Eluna ProMRI SR-T PPM SC C1786 Pacemaker, single chamber, rate-responsive (implantable)

Current 407157 Edora ProMRI SR-T PPM SC C1786 Pacemaker, single chamber, rate-responsive (implantable)

Pacemakers - Dual Chamber

Current 394931 Etrinsa DR-T PPM DC C1785 Pacemaker, dual chamber, rate-responsive (implantable)

Current 394969 Eluna ProMRI DR-T PPM DC C1785 Pacemaker, dual chamber, rate-responsive (implantable)

Current 407145 Edora ProMRI DR-T PPM DC C1785 Pacemaker, dual chamber, rate-responsive (implantable)

ICDs - Single Chamber

Current 393040 Itrevia VR-T DF-1 ICD SC C1722 Cardioverter-defibrillator, single chamber (implantable)

Current 393041 Itrevia VR-T DF4 ICD SC C1722 Cardioverter-defibrillator, single chamber (implantable)

Current 404625 Ilivia ProMRI VR-T DF-1 ICD SC C1722 Cardioverter-defibrillator, single chamber (implantable)

Current 404626 Ilivia ProMRI VR-T DF4 ICD SC C1722 Cardioverter-defibrillator, single chamber (implantable)

Current 429536 Rivacor VR-T DF4 ICD SC C1722 Cardioverter-defibrillator, single chamber (implantable)

ICDs - Dual Chamber

Current 392409 Iperia ProMRI DR-T DF-1 ICD DC C1721 Cardioverter-defibrillator, dual chamber (implantable)

Current 392412 Itrevia DR-T DF-1 ICD DC C1721 Cardioverter-defibrillator, dual chamber (implantable)

Current 392423 Iperia ProMRI DR-T DF4 ICD DC C1721 Cardioverter-defibrillator, dual chamber (implantable)

Obsolete 392426 Itrevia DR-T DF4 ICD DC C1721 Cardioverter-defibrillator, dual chamber (implantable)

Current 404622 Ilivia DR-T DF-1 ICD DC C1721 Cardioverter-defibrillator, dual chamber (implantable)

Current 404623 Ilivia ProMRI DR-T DF4 ICD DC C1721 Cardioverter-defibrillator, dual chamber (implantable)

Current 429534 Rivacor DR-T DF4 ICD DC C1721 Cardioverter-defibrillator, dual chamber (implantable)

ICDs - Hybrid

Current 393032 Iperia ProMRI DX ICD DX C1722 Cardioverter-defibrillator, single chamber (implantable)

Obsolete 393037 Itrevia DX ICD DX C1722 Cardioverter-defibrillator, single chamber (implantable)

Current 399436 Inventra ProMRI UHE DX ICD DX C1722 Cardioverter-defibrillator, single chamber (implantable)

Obsolete 399437 Inventra UHE DX ICD DX C1722 Cardioverter-defibrillator, single chamber (implantable)

Current 404633 Intica ProMRI DX ICD DX C1722 Cardioverter-defibrillator, single chamber (implantable)

Current 429525 Acticor DX ICD DX C1722 Cardioverter-defibrillator, single chamber (implantable)

CRT-Pacemaker

Current 394919 Etrinsa HF-T CRTP C2621 Pacemaker, other than single or dual chamber (implantable)

Current 407137 Edora HF-T QP CRTP C2621 Pacemaker, other than single or dual chamber (implantable)

Current 407138 Edora HF-T CRTP C2621 Pacemaker, other than single or dual chamber (implantable)

5

StatusModel

Number Device Name/Description Device Category C Code HCPCS Level II Code DescriptionCRT-Defibrillator

Current 393007 Iperia HF-T DF-1 CRTD C1882 Cardioverter-defibrillator, other than single or dual chamber (implantable)

Current 393009 Iperia HF-T DF4 CRTD C1882 Cardioverter-defibrillator, other than single or dual chamber (implantable)

