Cardiac Rhythm Management
Boston Scientific's Cardiac Rhythm Management (CRM) Group is a leading developer of implantable devices used to treat cardiac arrhythmias, sudden cardiac arrest and heart failure. Boston Scientific’s
Electrophysiology Group is a leading developer of less-invasive medical technologies used in the diagnosis and treatment of rate and rhythm disorders of the heart.
As part of the CRM Group's commitment to advancing patient access to lifesaving technology, we work directly with the Centers for Medicare and Medicaid Services (CMS), public and private health insurers, and industry stakeholders to ensure appropriate reimbursement for services involving our products.
Learn more about reimbursement for CRM products and therapies, access C-code guides, and learn about our webcast programs. Click Here to view all CRM reimbursement content.
Gastroenterology
Endoscopy C-code Summary
This guide cross-references Boston Scientific devices to appropriate C-codes.
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C-code Questions & Answers
This document addresses commonly asked questions pertaining to C-codes.
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Gastroenterology Reimbursement Codes & Payment - 2008
This document provides a summary of CPT codes and payments for all Gastroenterology products.
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Gastroenterology Glossary of Terms
A one page guide to commonly referred to reimbursement acronyms, terms and definitions.
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Biliary Coding & Payment Quick Reference Guide - 2008
This guide provides coding guidance and reimbursement information for biliary procedures and reflects the 2007/08 Inpatient Hospital Rates, effective October 1, 2007.
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Biopsy Coding and Payment Quick Reference Guide-2008
This guide provides coding guidance and reimbursement information for biopsy procedures.
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Dilation Coding and Payment Quick Reference Guide-2008
This guide provides coding guidance and reimbursement information for dilation procedures.
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Cholangioscopy procedure with SpyGlass® System Description
The attached procedure description may be helpful in describing the cholangioscopy procedure with the SpyGlass System to payers.
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Enteral Feeding Coding and Payment Quick Reference Guide - 2008
This guide provides coding guidance and reimbursement information for enteral feeding procedures.
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Hemostasis/Clipping Coding and Payment QRG - 2008
This guide provides coding guidance and reimbursement information for hemostasis and clipping procedures and reflects the 2007/08 Inpatient Hospital Rates, effective October 1, 2007.
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Polypectomy Coding and Payment Quick Reference Guide - 2008
This guide provides coding guidance and reimbursment information for polypectomy procedures.
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Pulmonary Coding & Payment Reference Guide - 2008
This guide provides coding guidance and reimbursement information for pulmonary procedures and reflects the 2007/08 Inpatient Hospital Rates, effective October 1, 2007.
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Radiofrequency Ablation Coding of Liver Tumors - Quick Reference Guide-2008
This guide provides coding guidance and reimbursement information for radiofrequency ablation coding of liver tumors.
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Spyglass® Coding & Payment Reference
This guide provides coding guidance and reimbursement information for Spyglass procedures and reflects the 2007/08 Inpatient Hospital Rates, effective October 1, 2007.
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Stenting Coding & Payment Reference Guide-2008
This guide provides coding guidance and reimbursement information for metal stent procedures and reflects the 2007/08 Inpatient Hospital Rates, effective October 1, 2007.
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Gastroenterology C-Code Cross Reference Guide-2007
This guide cross-references Boston Scientific gastroenterology products at the UPN/order number level to appropriate C-codes.
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Gynecology
Pinnacle Coding & Reimbursement Guide - 2008
This guide provides coding and reimbursement information for the Pinnacle Pelvic Floor Repair Kit
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C-Code Questions and Answers
This document addresses questions pertaining to the 2008 Medicare update on Medicare pass-through C-codes.
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Office-Based Surgery Frequently Asked Questions
This document addresses frequently asked questions related to physician office-based surgery.
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Arise™ Vaginal Support System
This guide provides coding guidance and reimbursement information for the Arise™ Vaginal Support System.
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Coaptite® Quick Reference Guide and State Specific Rates - 2008
This guide provides coding guidance and reimbursement information for urethral bulking with Coaptite® as well as state specific reimbursement rates for L8606.
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HTA® System Quick Reference Guide - 2008
This guide provides coding guidance and reimbursement information for procedures using the HTA System.
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Mesh Matrix Quick Reference Guide - 2008
This guide provides coding guidance and reimbursement information for pelvic floor reconstructive procedures and reflects the 2007/08 Inpatient Hospital Rates, effective October 1, 2007.
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Pelvic Floor Concomitant Repairs Billing Guide - 2008
This guide provides coding guidance and reimbursement information for pelvic floor reconstructive concomitant repairs and reflects the 2007/08 Inpatient Hospital Rates, effective October 1, 2007.
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Sling Procedure Quick Reference Guide-2008
This guide provides coding guidance and reimbursement information for sling procedures and reflects the 2007/08 Inpatient Hospital Rates, effective October 1, 2007.
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Women's Health C-Code Cross Reference Guide-2008
This guide provides a C-code cross reference list for Boston Scientific's women's health products.
