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Medtronic Vascular C Codes by Model Number - …

Vascular Products Medicare C- code List for Hospital Outpatient Device Reporting Since January 1, 2005, the Centers for Medicare and Medicaid Services (CMS) has required hospitals to include device category Codes (C- Codes ) on hospital outpatient claims for device This requirement will continue in 2007. CMS has developed a set of edits that have been implemented into the Outpatient code Editor (OCE) to ensure that certain procedure Codes are accompanied by an associated device category code . C- Codes have been required for reporting all applicable devices since January 1, 2005; however, the edits did not go into effect until April 1, 2005. These edits apply at the procedure code level rather than the APC level. The edits, effective April 1, 2005, apply to a subset of device-dependent APCs and their corresponding C- Codes (see Table 1). CMS has expanded this list since April of 2005, and intends to continue doing so in the future. Updates to the edits, including implementation date, are posted on the CMS website ( ) as well as in CMS Medlearn Matters articles ( ).

1 Federal Register; Vol. 70, No. 217. Vascular Products Medicare C-Code List for Hospital Outpatient Device Reporting Since January 1, 2005, the Centers for Medicare and Medicaid Services (CMS) has required

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Transcription of Medtronic Vascular C Codes by Model Number - …

1 Vascular Products Medicare C- code List for Hospital Outpatient Device Reporting Since January 1, 2005, the Centers for Medicare and Medicaid Services (CMS) has required hospitals to include device category Codes (C- Codes ) on hospital outpatient claims for device This requirement will continue in 2007. CMS has developed a set of edits that have been implemented into the Outpatient code Editor (OCE) to ensure that certain procedure Codes are accompanied by an associated device category code . C- Codes have been required for reporting all applicable devices since January 1, 2005; however, the edits did not go into effect until April 1, 2005. These edits apply at the procedure code level rather than the APC level. The edits, effective April 1, 2005, apply to a subset of device-dependent APCs and their corresponding C- Codes (see Table 1). CMS has expanded this list since April of 2005, and intends to continue doing so in the future. Updates to the edits, including implementation date, are posted on the CMS website ( ) as well as in CMS Medlearn Matters articles ( ).

2 All edits will be implemented as part of the quarterly OCE releases. CMS has stated that coding of devices with C- Codes is essential to improving the accuracy of claims data in order to better calculate the correct relative costs of device-dependent APCs. While the use of most C- Codes will not facilitate immediate payment for the device, the Codes and the charges assigned to each will be used by CMS in the development of future payment rates for procedures involving devices. It is critical that hospitals provide complete and accurate coding and charge information in order to ensure appropriate APC payment rates in the future. Determining which C- code is applicable for a specific item is the responsibility of the hospital. All products included in this listing are placed in the appropriate CMS category based on their intended function. For further information, please contact Medtronic 's reimbursement professionals at 1 (800) 762-4140 (extension 1-7869) or your Medtronic sales representative.

3 1. Federal Register; Vol. 70, No. 217. Table of Contents Balloon Dilatation 3. Diagnostic Catheters .. 4. Embolic 7. Endovascular AAA Stent 8. Guide Catheters (Cardiovascular).. 10. Coronary .. 10. Noncoronary .. 29. Guide Wires (Cardiovascular) .. 30. Intravascular Ultrasound (IVUS) Catheter .. 32. Introducers .. 33. Other Angiography Products .. 34. PTCA Accessories .. 35. 36. Coronary .. 36. Noncoronary .. 37. Thrombus Management .. 38. Vascular 39. 40. Table 1: C- code 41. Table 2: C- code 42. 2. Balloon Dilatation Catheters NC Stormer Balloon Dilatation Catheter Description C- code NC Stormer Balloon Dilatation Catheter C1725. Model Numbers: NCS2006MX NCS2006W NCS2011MX NCS2011W. NCS2016MX NCS2016W NCS2021MX NCS2021W NCS22506MX. NCS22506W NCS22511MX NCS22511W NCS22516MX NCS22516W. NCS22521MX NCS22521W NCS2506MX NCS2506W NCS2511MX. NCS2511W NCS2514MX NCS2514W NCS2516MX NCS2516W. NCS2518W NCS2521MX NCS2521W NCS2526W NCS2531W. NCS27506MX NCS27506W NCS27511MX NCS27511W NCS27514MX.