Current 393012 Inventra ProMRI HF-T QP DF4 IS4 CRTD C1882 Cardioverter-defibrillator, other than single or dual chamber (implantable)

Current 393014 Itrevia HF-T DF-1 CRTD C1882 Cardioverter-defibrillator, other than single or dual chamber (implantable)

Current 393016 Itrevia HF-T DF4 CRTD C1882 Cardioverter-defibrillator, other than single or dual chamber (implantable)

Current 401662 Itrevia HF-T QP DF4 IS4 CRTD C1882 Cardioverter-defibrillator, other than single or dual chamber (implantable)

Current 404621 Ilivia ProMRI HF-T QP DF4 IS4 CRTD C1882 Cardioverter-defibrillator, other than single or dual chamber (implantable)

Current 404629 Intica ProMRI HF-T QP DF-1 IS4 CRTD C1882 Cardioverter-defibrillator, other than single or dual chamber (implantable)

Current 404627 Intica HF-T DF1 CRTD C1882 Cardioverter-defibrillator, other than single or dual chamber (implantable)

Current 429532 Rivacor HF-T QP DF4 IS4 CRTD C1882 Cardioverter-defibrillator, other than single or dual chamber (implantable)

CRT-Hybrid

Current 429522 Acticor HF-T QP CRT-DX DF4 IS4 CRTD C1882 Cardioverter-defibrillator, other than single or dual chamber (implantable)

Current 429523 Acticor HF-T CRT-DX DF4 IS1 CRTD C1882 Cardioverter-defibrillator, other than single or dual chamber (implantable)

Pacemakers - Temporary

Current 365528 Reocor S Temporary pacemaker N/A

Current 365529 Reocor D Temporary pacemaker N/A

Current 378007 Protective Cover Reocor Temporary pacemaker accessory N/A

Current 371262 Reocor D Redel Adapter Temporary pacemaker adapter N/A

Current 371263 Reocor S Redel Adapter Temporary pacemaker adapter N/A

Subcutaneous Cardiac Rhythm Monitors (SCRM)

Current 394119 BioMonitor ICM C1764 Event recorder, cardiac (implantable)

Current 398493 BioMonitor 2 ICM C1764 Event recorder, cardiac (implantable)

Leads - Pacemaker

Current 346366 Selox ST 53 Pacemaker Lead C1898 Lead, pacemaker, other than transvenous VDD single pass

Current 346367 Selox ST 60 Pacemaker Lead C1898 Lead, pacemaker, other than transvenous VDD single pass

Current 346368 Selox JT 53 Pacemaker Lead C1898 Lead, pacemaker, other than transvenous VDD single pass

Current 346369 Selox JT 45 Pacemaker Lead C1898 Lead, pacemaker, other than transvenous VDD single pass

Obsolete 350973 Setrox S 45 Pacemaker Lead C1898 Lead, pacemaker, other than transvenous VDD single pass

Current 350974 Setrox S 53 Pacemaker Lead C1898 Lead, pacemaker, other than transvenous VDD single pass

Current 350975 Setrox S 60 Pacemaker Lead C1898 Lead, pacemaker, other than transvenous VDD single pass

Obsolete 377176 Solia S 45 Pacemaker Lead C1898 Lead, pacemaker, other than transvenous VDD single pass

Current 377177 Solia S 53 Pacemaker Lead C1898 Lead, pacemaker, other than transvenous VDD single pass

Current 377179 Solia S 60 Pacemaker Lead C1898 Lead, pacemaker, other than transvenous VDD single pass

Leads - ICD Single Chamber

Current 369818 Linoxsmart S 65 ICD Lead SC C1777 Lead, cardioverter-defibrillator, endocardial single coil (implantable)

Obsolete 369819 Linoxsmart S 75 ICD Lead SC C1777 Lead, cardioverter-defibrillator, endocardial single coil (implantable)

6

StatusModel

Number Device Name/Description Device Category C Code HCPCS Level II Code DescriptionObsolete 369820 Linoxsmart T 65 ICD Lead SC C1777 Lead, cardioverter-defibrillator, endocardial single coil (implantable)

