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Drug Eluting Balloon

A

ablythe

Networker
Messages
30
Location
Boston, MA
I am trying to figure out how to bill for a drug-eluting balloon. Is the only difference between billing for a drug-eluting balloon and a regular balloon in the C code that is used?

Thank you,
Allison, CPC
 
ablythe said:
I am trying to figure out how to bill for a drug-eluting balloon. Is the only difference between billing for a drug-eluting balloon and a regular balloon in the C code that is used?

Thank you,
Allison, CPC
Click to expand...


That is correct. You bill a DCB (c code 2623) the same as a regular balloon. CMS has approved a transitional pass-through payment that became effective on April 1st for facilities to offset cost of the DCB with Medicare and an outpatient status. You can review that process through CMS, Medtronic (InPAct) or Bard(Lutonix).
 
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