Solitaire Revascularization Device Coding and ...

1 Solitaire Revascularization DEVICECODING ANDREIMBURSEMENTGUIDE1 The Solitaire Revascularization Device is a self-expanding Device designed to restore blood fl ow in patients experiencing acute ischemic stroke due to large intracranial vessel occlusion. The Device is designed for use in the neurovasculature, such as the internal carot-id artery, M1 and M2 segments of the middle cerebral artery, anterior cerebral artery, basilar and the vertebral arteries. The Solitaire Revascularization Device is com-prised of a scaff olding design made of nitinol and a pushwire attached to the nitinol scaf-folding.

2 It is supplied pre-loaded into an intro-ducer sheath. The Solitaire Device is designed to be delivered through a microcatheter, deployed across the clot and removed along with the clot to enable Revascularization of the occluded intracranial vessel. The revascular-ization procedure employs a widely accepted mode of delivery where the arterial system is accessed through the femoral artery in the groin. The Device is then navigated to the brain using standard endovascular Revascularization Device2 DIAGNOSIS CODINGICD-10-CM DIAGNOSIS CODES1 eff ective October 1.

3 2017 ICD-10-CM diagnosis codes are used by both physicians and hospitals to report the indication for the infarction due to thrombosis of unspecifi ed precerebral infarction due to thrombosis of right vertebral infarction due to thrombosis of left vertebral infarction due to thrombosis of bilateral vertebral infarction due to thrombosis of unspecifi ed vertebral infarction due to thrombosis of basilar infarction due to thrombosis of right carotid infarction due to thrombosis of left carotid infarction due to thrombosis of bilateral carotid infarction due to thrombosis of unspecifi ed carotid infarction due to thrombosis of other precerebral infarction due to embolism of unspecifi ed precerebral infarction due to embolism of right vertebral arteryCODE2 ISCHEMIC STROKE: PRECEREBRAL ARTERIES CODE DESCRIPTIONM edtronic provides this information for your convenience only.

4 It does not constitute legal advice or a recommendation regarding clinical practice. Information provided is gathered from third-party sources and is subject to change without notice due to frequently changing laws, rules and regulations. Medtronic makes no guarantee that the use of this information will prevent diff erences of opinion or disputes with Medicare or other payers as to the correct form of billing or the amount that will be paid to providers of service. Please contact your Medicare contractor, other payers, reimbursement specialists and/or legal counsel for interpretation of Coding , coverage and payment policies.

5 This document provides assistance for FDA cleared indications. Where reimbursement is sought for use of a product that may be inconsistent with, or not expressly specifi ed in, the FDA cleared labeling (eg, instructions for use, operator s manual or package insert), consult with your billing advisors or payers on handling such billing issues. Some payers may have policies that make it inappropriate to submit claims for such items or related following information is calculated per the footnotes included and does not take into eff ect Medicare payment reductions resulting from sequestration associated with the Budget Control Act of 2011.

6 Sequestration reductions went into eff ect on April 1, questions please contact us at infarction due to embolism of left vertebral infarction due to embolism of bilateral vertebral infarction due to embolism of unspecifi ed vertebral infarction due to embolism of basilar infarction due to embolism of right carotid infarction due to embolism of left carotid infarction due to embolism of bilateral carotid infarction due to embolism of unspecifi ed carotid infarction due to embolism of other precerebral infarction due to unspecifi ed occlusion or stenosis of unspecifi ed

7 Precerebral infarction due to unspecifi ed occlusion or stenosis of right vertebral infarction due to unspecifi ed occlusion or stenosis of left vertebral infarction due to unspecifi ed occlusion or stenosis of bilateral vertebral infarction due to unspecifi ed occlusion or stenosis of unspecifi ed vertebral infarction due to unspecifi ed occlusion or stenosis of basilar infarction due to unspecifi ed occlusion or stenosis of right carotid infarction due to unspecifi ed occlusion or stenosis of left carotid infarction due to unspecifi ed occlusion or stenosis of bilateral carotid infarction due to unspecifi ed occlusion or stenosis of unspecifi ed carotid infarction due to unspecifi ed occlusion or stenosis of other precerebral arteriesCODE2 ISCHEMIC STROKE.

8 PRECEREBRAL ARTERIES CODE DESCRIPTIONDIAGNOSIS OF IV t-PA3 Status post-administration of IV t-PA (rtPA) in a diff erent facility within the last 24 hours prior to admission to current facility4 DIAGNOSIS CODINGICD-10-CM DIAGNOSIS CODES1 eff ective October 1, 2017 ICD-10-CM diagnosis codes are used by both physicians and hospitals to report the indication for the infarction due to thrombosis of unspecifi ed cerebral infarction due to thrombosis of right middle cerebral infarction due to thrombosis of left middle cerebral infarction due to thrombosis of bilateral middle cerebral infarction due to thrombosis of unspecifi ed middle cerebral infarction due to thrombosis of right anterior cerebral infarction due to thrombosis of left anterior cerebral infarction due to thrombosis of bilateral

9 Anterior cerebral infarction due to thrombosis of unspecifi ed anterior cerebral infarction due to thrombosis of right posterior cerebral infarction due to thrombosis of left posterior cerebral infarction due to thrombosis of bilateral posterior cerebral infarction due to thrombosis of unspecifi ed posterior cerebral infarction due to thrombosis of right cerebellar infarction due to thrombosis of left cerebellar infarction due to thrombosis of bilateral cerebellar infarction due to thrombosis of unspecifi ed cerebellar infarction due to thrombosis of other cerebral infarction due to embolism of unspecifi ed cerebral infarction due to embolism of right middle cerebral infarction due to embolism of left middle cerebral infarction due to embolism of bilateral middle cerebral infarction due to embolism of unspecifi ed middle cerebral infarction due to embolism of right anterior cerebral infarction due to embolism of left anterior cerebral infarction due to embolism of bilateral anterior cerebral infarction due to embolism of unspecifi ed anterior

10 Cerebral infarction due to embolism of right posterior cerebral arteryCODE2 ISCHEMIC STROKE: CEREBRAL ARTERIES CODE infarction due to embolism of left posterior cerebral infarction due to embolism of bilateral posterior cerebral infarction due to embolism of unspecifi ed posterior cerebral infarction due to embolism of right cerebellar infarction due to embolism of left cerebellar infarction due to embolism of bilateral cerebellar infarction due to embolism of unspecifi ed cerebellar infarction due to embolism of other cerebral infarction due to unspecifi ed occlusion or stenosis of unspecifi ed cerebral infarction