Obsolete 375012 Linoxsmart S 60 ICD Lead SC C1777 Lead, cardioverter-defibrillator, endocardial single coil (implantable)

Current 379967 Protego T 65 ICD Lead SC C1777 Lead, cardioverter-defibrillator, endocardial single coil (implantable)

Current 379968 Protego S 75 ICD Lead SC C1777 Lead, cardioverter-defibrillator, endocardial single coil (implantable)



Current 402266 Plexa ProMRI S 65 ICD Lead SC C1777 Lead, cardioverter-defibrillator, endocardial single coil (implantable)

Current 402267 Plexa ProMRI S 75 ICD Lead SC C1777 Lead, cardioverter-defibrillator, endocardial single coil (implantable)

Current 413997 Plexa ProMRI DF-1 S 65 ICD Lead SC C1777 Lead, cardioverter-defibrillator, endocardial single coil (implantable)

Leads - ICD Dual Chamber

Current 359065 Linoxsmart SD 60/16 ICD Lead DC C1895 Lead, cardioverter-defibrillator, endocardial dual coil (implantable)

Obsolete 359066 Linoxsmart SD 65/16 ICD Lead DC C1895 Lead, cardioverter-defibrillator, endocardial dual coil (implantable)

Current 359067 Linoxsmart SD 65/18 ICD Lead DC C1895 Lead, cardioverter-defibrillator, endocardial dual coil (implantable)

Obsolete 359068 Linoxsmart SD 75/18 ICD Lead DC C1895 Lead, cardioverter-defibrillator, endocardial dual coil (implantable)

Obsolete 359073 Linoxsmart TD 65/16 ICD Lead DC C1895 Lead, cardioverter-defibrillator, endocardial dual coil (implantable)

Current 359074 Linoxsmart TD 65/18 ICD Lead DC C1895 Lead, cardioverter-defibrillator, endocardial dual coil (implantable)

Current 359076 Protego TD 65/16 ICD Lead DC C1895 Lead, cardioverter-defibrillator, endocardial dual coil (implantable)

Obsolete 399408 Protego SD 60/16 ICD Lead DC C1895 Lead, cardioverter-defibrillator, endocardial dual coil (implantable)

Current 399410 Protego SD 65/18 ICD Lead DC C1895 Lead, cardioverter-defibrillator, endocardial dual coil (implantable)

Current 399411 Protego SD 75/18 ICD Lead DC C1895 Lead, cardioverter-defibrillator, endocardial dual coil (implantable)

Current 402263 Plexa ProMRI SD 65/18 ICD Lead DC C1895 Lead, cardioverter-defibrillator, endocardial dual coil (implantable)

Current 402264 Plexa ProMRI SD 75/18 ICD Lead DC C1895 Lead, cardioverter-defibrillator, endocardial dual coil (implantable)

Current 414001 Plexa ProMRI DF-1 SD 65/18 ICD Lead DC C1895 Lead, cardioverter-defibrillator, endocardial dual coil (implantable)

Leads - ICD Hybrid

Current 365500 Linoxsmart S DX 65/15 ICD Lead DX C1777 Lead, cardioverter-defibrillator, endocardial single coil (implantable)

Current 365501 Linoxsmart S DX 65/17 ICD Lead DX C1777 Lead, cardioverter-defibrillator, endocardial single coil (implantable)

Current 414005 Plexa ProMRI DF-1 S DX 65/15 ICD Lead DX C1777 Lead, cardioverter-defibrillator, endocardial single coil (implantable)

Current 414006 Plexa ProMRI DF-2 S DX 65/17 ICD Lead DX C1777 Lead, cardioverter-defibrillator, endocardial single coil (implantable)

Current 436909 Plexa ProMRI S DX 65/15 DF4 ICD Lead DX C1777 Lead, cardioverter-defibrillator, endocardial single coil (implantable)

