Coding Center

CMS Initiates NCA on Renal Denervation for Uncontrolled Hypertension

January 13, 2025—Medtronic and Recor Medical, Inc. separately announced that the Centers for Medicare & Medicaid Services (CMS) is opening a national coverage analysis (NCA; CAG-00470N) on renal denervation (RDN) for uncontrolled hypertension.

CVC Submits Comments to CMS on Imposed Cuts in 2025 PFS Proposed Rule

September 25, 2024—The CardioVascular Coalition (CVC) submitted official comments to the Centers for Medicare & Medicaid Services (CMS) on the proposed rule for the CY 2025 Physician Fee Schedule (PFS).

Laminate’s VasQ Extravascular Support Device Granted TPT Payment by CMS

September 10, 2024—Laminate Medical Technologies announced that the United States Centers for Medicare & Medicaid Services (CMS) granted the company’s VasQ extravascular support device a Transitional Pass-Through (TPT) Payment under billing code C8000 (support device, extravascular, for arteriovenous fistula [implantable]).

CPT Coding Guidance for VVT Medical’s ScleroSafe Procedure Reviewed by AVF

September 3, 2024—VVT Medical announced that the American Venous Forum (AVF) has provided an official opinion letter regarding CPT coding guidance for the ScleroSafe percutaneous endovenous ablation procedure.

Studies Suggest Medicare Undervalues Thrombectomy for Stroke

August 15, 2024—The Society of NeuroInterventional Surgery (SNIS) recently announced three new studies that demonstrate Centers for Medicare and Medicaid Services (CMS) pays lower rates over time for thrombectomy.

CMS Approves NTAP for Renal Denervation

August 12, 2024—The Centers for Medicare & Medicaid Services (CMS) recently issued the Final Rule for FY2025 Hospital Inpatient Prospective Payment Systems, which includes a New Technology Add-On Payment (NTAP) for renal denervation (RDN) procedures using new devices.

Endologix Detour System Granted CMS Transitional Pass-Through Payment

December 27, 2023—Endologix LLC announced that the Centers for Medicare & Medicaid Services (CMS) granted a transitional pass-through (TPT) payment for the company’s Detour system, effective January 1, 2024.

TriSalus Announces CMS Reimbursement for TriNav Infusion System

December 26, 2023—TriSalus Life Sciences Inc. recently announced that the Centers for Medicare & Medicaid Services (CMS) has created a New Technology Healthcare Common Procedure Coding System (HCPCS) code for procedures involving the company’s TriNav infusion system.

CMS NCD Expands Coverage for Carotid Artery Stenting

October 11, 2023—The Centers for Medicare & Medicaid Services (CMS) issued its new Decision Memo on the national coverage determination (NCD) for percutaneous transluminal angioplasty (PTA) of the carotid artery concurrent with stenting (CAS), representing a significant expansion in coverage of the procedure.

Endologix Detour System Granted CMS New Technology Add-On Payment

September 7, 2023—Endologix LLC announced that the Centers for Medicare & Medicaid Services (CMS) granted a new technology add-on payment (NTAP) for the company’s Detour system for percutaneous transmural arterial bypass (PTAB) as part of the CMS FY2024 hospital inpatient prospective payment system.

CMS Proposes Coverage Expansion for Carotid Artery Stenting

July 13, 2023—The Centers for Medicare & Medicaid Services (CMS) released a decision memo proposing expanded coverage for percutaneous transluminal angioplasty (PTA) of the carotid artery concurrent with stenting (CAS), including that coverage of the procedure is reasonable and necessary with the placement of an FDA-approved carotid stent with an FDA-approved or FDA-cleared embolic protection device, for Medicare beneficiaries under specified conditions.

Shockwave Medical’s Intravascular Lithotripsy for ATK Procedures Receives Increased CMS Reimbursement in 2022 OPPS Final Rule

November 3, 2021—Shockwave Medical, Inc. announced that the Centers for Medicare & Medicaid Services (CMS) has reassigned the payment for peripheral intravascular lithotripsy (IVL) procedures performed on above-the-knee (ATK) arteries in the hospital outpatient setting as part of the calendar year (CY) 2022 Medicare Hospital Outpatient Prospective Payment System (OPPS) final rule.

Bluegrass Vascular’s Surfacer System Gains CMS Billing Code and New Technology APC

September 20, 2021—Bluegrass Vascular Technologies announced that the Centers for Medicare & Medicaid Services (CMS) has finalized a new Healthcare Common Procedure Coding System (HCPCS) code and New Technology Ambulatory Payment Classification (APC) assignment for use of the company’s Surfacer Inside-Out access catheter system procedure.

SCAI’s Government Relations Committee Outlines Efforts to Fight Cuts in Medicare Proposed Fee Schedule

August 25, 2021—The Government Relations Committee of the Society for Cardiovascular Angiography & Interventions (SCAI) has posted a brief overview of the cuts related to interventional cardiology from the Medicare Proposed Fee Schedule issued by the Centers for Medicare & Medicaid Services (CMS).

AngioDynamics’ AngioVac Treatment Included Under New AMA Category III CPT Code for Transcatheter Removal/Debulking of Intracardiac Masses

August 24, 2021—AngioDynamics, Inc. advised that new Category III CPT code approved by the American Medical Association (AMA) CPT Panel gives physicians an updated billing code for use of the company’s AngioVac system for removal of undesirable intravascular material in the right heart.

Viz.ai’s Viz LVO Stroke Triage Module Receives Renewed CMS New Technology Add-On Payment

August 4, 2021—Viz.ai announced it has received a New Technology Add-on Payment (NTAP) renewal from Centers for Medicare & Medicaid Services (CMS) for its Viz LVO artificial intelligence–powered stroke triage module, which is FDA-cleared to automatically detect and triage suspected large vessel occlusions.

SCAI Advises CMS NCCI Procedure-to-Procedure Edits Take Effect October 1

July 27, 2021—The Society for Cardiovascular Angiography & Interventions (SCAI) advised that the Centers for Medicare & Medicaid Services (CMS) has published the “Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 27.3, Effective October 1, 2021.” SCAI refers readers to the CMS MLN Matters newsletter on the Quarterly Update, available online here, which is addressed to physicians, providers, and suppliers billing Medicare Administrative Contractors (MACs) for services provided to Medicare patients.

SCAI Highlights Issues in CMS’ Proposed 2022 Physician Fee Schedule

July 14, 2021—The Society for Cardiovascular Angiography & Interventions (SCAI) announced that the Centers of Medicare and Medicaid (CMS) released the Proposed Rule on the Physician Fee Schedule for the calendar year 2022. The CMS Fact Sheet for the proposed rule is available online here.

TriSalus Life Sciences Granted Expanded CMS Reimbursement for TriNav Infusion System

February 9, 2021—TriSalus Life Sciences, an immuno-oncology company focused on treatment for liver and pancreatic tumors, announced that the Centers for Medicare & Medicaid Services (CMS) has expanded authorization for transitional pass-through (TPT) payment for the company’s TriNav infusion system.

CMS “Medicare Coverage of Innovative Technology” Final Rule Allows Coverage of FDA Breakthrough Devices

January 12, 2021—The Centers for Medicare & Medicaid Services (CMS) issued a final rule, the Medicare Coverage of Innovative Technology (MCIT; CMS-3372-F), that provides access for Medicare beneficiaries to the latest medical devices.