4 NCS27514W NCS27516MX NCS27516W NCS27518W NCS27521MX. NCS27521W NCS3006MX NCS3006W NCS3011MX NCS3011W. NCS3014MX NCS3014W NCS3016MX NCS3016W NCS3018W. NCS3021MX NCS3021W NCS3026W NCS3031W NCS32506MX. NCS32506W NCS32511MX NCS32511W NCS32514MX NCS32514W. NCS32516MX NCS32516W NCS32518W NCS32521MX NCS32521W. NCS3506MX NCS3506W NCS3511MX NCS3511W NCS3514MX. NCS3514W NCS3516MX NCS3516W NCS3518W NCS3521MX. NCS3521W NCS3526W NCS37506W NCS37511W NCS37514W. NCS37516W NCS37518W NCS37521W NCS4006MX NCS4006W. NCS4011MX NCS4011W NCS4014MX NCS4014W NCS4016MX. NCS4016W NCS4018W NCS4021MX NCS4021W NCS4026W. Sprinter Balloon Dilatation Catheter Description C- code Sprinter Balloon Dilatation Catheter C1725. Model Numbers: SPR1506MX SPR1506W SPR1510MX SPR1510W. SPR1512MX SPR1512W SPR1515MX SPR1515W SPR1520MX. SPR1520W SPR2006MX SPR2006W SPR2010MX SPR2010W. SPR2012MX SPR2012W SPR2015MX SPR2015W SPR2020MX. SPR2020W SPR2025MX SPR2025W SPR2030MX SPR2030W. SPR22506MX SPR22506W SPR22512MX SPR22512W SPR22515MX.

5 SPR22515W SPR22520MX SPR22520W SPR2506MX SPR2506W. SPR2510MX SPR2510W SPR2512MX SPR2512W SPR2515MX. SPR2515W SPR2520MX SPR2520W SPR2525MX SPR2525W. SPR2530MX SPR2530W SPR27506MX SPR27506W SPR27512MX. SPR27512W SPR27515MX SPR27515W SPR27520MX SPR27520W. SPR3006MX SPR3006W SPR3010MX SPR3010W SPR3012MX. SPR3012W SPR3015MX SPR3015W SPR3020MX SPR3020W. SPR3025MX SPR3025W SPR3030MX SPR3030W SPR32512MX. SPR32512W SPR32515MX SPR32515W SPR32520MX SPR32520W. SPR3506MX SPR3506W SPR3510MX SPR3510W SPR3512MX. SPR3512W SPR3515MX SPR3515W SPR3520MX SPR3520W. SPR3525MX SPR3525W SPR3530MX SPR3530W SPR37512MX. SPR37512W SPR37515MX SPR37515W SPR37520MX SPR37520W. SPR4006MX SPR4006W SPR4010MX SPR4010W SPR4012MX. SPR4012W SPR4015MX SPR4015W SPR4020MX SPR4020W. SPR4025MX SPR4025W SPR4030MX SPR4030W. 3 C- code Listings: Balloon Dilatation Catheters Diagnostic Catheters Pro-Flo Diagnostic Catheters Description C- code . Pro-Flo Diagnostic Catheters None1. Model Numbers: 004901 004902 004910 004912.

6 004913 004914 004915 004916. 004917 004919 004920 004921 004922. 004923 004924 004925 004945 004951. 006451 006452 006453 006454 006455. 006456 006457 006458 006459 006460. 006461 006462 006463 006464 006465. 006470 006803 006804 006805 006806. 006807 006896 006897 007536 007538. 007539 007540 007548 007550 007551. 007561 007562 007763 007764 007766. 007770 007771 008356 008358 008359. 008419 008420 008442 008443 008445. 008446 008447 008450 008451 008452. 008453 008454 008460 008538 008539. 008541 008553 008554 008718 008719. 008720 008761 008762 008763 008971. 008976 008977 008978 008979 008980. 008981 009228 009229 009230 009231. 009234 009235 010014 010015 010016. 010017 010018 010019 010020 010021. 010022 010023 010024 010026 010028. 010030 010032 010052 010160 010161. 010162 010163 010164 010165 010212. 010213 010214 010215 010216 010219. 010220 010233 010234 010235 010236. 010241 010242 010243 010244 010245. 010246 010247 010248 010300 010301. 010302 010303 010304 010305 010306.

7 010307 010308 010309 010310 010311. 010312 010313 010314 010315 010316. 010317 010318 010319 010320 010321. 010340 010341 010342 010343 010344. 010345 010346 010347 010348 010349. 010350 010351 010352 010353 010354. 010355 010356 010357 010358 010359. 010360 010361 010362 010363 010364. 010365 010366 010367 010368 010369. 010370 010371 010372 010373 014903. 018418 038007 038011 038013 038015. 038016 038017 038019 038020 038420. 038442 038443 038445 038447 038448. 038450 038451 038453 038457 038467. 4 Diagnostic Catheters See Table 1 of Appendix for explanation of Note 1 regarding C- code 038472 060012 060013 060015 060016. 060017 060018 060019 060021 060024. 060032 060033 060034 060035 060036. 060038 060039 060040 060042 060043. 060044 060046 060047 060048 060049. 060050 060051 060052 060053 060054. 060055 060056 350010 358401 358418. 358420 358470 358471 358474 358484. 380001 388409 388410 388414 388418. 388420 388443 404902 550034 550038. 550042 550043 550053 551002 551003.