Current 436910 Plexa ProMRI S DX 65/17 DF4 ICD Lead DX C1777 Lead, cardioverter-defibrillator, endocardial single coil (implantable)

Leads - LV

Obsolete 354805 Corox OTW 75-BP LV Lead C1900 Lead, left ventricular coronary venous system

Current 354807 Corox OTW 85-BP LV Lead C1900 Lead, left ventricular coronary venous system

Current 355148 Corox OTW-S 75-BP LV Lead C1900 Lead, left ventricular coronary venous system

Current 355149 Corox OTW-S 85-BP LV Lead C1900 Lead, left ventricular coronary venous system

Current 368345 Corox OTW-L 75-BP LV Lead C1900 Lead, left ventricular coronary venous system

Current 368346 Corox OTW-L 85-BP LV Lead C1900 Lead, left ventricular coronary venous system

Obsolete 386835 Sentus OTW QP L-75 LV Lead C1900 Lead, left ventricular coronary venous system

Obsolete 386836 Sentus OTW QP L-85 LV Lead C1900 Lead, left ventricular coronary venous system

Obsolete 400719 Sentus OTW QP S-75 LV Lead C1900 Lead, left ventricular coronary venous system

7

StatusModel

Number Device Name/Description Device Category C Code HCPCS Level II Code DescriptionObsolete 400720 Sentus OTW QP S-85 LV Lead C1900 Lead, left ventricular coronary venous system

Current 406081 Sentus ProMRI OTW QP S 75/49 LV Lead C1900 Lead, left ventricular coronary venous system

Current 406082 Sentus ProMRI OTW QP S 85/49 LV Lead C1900 Lead, left ventricular coronary venous system

Current 408718 Sentus ProMRI OTW QP L 75/49 LV Lead C1900 Lead, left ventricular coronary venous system

Current 408719 Sentus ProMRI OTW QP L 85/49 LV Lead C1900 Lead, left ventricular coronary venous system

Leads - Epicardial

Current 360882 Myopore (Greatbatch) BP35 Epicardial Lead C1896 Lead, cardioverter-defibrillator, other than endocardial single or dual coil implantable

Current 360883 Myopore (Greatbatch) BP54 Epicardial Lead C1896 Lead, cardioverter-defibrillator, other than endocardial single or dual coil implantable

Leads - Accessories

Obsolete 398339 SafeSheath® II Introducer C1892 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away




Current 398347 SafeSheath® II SS9.5 Introducer C1892 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away







Current 398357 SafeSheath® IISSL10 Introducer C1892 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away

Current 398358 SafeSheath II® SS 10.5 Introducer C1892 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away

Current 398359 SafeSheath II® SSL11 Introducer C1892 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away

Current 398711 CLS-1006 ClassicSheath Standard Introducer C1892 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away




Current 398717 CLS-1009.5 ClassicSheath Standard Introducer C1892 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away


Current 398719 CLS-1010.5 ClassicSheath Standard Introducer C1892 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away







Current 391883 Optiseal sideport 13 cm 6F Introducer Introducer Sheath C1766 Introducer/sheath, guiding, intracardiac electrophysiological, steerable, other than peel-away





8

StatusModel

Number Device Name/Description Device Category C Code HCPCS Level II Code DescriptionCurrent 391888 Optiseal sideport 13 cm 11F Introducer Introducer Sheath C1766 Introducer/sheath, guiding, intracardiac electrophysiological, steerable, other than peel-away









Current 400017 Galt LI-6 US Introducer Introducer Sheath C1892 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away





Current 400209 SafeSheath II® SSL6 Introducer Introducer Sheath C1766 Introducer/sheath, guiding, intracardiac electrophysiological, steerable, other than peel-away

Current 336074 Corodyn P1 Venogram Balloon Catheter Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away

Obsolete 358735 Selectra CS Lead Delivery System Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away

Current 359218 Pressure Products CSG/Worley/L-1-09 Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away