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Women's Health Cross Reference Guide - 2008
This guide cross-references Boston Scientific women's health products at the UPN/order number level to appropriate C-codes.
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Medicare MD In-Office Payment for CPT Code 58563 - 2008
This guide provides 2008 Medicare in-office payment for CPT code 58563 by geographic location.
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Interventional Bronchoscopy
Endoscopy C-Code Cross Reference Guide
This guide provides a C-code cross reference list for Boston Scientific's Endoscopy products.
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C-Code Questions and Answers
This document addresses commonly asked questions pertaining to C-codes.
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Endoscopy Reimbursement Guide and CPT Codes
This document provides a general overview of medicare payment methods and reimbursement infomration for all Endoscopy CPT Codes.
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Pulmonary Coding and Quick Reference Guide - 2008
This guide provides coding guidance and reimbursement information for pulmonary endoscopic procedures.
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Endoscopy Glossary of Terms
A one page guide to commonly referred to reimbursement acronyms, terms and definitions.
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Interventional Cardiology
Coding, 2008 Procedural Reimbursement Guide
This Procedural Reimbursement Guide for select Percutaneous Cardiovascular and other interventional procedures – Coronary and Peripheral - provides coding and reimbursement information for physicians and facilities.
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Coding, 2008 Drug-eluting Stents
This guide provides reimbursement information on drug-eluting stent procedures.
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Coding, 2008 IVUS Coronary
This guide provides reimbursement information on coronary intravascular ultrasound(IVUS) procedures.
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Coding, 2008 FilterWire
This guide provides reimbursement information on coronary intravascular procedures for FilterWire.
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Coding, Hospital Inpatient Bifurcation Procedure Codes
The following guide discusses new codes effective 10-1-06 for coronary and peripheral bifurcation procedures. Inpatient procedures will continue to code primary intervention procedures and the new code will track resource use.
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Coding, 2008 Hospital Inpatient Coding for Carotid Artery Stenting (CAS)
The Centers for Medicare and Medicaid Services (CMS) provides physicians and facilities payment guidance for carotid artery stenting (CAS) procedures.
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Coding, 2008 Physician Coding for Carotid Artery Stenting (CAS)
The Centers for Medicare and Medicaid Services (CMS) provides physicians and facilities payment guidance for carotid artery stenting (CAS) procedures.
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CMS Payment, 2009 Medicare Final HOPPS, ASC and Physician Payment Rates
Medicare final rules (FR) highlights for two documents published October 30, 2008. The first FR addresses the payment and policies for hospital outpatient and Ambulatory Surgical Centers (ASC). The second Final Rule addresses physician payment and policy. All three sets of payment rates effective January 1, 2009.
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CMS Payment, 2009 Medicare Final Hospital Inpatient MS-DRG Rates
Medicare FY2009 Inpatient Final Rule highlights including National Average Payment for select Interventional Cardiology and Peripheral Interventions MS-DRGs. Overall rates are relatively stable with no major changes to the MS-DRG inpatient prospective payment system. Final rates and policy changes issued July 31 become effective October 1, 2008.
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CMS Payment, 2008 Physician and Hospital Payment for Carotid Artery Stenting (CAS)
The Centers for Medicare and Medicaid Services (CMS) provides physicians and facilities payment guidance for carotid artery stenting (CAS) procedures.
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Coverage, August 2008 Proposed Medicare National Coverage Decision for Carotid Artery Stenting (CAS)
On July 31, 2008, CMS announced its proposal not to expand Medicare coverage for carotid artery stenting (CAS). This document summarizes Medicare's proposed coverage decision as well as the process for submitting public comments.
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Interventional Radiology
Coding, 2008 Procedural Reimbursement Guide
This Procedural Reimbursement Guide for select Percutaneous Cardiovascular and other interventional procedures – Coronary and Peripheral - provides coding and reimbursement information for physicians and facilities.
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Coding, 2008 Carotid Artery Stenting Procedures
This guide reviews coverage criteria and possible coding options for carotid stenting procedures for both Medicare and non-Medicare patients.
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Coding, 2008 Hospital Inpatient Coding for Carotid Artery Stenting (CAS)
The Centers for Medicare and Medicaid Services (CMS) provides physicians and facilities payment guidance for carotid artery stenting (CAS) procedures.
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Coding, 2008 Physician Coding for Carotid Artery Stenting (CAS)
The Centers for Medicare and Medicaid Services (CMS) provides physicians and facilities payment guidance for carotid artery stenting (CAS) procedures.
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Coding, 2008 Uterine Fibroid Embolization – Quick Reference Guide
This guide provides coding guidance and reimbursement information for uterine fibroid embolization procedures.
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Coding, 2008 Chemoembolization of Liver Tumors – Quick Reference Guide
This guide provides coding guidance and reimbursement information for chemoembolization of liver tumor procedures.
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Coding, 2008 Peripheral Cutting Balloon
This guide provides information on billing for procedures using the Peripheral Cutting Balloon for office and hospital procedures.
