Health Information Management

Pay per view: Q&A: Experts tackle billing for implantable devices

APCs Insider, July 18, 2008

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Q: Are catheters, guidewires, etc., used during a heart catheter procedure considered implants, which we classify to revenue code 0278? Or a sterile supply, which we classify to revenue code 0272?

A: Consider these items more of a sterile supply. These items are not intended to remain in the patient but are used to facilitate or accomplish the procedure. An implant is intended to remain permanently or temporarily in the patient?s body. Although some people have asked whether it is appropriate to use revenue code 0278 to report these supplies, this option probably isn?t appropriate; but because these supplies are packaged, doing so wouldn?t affect a payment.

However, for payers other than Medicare, reporting these supplies using revenue code 0278 may have an effect on reimbursement, as some contracts separate payment for implants at a specific rate or method.

Click here to read more answers to tough questions about implantable devices. Briefings on APCs subscribers have free access to this article in the July issue via their online subscriptions.



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