Current 361581 PressureProducts CSG/Worley/L/BCor-1-09 Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away

Current 361683 Pressure Products CSG/Worley/BCor-1-09 Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away

Current 361684 Pressure Products CSG/Worley/BCor-2-09 Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away

Current 363724 Streamer Polymer ES Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away

Current 363725 Streamer Polymer ES-J Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away

Current 363726 Streamer XT Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away

Current 363727 Streamer XT-J Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away

Current 368980 Pressure Products LVI/75-5-62-07-HO Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away

Current 368981 Pressure Products LVI/75-5-62-07-HS Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away

Current 368982 Pressure Products LVI/75-5-62-07-MP Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away

Current 368983 Pressure Products LVI/75-5-62-07-RE Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away

Current 375518 Selectra Accessory Kit Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away

Current 375519 Selectra Amplatz 6.0-45 Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away

Obsolete 375520 Selectra Amplatz 6.0-55 Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away

Obsolete 375521 Selectra Straight-55 Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away

Current 375523 Selectra BIO2-45 Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away

Current 375524 Selectra BIO2-55 Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away

Current 375527 Selectra Extended Hook-45 Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away

Current 375528 Selectra Extended Hook-55 Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away

Current 375529 Selectra Hook-45 Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away

Current 375530 Selectra Hook-55 Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away

Current 375531 Selectra MPEP-45 Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away

Obsolete 375532 Selectra MPEP-55 Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away

Current 375533 Selectra MPH-45 Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away

Obsolete 375534 Selectra MPH-55 Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away

9

StatusModel

Number Device Name/Description Device Category C Code HCPCS Level II Code DescriptionCurrent 375535 Selectra Right-45 Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away

Current 375536 Selectra Right-55 Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away

Current 375537 Selectra Straight-45 Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away

Obsolete 375545 Selectra IC 50-65 Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away




Current 379469 Pressure Products TVI, 7 FR Tool Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away

Current 383119 Selectra Slitter Accessory N/A N/A

Current 386691 Pressure Products Rt Sided Worley SURS9 Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away

Current 392289 Selectra IC-50-59 Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away




Current 416574 SafeSheath® II Worley Right-sided Access Lead Delivery System C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed curve, other than peel-away

Current 352023 Vision Wire Insulated 175 ES-FL Guide Wire C1769 Guide Wire

Obsolete 357259 Cruiser-18 195cm Medium Guide Wire C1769 Guide Wire

Obsolete 357260 Cruiser-18 195cm Stiff Guide Wire C1769 Guide Wire

Obsolete 357261 Cruiser-18 300cm Medium Guide Wire C1769 Guide Wire

Obsolete 357262 Cruiser-18 300cm Stiff Guide Wire C1769 Guide Wire

Current 363724 Streamer 195 ES Guide Wire C1769 Guide Wire

Current 363725 Streamer 195 ES-J Guide Wire C1769 Guide Wire

Current 363726 Streamer 195 XT Guide Wire C1769 Guide Wire

Current 363727 Streamer 195 XT-J Guide Wire C1769 Guide Wire

Home Monitoring

Current 405475 Remote Assistant Patient monitoring N/A N/A

Current 370328 CardioMessenger -S Kit Home Monitoring E1399 Durable medical equipment, miscellaneous

Current 370329 CardioMessenger -S TLine Kit Home Monitoring E1399 Durable medical equipment, miscellaneous

Current 399726 CardioMessenger II LLT Kit US Home Monitoring E1399 Durable medical equipment, miscellaneous

Current 399729 CardioMessenger II-S Kit GSM US Home Monitoring E1399 Durable medical equipment, miscellaneous

Current 399730 CardioMessenger II-S Kit TLine US Home Monitoring E1399 Durable medical equipment, miscellaneous

Current 401831 CardioMessenger Smart 3G US Home Monitoring E1399 Durable medical equipment, miscellaneous

Radiation Protection

Current 403806 ZeroGravity ZGD20WA-Loop Cover Box Radiation Protection Accessory N/A N/A

