2008 Medicare Outpatient

2008 Hospital Outpatient Coding and Reimbursement Reference

¹Status indicator S-significant procedure; not subject to multiple procedure discount. Status indicator T-additional procedures performed on the same day may be subject to multiple procedure discount.
Payments for those services identified with the letter “T” are surgical procedures that are discounted when multiple procedures are performed in the same operative session. Full Medicare payment is made for the primary procedure. All other “T” procedures performed during the same operative session will be paid at 50% of the Medicare allowed amount.

²Medicare 2008 base rates without geographical adjustments.

Indications for Use: Chronic, intractable pain of the trunk and limbs
ANS Renew percutaneous leads model numbers 3143, 3146, 3153, 3156, 3183, 3186, 3066, 3161, 3163, 3166, 3169 extensions model number 3382, 3383, 3341, 3342, 3343, and receiver model number 3048, transmitter model number 3508, and antenna model numbers 1220, 1230 are also indicated to stimulate electrically peripheral nerves to relieve severe intractable pain.

³Revenue codes identify specific accommodations (e.g., private room, medical/surgical unit) or ancillary charges organized by cost or revenue center within healthcare facilities (e.g., hospitals), and are reported on the UB-92 billing form. These codes are not used by doctors or other practitioners. Revenue codes may vary by payer and type of claim.

References:
UB-04 Editor [computer program]. Salt Lake City, Utah: Ingenix; 2006.
American Medical Association. ICD-9-CM 2007: Physician. Vols. 1 & 2. 9th rev. Chicago, Il: Ingenix; 2007.
US Dept. of Health and Human Services. CMS-1392-FC.Available at: http://www.cms.hhs.gov/HospitalOutpatientPPS/Downloads/CMS1392FC.pdf.Accessed Jan. 7, 2008.

For additional information please contact:
Advanced Neuromodulation Systsems (ANS)
ANS Reimbursement Services Department
6901 Preston Rd. Plano, TX 75024
800-727-7846