Endovascular Repair of Thoracic aortic Aneursym (TEVAR ...

1 Endovascular Repair of Thoracic aortic Aneursym (TEVAR)Coverage, Coding, and Reimbursement Overview Hospital Inpatient2016 Edition effective october 1, 2015 through September 30, 2016 HIGHLIGHTST ransition from ICD-9 to ICD-10 Code Set: effective october 1, 2015, the ICD-9 code sets used to report medical diagnoses and inpatient procedures for health care providers will be replaced by the ICD-10 code sets. ICD-10 diagnosis codes consist of 3 to 7 alphanumeric characters versus the 3 to 5 digits structure of ICD-9, and must be used for all health care settings/providers in the ICD-10 procedure codes are used for reporting by inpatient hospital settings only, and consist of 7 alphanumeric characters, versus the 3 or 4 numeric digits structure of ICD-9 procedure codes. The information provided below represents the typical ICD-10 procedure and diagnosis codes used to describe Thoracic Endovascular aortic Repair (TEVAR).

2 The codes provided are for reference only and are not intended to represent a complete listing of all possible procedures/codes associated with TAA Repair . Current ICD-10 coding manuals should be referenced for accurate coding in any specific case. A complete list of the ICD-10 diagnosis and procedure codes, the ICD-9 to ICD-10 code crosswalk and official ICD-10 coding guidance can be found on the Centers for Medicare and Medicaid Services (CMS) website, at PROCEDURESCODINGREIMBURSEMENTTHORACIC Endovascular Repair TEVARICD-10 PROCEDURE CODEHCPCS/ DEVICE CODEINPATIENT (IPPS)MS-DRGARELATIVE WEIGHTBR estriction of Thoracic Aorta with Intraluminal Device, Percutaneous Approach C02VW3 DZN /A(Medicare C-codes do not apply for these devices) PRIMARY DIAGNOSIS (ESTABLISHES MEDICAL NECESSITY)ICD 10 CODE DESCRIPTORICD 10 DIAGNOSIS CODET horacic aortic aneurysm, without of Thoracic aortic aneurysm, DIAGNOSISR eport in accordance with ICD-10 guidelines for documented secondary diagnosis.

3 For CC and MCC designated secondary diagnoses, refer to Medicare s complete CC/MCC DESCRIPTIONSMS-DRGMDCDESCPRIPTION21605, SurgicalCardiac valve and other major cardiothoracic procedure w cardiac catheter, with MCC21705, SurgicalCardiac valve and other major cardiothoracic procedure w cardiac catheter, with CC21805, SurgicalCardiac valve and other major cardiothoracic procedure w cardiac catheter, without CC/MCC21905, SurgicalCardiac valve and other major cardiothoracic procedure w/o cardiac catheter, with MCC22005, SurgicalCardiac valve and other major cardiothoracic procedure w/o cardiac catheter, with CC22105, SurgicalCardiac valve and other major cardiothoracic procedure w/o cardiac catheter, with CCCOVERAGEM edicareSee A/B MAC/Local Coverage DeterminationMedicaidSee State PoliciesCommercial InsuranceCheck Specific Plan Design, Medical Policies, Patient EligibilityHOSPITAL (FACILITY) INPATIENT OVERVIEWA.

4 MS-DRG corresponds to listed procedure when reported as the primary procedure for the inpatient Hospital reimbursement varies significantly based on a number of variables. Relative Weight is provided as a constant used in the calculation of individual hospital reimbursementC. Percutaneous approach includes insertion of instrumentation through an access created by puncture or minor incision (including vascular cutdown access) through the skin or mucous membrane and any other body layers necessary to reach the internal procedure site. Refer to the 2016 Official ICD-10 PCS Coding Guidelines for definitions of methods for Approach in regards to ICD-10 PCS codes, Refer to Table 6I-Complete MCC list and Table 6J-Complete CC list of CMS-1632 F.