Current 403812 ZeroGravity ZGAV-L Vest Radiation Protection Accessory N/A N/A

Current 403820 ZeroGravity ZGAV-M Vest Radiation Protection Accessory N/A N/A

Implant Accessories

Current 440575 BioEnvelope, S, Single Accessory N/A N/A

Current 440576 BioEnvelope, M, Single Accessory N/A N/A

Current 440577 BioEnvelope, L, Single Accessory N/A N/A

10

StatusModel

Number Device Name/Description Device Category C Code HCPCS Level II Code DescriptionCurrent 440578 BioEnvelope, XL, Single Accessory N/A N/A

Current 440579 BioEnvelope, XXL, Single Accessory N/A N/A

Current 440581 BioEnvelope, M, Demo Accessory N/A N/A

Current 440622 BioEnvelope, L, Five Pack Accessory N/A N/A

Current 440623 BioEnvelope, M, Five Pack Accessory N/A N/A

Current 440624 BioEnvelope, S, Five Pack Accessory N/A N/A

Current 440625 BioEnvelope, XXL, Five Pack Accessory N/A N/A

Current 440626 BioEnvelope, XL, Five Pack Accessory N/A N/A

Current 106119 Si-2 Silicone oil Accessory N/A N/A

Current 106157 VL Vein lifter/Vein pick Accessory N/A N/A

Current 106162 S 60-K Stylet Accessory N/A N/A

Current 106164 S 60-J Stylet Accessory N/A N/A



Current 107622 EFH-25 Lead sleeve Accessory N/A N/A

Current 108984 TW Torque wrench Accessory N/A N/A

Current 109185 BK-IS Lead cap Accessory N/A N/A

Current 109224 BK-N Lead cap Accessory N/A N/A





Current 119291 S 60-S Stylet Accessory N/A N/A

Current 119602 BS DF-1 Blind plug Accessory N/A N/A



Current 124208 S 75-A Stylet Accessory N/A N/A

Current 124301 S 75-C Stylet Accessory N/A N/A

Current 124437 S 75-E Stylet Accessory N/A N/A

Current 124697 S 60-F Stylet Accessory N/A N/A





Current 330834 BS IS-1 Blind plug Accessory N/A N/A

Current 331668 DH Fixation tool Accessory N/A N/A

Current 333413 S 65-A Stylet Accessory N/A N/A


Current 343586Remington Medical 301-CG Sterile Single Use

Disposable 2.5 Meter Surgical Cable w/Biotronik Connector & Alligator Clips

Accessory N/A N/A

Current 343588ADAP 2R interfacefor Biotronik Pacing System

Analyzer and Remington S-101-97-12 cable (Biotronik Model # 365888)

Accessory N/A N/A

11

StatusModel

Number Device Name/Description Device Category C Code HCPCS Level II Code DescriptionCurrent 343589 C/IS-10 ADAPTER Accessory N/A N/A

Current 344025

The ADAP-2000 disposable pacing cable for transvenous and temporary pacing connects 2mm

shrouded pin pacing catheters non-Biotronik temporary pacemakers

Accessory N/A N/A

Current 344044 S 65-E Stylet Accessory N/A N/A

Current 346977 S 75-G OTW Stylet Accessory N/A N/A

Current 346978 S 75-K OTW Stylet Accessory N/A N/A

Current 346979 S 85-G OTW Stylet Accessory N/A N/A

Current 346980 S 85-K OTW Stylet Accessory N/A N/A

Current 347481 ILINK-BIS-10 ADAPTER Accessory N/A N/A

Current 353234 S 53-JL Stylet Accessory N/A N/A

Current 353385 S 45-JL Stylet Accessory N/A N/A

Current 355914 BLV/BIS-10 ADAPTER Accessory N/A N/A

Current 356987 Fastac Flex Lead Implant Tool Accessory N/A N/A


Current 365888 Remington S-101-97-12 Cable 12' length Accessory N/A N/A

Current 371022 Semi-Floating pacing cath 6F 501-062 Accessory C1756 Catheter, pacing, transesophageal