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Coding, 2008 IVUS Peripheral
This guide provides reimbursement information on peripheral intravascular ultrasound(IVUS) procedures.
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2008 Radiofrequency Ablation Coding of Liver Tumors - Quick Reference Guide
This guide provides coding guidance and reimbursement information for radiofrequency ablation coding of liver tumors.
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CMS Payment, 2009 Medicare Final HOPPS, ASC and Physician Payment Rates
Medicare final rules (FR) highlights for two documents published October 30, 2008. The first FR addresses the payment and policies for hospital outpatient and Ambulatory Surgical Centers (ASC). The second Final Rule addresses physician payment and policy. All three sets of payment rates effective January 1, 2009.
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CMS Payment, 2009 Medicare Final Hospital Inpatient MS-DRG Rates
Medicare FY2009 Inpatient Final Rule highlights including National Average Payment for select Interventional Cardiology and Peripheral Interventions MS-DRGs. Overall rates are relatively stable with no major changes to the MS-DRG inpatient prospective payment system. Final rates and policy changes issued July 31 become effective October 1, 2008.
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Coverage, August 2008 Proposed Medicare National Coverage Decision for Carotid Artery Stenting (CAS)
On July 31, 2008, CMS announced its proposal not to expand Medicare coverage for carotid artery stenting (CAS). This document summarizes Medicare's proposed coverage decision as well as the process for submitting public comments.
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Neurovascular Intervention
Neuroform® Microdelivery Stent System Hospital Coding Guide - 2008
This quick reference provides coding and Medicare reimbursement information for treatment of aneurysms that involve insertion of the Neuroform Microdelivery Stent System, a Humanitarian Use Device (HUD),1 in addition to embolization with detachable coils (such as GDC® or Matrix® Coils).
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SNIS Physician Coding & Payment Guide to Endovascular Treatment of Brain Aneurysms - 2008
The following guide provides coding and payment information for neuroendovascular repair of aneurysms for physician services. For additional details about hospital billing for these services, please consult the Society of NeuroInterventional Surgery (SNIS)1 Hospital Inpatient Guide.
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SNIS Hospital Coding Guide to Endovascular Treatment of Brain Aneurysms - 2008
The following guide provides coding and payment information for neuroendovascular repair of aneurysms for hospital inpatient services. For questions about physician billing, please consult the Society of NeuroInterventional Surgery (SNIS)1 Physician Guide.
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2007 Wingspan® Stent System with Gateway™ PTA balloon Catheter Coding Guide
This guide provides coding and reimbursement information for intracranial angioplasty and stenting procedures for intracranial atherosclerotic disease.
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Pain Management
Precision™ Spinal Cord Stimulation (SCS) System.
Boston Scientific is committed to providing our customers Coverage, Coding & Payment and Product information.
Our reimbursement professionals support Physicians, Hospitals, and Ambulatory Surgery Centers by:
- Educating providers on coding, billing, payer contracting
and reimbursement
- Improving payer coverage & receiving appropriate
payment levels
- Educating and assisting customers with the prior
authorization and appeal process
Use the link below to access up-to-date Educational, coverage, Coding & Payment and Product information.
Click here
Urology
Urology C-Code Cross Reference Guide
This guide cross-references Boston Scientific urology products at the UPN/order number level to appropriate C-codes.
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Bladder Tumors - Quick Reference Guide - 2008
This guide provides coding guidance and reimbursement information for bladder tumor procedures.
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BPH Laser Surgery Procedures - Quick Reference Guide - 2008
This guide provides coding guidance and reimbursement information for BPH Laser Surgery procedures.
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ESWL with Stent Placement/Removal - Quick Reference Guide - 2008
This guide provides coding guidance and reimbursement information for ESWL with stent placement/removal procedures.
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Litholapaxy Guide- 2008
This guide provides coding guidance and reimbursement information for litholapaxy procedures.
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Medicare MD In-Office Payment for CPT Code 52648 - 2008
This guide provides 2008 Medicare in-office payment for CPT code 52648 by geographic location
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Medicare MD In-Office Payment Rate for CPT Code 53850 - 2008
This guide provides the 2008 Medicare MD in-office payment rate for CPT Code 53850 by geographical location
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Office-Based Surgery' Frequently Asked Questions
This document addresses frequently asked questions related to physician office-based surgery.
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PCNL Primer - 2008
This guide provides coding guidance and reimbursement information for Percutaneous Nephrolithotomy (PCNL) procedures.
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Prolieve® Thermodilatation System Reimbursement Guide - 2008
This guide provides coding guidance and reimbursement information for procedures using The Prolieve Thermodilatation System.
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Radical Prostatectomy - Quick Reference Guide - 2008
This guide provides coding guidance and reimbursement information for radical prostatectomy procedures.
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URS with Lithotripsy - Quick Reference Guide - 2008
This guide provides coding guidance and reimbursement information for URS with lithotripsy procedures.
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URS without Lithotripsy - Quick Reference Guide - 2008
This guide provides coding guidance and reimbursement information for URS without lithotripsy procedures.
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