Z788

PDF page 662 / Q4

CARDIOVASCULAR SURGICAL PROCEDURES
HEART AND PERICARDIUM
                                                                                                       Asst         Surg        Anae
    Ventricular assist devices
# R701 - uni-ventricular .....................................................................  18  721.60 28
# R702 - bi-ventricular ....................................................................... 18 1334.80 28
# R703 - paracorporeal......................................................................    18 1443.05 28
# R704 - implantable..........................................................................  18 2163.35 28
# R705 - removal of ventricular assist device ....................................              18  508.55 20
     Payment rules:
     1.R701 or R702 are eligible for payment only for paracorporeal devices inserted for less than
       14 days.
         2.Despite payment rule #1, R701 is also eligible for payment in addition to R703 or R704 when
           a right ventricular assist device is inserted to support a left ventricular assist device,
           regardless of the duration of insertion of the right ventricular assist device.
         3.R703 is eligible for payment only for paracorporeal devices inserted for 14 or more days.
         4.R705 is only eligible for payment for removal of paracorporeal or implantable ventricular
           assist devices inserted for 14 or more days.
         5.R705 includes repair of vessels when rendered.
         6.Z744 (decannulation of circulatory assist device) is eligible for payment for removal of
           paracorporeal or implantable ventricular assist devices inserted for less than 14 days.
         7.Only one of Z744 or R705 is eligible for payment per patient per day for removal of
           ventricular assist devices.
         8.Extracorporeal membrane oxygenator procedures do not constitute R701, R702, R703 or
           R704.
         [Commentary:
         1.Extracorporeal membrane oxygenator procedures are eligible for payment as Z788.
         2.Z744 or R705 are eligible for payment when rendered with cardiac transplantation.
         3.If a ventricular assist device is replaced, both the appropriate removal and insertion fee
           codes are eligible for payment.]
         Claims submission instructions:
         Submit claims for R703 and R705 only after the device has been inserted for 14 or more days.
# Z412 Replacement or repair of pacemaker lead ..............................                             6         110.75         7
# Z428 Pacemaker lead extraction, including the use of extraction
         sheathes, with or without laser or similar technology..........                                 10         598.50         7
# E628   - each additional lead extraction ...................................add                                   194.50
    Implantation of cardioverter (CD) defibrillator
# R753 - by thoracotomy ...................................................................               6         720.30        20
# R761 - by transvenous approach....................................................                      6         587.35        8

Master, record 7452. Record Layout PDF, page 1.

Z78820260401999999990000400000000000000000000000000000000095760000000957600

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.