Current 378456 BK-IS4/DF4 Lead cap Accessory N/A N/A

Current 379137 DH DF4 Fixation tool Accessory N/A N/A

Current 383298 Galt TVI 3FR for Selectra US Accessory N/A N/A

Current 390377 Stopcock with Ext Tubing 041115002A Accessory N/A N/A

Current 391860 Medical Adhesive Model 6517-103 Accessory N/A N/A

Current 395836 Oscor BIS/BIS-40 Adapter Accessory N/A N/A

Current 395837 Oscor BIS/BIS-17 Adapter Accessory N/A N/A

Current 396985 PGH Sterile Wand Cover Palmedic 10x Accessory N/A N/A

Current 401012 EFH-7F-W Lead sleeve Accessory N/A N/A


Current 401298 DH IS-1/DF4 Fixation tool Accessory N/A N/A

Current 403724 BS IS4 Blind plug Accessory N/A N/A

Current 408906 FIT-Fast BioMonitor 2 Insert Tool Set Accessory N/A N/A

Current 412302 IS4/DF4-Adapter Accessory N/A N/A

Current 417847 Merit Mini Access Kit 4F Accessory N/A N/A


VASCULAR INTERVENTIONPTCA Balloon Catheters -

Non-compliant

Current 366991 Pantera LEO 2.0/8 Noncompliant Balloon Catheter C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)






12

StatusModel

Number Device Name/Description Device Category C Code HCPCS Level II Code DescriptionCurrent 366997 Pantera LEO 3.5/8 Noncompliant Balloon Catheter C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)











































13

StatusModel

Number Device Name/Description Device Category C Code HCPCS Level II Code DescriptionCurrent 367040 Pantera LEO 3.25/30 Noncompliant Balloon Catheter C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)






PTCA Balloon Catheters - Semicompliant

Current 393289 Pantera Pro 1.25/6 Semicompliant Balloon Catheter C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)

































14

StatusModel

Number Device Name/Description Device Category C Code HCPCS Level II Code DescriptionCoronary Stent Systems

Current 383860 PRO-Kinetic Energy 2.25/9 Stent/Delivery System C1876 Stent, noncoated/noncovered, with delivery system










































15

StatusModel

Number Device Name/Description Device Category C Code HCPCS Level II Code DescriptionCurrent 383906 PRO-Kinetic Energy 4.0/30 Stent/Delivery System C1876 Stent, noncoated/noncovered, with delivery system



Coronary Drug Eluting Stents

Current 401729 Orsiro 2.25/9 Hybrid Coronary Drug-eluting Stent C 1874 Stent, coated/covered, with delivery system






































16

StatusModel

Number Device Name/Description Device Category C Code HCPCS Level II Code DescriptionCurrent 401767 Orsiro 2.75/30 Hybrid Coronary Drug-eluting Stent C 1874 Stent, coated/covered, with delivery system














Covered Coronary Stent Systems

Curent 434887 PK Papyrus 2.5/15 Covered Coronary Stent System C1874 Stent, coated/covered, with delivery system

















Coronary Guide Wires

Current 389781 Galeo Pro 190 HF Guide Wire C1769 Guide Wire

Current 389782 Galeo Pro 190 HF-J Guide Wire C1769 Guide Wire

Current 389783 Galeo Pro 190 F Guide Wire C1769 Guide Wire

Current 389784 Galeo Pro 190 F-J Guide Wire C1769 Guide Wire

Current 389785 Galeo Pro 190 M Guide Wire C1769 Guide Wire

Current 389786 Galeo Pro 190 M-J Guide Wire C1769 Guide Wire

Current 389787 Galeo Pro 190 ES-F Guide Wire C1769 Guide Wire

Current 389788 Galeo Pro 190 ES-F-J Guide Wire C1769 Guide Wire

Current 389791 Galeo Pro 300 F Guide Wire C1769 Guide Wire

17

StatusModel

Number Device Name/Description Device Category C Code HCPCS Level II Code Description