8 554902 554903 555055 558418 558420. 558443 558445 558447 558448 558450. 558451 558453 558454 558462 558463. 558465 558500 850007 854902 854903. 858418 858419 858420 858443 858445. 858447 858448 858450 858451 858453. 858454. SiteSeer Diagnostic Catheters Description C- code SiteSeer Diagnostic Catheters None1. Model Numbers: 4A0001 4A0002 4A0003 4A0004. 4A0005 4A0006 4A0007 4A0008. 4A0009 4A0010 4A0011 4A0012 4A0013. 4A0014 4A0015 4A0016 4A0017 4A0018. 4A0019 4A0020 4A0021 4A0022 4A0023. 4A0024 4A0025 4A0026 4A0027 4A0028. 4A0029 4A0030 4A0031 4A0032 4A0033. 4A0034 4A0038 4A0039 4A0040 4A0041. 4A0043 4A0044 4A0045 4A0046 4A0047. 4A0048 4A0049 4A0050 4A0051 4A0054. 4A0059 4A0061 4A0062 4A0063 4A0064. 4A0065 4A0066 4A0067 4A0068 4A0069. 4A0070 4A0077 4A0078 4A0079 4A0080. 4B0001 5A0001 5A0002 5A0003 5A0004. 5A0005 5A0006 5A0007 5A0008 5A0009. 5A0010 5A0011 5A0012 5A0013 5A0014. 5A0015 5A0016 5A0017 5A0018 5A0019. 5A0020 5A0021 5A0022 5A0023 5A0024. 5A0026 5A0027 5A0028 5A0029 5A0030.

9 5A0031 5A0032 5A0033 5A0034 5A0035. 5A0036 5A0037 5A0038 5A0039 5A0040. 5A0041 5A0042 5A0043 5A0044 5A0045. 5A0046 5A0047 5A0048 5A0049 5A0050. 5A0051 5A0052 5A0053 5A0054 5A0055. 5A0056 5A0057 5A0058 5A0059 5A0060. 5A0061 5A0062 5A0063 5A0064 5A0065. 5 Diagnostic Catheters See Table 1 of Appendix for explanation of Note 1 regarding C- code 5A0066 5A0067 5A0068 5A0069 5A0070. 5A0071 5A0072 5A0073 5A0075 5A0084. 5A0085 5A0086 5A0087 5A0088 5A0089. 5A0090 5A0091 5A0092 5A0093 5A0094. 5A0095 5A0096 5A0097 5A0098 5A0099. 5A0100 5A0118 5A0119 6A0001 6A0002. 6A0003 6A0004 6A0005 6A0006 6A0007. 6A0008 6A0009 6A0010 6A0011 6A0012. 6A0013 6A0014 6A0015 6A0016 6A0017. 6A0018 6A0019 6A0020 6A0021 6A0022. 6A0023 6A0024 6A0025 6A0026 6A0027. 6A0028 6A0029 6A0030 6A0031 6A0032. 6A0033 6A0034 6A0035 6A0036 6A0037. 6A0038 6A0039 6A0040 6A0041 6A0042. 6A0043 6A0044 6A0045 6A0046 6A0047. 6A0048 6A0049 6A0050 6A0051 6A0052. 6A0053 6A0054 6A0055 6A0056 6A0057. 6A0058 6A0059 6A0060 6A0061 6A0062.

10 6A0063 6A0064 6A0065 6A0066 6A0067. 6A0068 6A0069 6A0070 6A0071 6A0072. 6A0073 6A0074 6A0075 6A0077 6A0078. 6A0079 6A0080 6A0082 6A0083 6A0084. 6A0085 6A0086 6A0087 6A0090 6A0091. 6A0092 6A0093 6A0100 6A0101 6A0102. 6A0103 6A0104 6A0105 6A0106 6A0107. 6A0108 6A0109 6A0110 6A0111 6A0112. 6A0113 6B0011 6B0012 6B0015. Pediatric Diagnostic Catheters Description C- code Pediatric Diagnostic Catheters None1. Model Numbers: 001253 001254 001279 001323. 001339 001348 001353 001375. 001377 001378 001380 001381 001382. 001453 003996 003997 010010 010011. 010012. Other Diagnostic Catheters Description C- code Other Diagnostic Catheters None1. Model Numbers: 029916. 6 Diagnostic Catheters See Table 1 of Appendix for explanation of Note 1 regarding C- code Embolic Protection GuardWire Temporary Occlusion and Aspiration System Description C- code GuardWire Temporary Occlusion and Aspiration System C1884. Model Numbers: GEZ5200US. GEZ5300US. GEZ6200US. GEZ6300US. 7. C- code Listings: Embolic Protection Endovascular AAA Stent Grafts AneuRx AAAdvantage Stent Graft System Description C- code Bifurcated Stent Graft None2.


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