Introducer Sheaths

Current 358813 Fortress 4F Crossover Introducer Introducer Sheath C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, nonlaser

Current 358814 Fortress 4F Straight - 45 Introducer Sheath C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, nonlaser








Peripheral Stents - Nitinol Self Expanding

Special Order 364645 Astron 7/30/72 Nitinol Self Expanding Stent - Iliac C1876 Stent, non-coated/non-covered, with delivery system




Current 364649 Astron 8/30/72 Nitinol Self Expanding Stent - Iliac C1876 Stent, non-coated/non-covered, with delivery system























Current 390662 Pulsar-18 4/20/90 Nitinol Self Expanding Stent - SFA C1876 Stent, non-coated/non-covered, with delivery system


18

StatusModel

Number Device Name/Description Device Category C Code HCPCS Level II Code DescriptionCurrent 390664 Pulsar-18 4/40/90 Nitinol Self Expanding Stent - SFA C1876 Stent, non-coated/non-covered, with delivery system






Obsolete 390670 Pulsar-18 4/170/90 Nitinol Self Expanding Stent - SFA C1876 Stent, non-coated/non-covered, with delivery system





































19

StatusModel

Number Device Name/Description Device Category C Code HCPCS Level II Code DescriptionCurrent 390707 Pulsar-18 4/100/135 Nitinol Self Expanding Stent - SFA C1876 Stent, non-coated/non-covered, with delivery system



































PTA - Peripheral Balloons

Current 357282 Passeo-35 5/20/80 PTA Peripheral Balloon C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)




Special Order 357286 Passeo-35 9/20/80 PTA Peripheral Balloon C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)


20

StatusModel

Number Device Name/Description Device Category C Code HCPCS Level II Code DescriptionCurrent 357288 Passeo-35 5/40/80 PTA Peripheral Balloon C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)






































Current 357451 Passeo-18 2.5/20/90 PTA Peripheral Balloon C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)


Special Order 357453 Passeo-18 3.5/20/90 PTA Peripheral Balloon C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)



21

StatusModel












































22

StatusModel












































23

StatusModel

Number Device Name/Description Device Category C Code HCPCS Level II Code DescriptionSpecial Order 366117 Passeo-18 7/20/130 PTA Peripheral Balloon C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)











































24

StatusModel












































25

StatusModel












































26

StatusModel







































PTA - High Pressure Balloons

Obsolete 399056 Passeo-35 HP 3/40/40 PTA Peripheral High Pressure Balloon C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)



27

StatusModel

Number Device Name/Description Device Category C Code HCPCS Level II Code DescriptionObsolete 399059 Passeo-35 HP 5/20/40 PTA Peripheral High Pressure Balloon C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)




Current 399063 Passeo-35 HP 6/40/40 PTA Peripheral High Pressure Balloon C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)



































Disclaimer: Reimbursement related information provided by BIOTRONIK is obtained from third party sources. This information is provided for the convenience of the health care provider only and does not constitute reimbursement, legal or compliance advice. BIOTRONIK makes no representation or warranty regarding this information or its accuracy, completeness or applicability and assumes no responsibility for updating this information. BIOTRONIK specifically disclaims liability or responsibility for the results or consequences of any actions taken in reliance on information in this document. BIOTRONIK strongly encourages health care providers to submit accurate and appropriate claims for services and recommends that you consult directly with payers, certified reimbursement coding professionals, other reimbursement experts, and/or legal counsel regarding all coding, coverage, and payment issues.

BIOTRONIK, Inc.6024 Jean RoadLake Oswego, OR 97035-5369(800) 547-0394 (24-hour)(800) 291-0470 (fax)www.BIOTRONIK.com

© 2019 BIOTRONIK, Inc. All rights reserved.BR240r21 3/19/19

biotronik · current 350975 setrox s 60 pacemaker lead c1898 lead, pacemaker, other than...

Documents