IMPULSE DYNAMICS Implantable Optimizer Smart System
Fa'amatalaga
- Igoa Oloa: Fa'ato'aga Fa'ato'aga Fa'ato'aga Fa'ato'aga
- Fa'aoga: Togafitiga ole fatu fa'aletonu
Fa'atonuga o le Fa'aaogaina o Mea
CPT Codes
- 0408T - Fa'aofi po'o le suia o le fa'aogaina o le fa'aogaina o le fatu, e aofia ai su'esu'ega fa'akonekarate pe a fa'atinoina, ma le fa'apolokalameina o mea e fa'alogoina ma fa'ata'ita'i; fatu fatu fa'atasi ma eletise fa'afefe
- 0409T - Fa'aofiina po'o le suia o le fa'aogaina o le fa'aogaina o le fatu, e aofia ai su'esu'ega fa'akonekarate pe a fa'atinoina, ma le fa'apolokalameina o mea e fa'alogoina ma fa'ata'ita'i; na'o le afi afi
Totogi Fa'aletupe a le Atunu'u Medicare:
- 0408T – $32,062
- 0409T – $8,276
Fesili e Fai soo (FAQ)
- Q: E fa'afefea ona ou maua fa'amatalaga totogi mo fa'ato'aga CCM?
- A: Foma'i Billing CCM implants o lo'o fa'amatalaina e Category III CPT codes. Fa'amolemole fa'afeso'ota'i lau Konekarate Pulega a le Medicare webnofoaga po'o fa'afeso'ota'i le Impulse Dynamics mo fa'amatalaga fa'apitoa tau tupe i lau fa'amasinoga.
- Q: E mafai faapefea ona ou tu'uina atu isi fesili?
- A: E mafai ona tu'uina atu isi fesili i reimbursement@impulse-dynamics.com.
O lenei coding ma toe totogi punaoa ua mamanuina e tuʻuina atu ai faʻamatalaga mo pili talafeagai o Cardiac Contractility Modulations implants mo le togafitiga o le faaletonu o le fatu.
E mafai ona tu'uina atu isi fesili i reimbursement@impulse-dynamics.com
Foma'i, Falema'i Falema'i i fafo ma Ta'otoga Ta'otoga Falema'i Coding
O le CPT Codes nei, Ambulatory Payment Classifications (APC), fa'ailoga tulaga, ma totogi fa'ale-atunu'u o lo'o tu'uina atu mo le masani ona lipotia CCM fa'asologa o pili foma'i, falema'i i fafo po'o falema'i ta'otoga nofoaga.
Fa'amatalaga o oloa
Totogi Fale mo gasegase i fafo
Category III CPT codes o lo'o fa'aogaina e fa'asino ai taualumaga e fa'aogaina ai tekonolosi fa'afou. E ui ina maua e Optimizer® Smart le faamaoniga a le FDA i le aso 21 o Mati, 2019 i lalo o le igoa o le FDA's Breakthrough Device, o le AMA ma e leʻi tuʻuina atu le Category I CPT codes mo CCM.
Se'ia o'o ina tu'uina atu tulafono a le Vaega I CPT, e mafai e tagata totogi ona fa'aauau pea ona latou iloa o tulafono laiti CPT Vaega III e feso'ota'i ma CCM e fai ma sui o su'esu'ega po'o faiga fa'ata'ita'i. A'o fa'ailoa mai e lenei pepa le fa'afanua sa'o i APC, e tatau i 'au'aunaga ma a latou pa'aga fale ona tulituliloa muamua le fa'atagaga a'o le'i fa'atulagaina po'o le fa'atinoina o faiga fa'apipi'i CCM ina ia mautinoa e le taofia e tagata totogi le totogiina. Mo fesoasoani ile fa'atagaga muamua ma apili, asiasi www.impulse-dynamics.com/reimbursement
Foma'i Pili
- CCM implants o loʻo faʻamatalaina e Category III CPT codes. I le fa'auigaina, o ia tulafono laiti e le'o tu'uina atu i ai fa'atatau RVU tumau e le AMA. Ole tele ole Medicare Administrative Contractors (MACs) ua tu'uina atu tau o le totogiina i nei tulafono CPT. Fa'amolemole va'ai lau MAC webnofoaga po'o fa'afeso'ota'i le Impulse Dynamics mo fa'amatalaga e uiga i le totogiina i lau pulega fa'aletulafono fa'apitoa.
- Pe a faʻatinoina CCM implants i pulega faʻafaamasinoga a le MAC lea e leʻi tuʻuina atu ai tau o totogi poʻo mo tagata e le o ni Medicare, o fomaʻi e tuʻuina atu se tagi mo le CCM implant e fautuaina e faʻasino se auaunaga o loʻo i ai poʻo se faʻataʻitaʻiga e faʻatusatusa i le CCM implant procedure e tusa ai ma tau ma punaoa. O lo'o fa'aalia i le itulau o lo'o i lalo se lisi o fa'ailoga fa'asinoga a le Category I CPT. Mo nisi fa'amatalaga au'ili'ili i le fa'aogaina o tulafono fa'asino mo faiga CCM, fa'amolemole fa'afeso'ota'i le Impulse Dynamics CPT Crosswalk Guidance.
- Metiketi ua tu'uina atu le XXX (fa'alelalolagi manatu e le fa'aogaina) i tulafono laiti uma e sefulu e fa'atatau i taualumaga CCM; tu'u le totogi i le faitalia a le MAC talafeagai.
CPT Code1 Fa'amatalaga Aofa'iga RVU Galuega RVUs
| 33207 | Fa'aofiina o se mea fou po'o le suia o le pacemaker tumau i le eletise (s); ventricular | 14.09 | 7.80 |
| 33208 | Fa'aofiina o se mea fou po'o le suia o le pacemaker tumau i le eletise (s); atrial ma ventricular | 15.25 | 8.52 |
| 33212 | Fa'aofi na'o le pacemaker pulse generator; fa'atasi ai ma ta'ita'i tasi o iai | 9.55 | 5.01 |
| 33213 | Fa'aofi na'o le pacemaker pulse generator; fa'atasi ai ma ta'ita'i ta'ilua | 10.00 | 5.28 |
| 33221 | Fa'aofi na'o le pacemaker pulse generator; fa'atasi ai ma ta'ita'i se tele o iai | 10.56 | 5.55 |
| 33228 | Ave'esea o le pacemaker pulse generator ma le sui o le pacemaker pulse generator; faiga ta'ilua | 10.47 | 5.52 |
| 33230 | Fa'aofiina na'o le fa'apipi'i fa'ato'a fa'ato'a fa'atosina; fa'atasi ai ma ta'ita'i ta'ilua | 11.05 | 6.07 |
| 33249 | Fa'aofia po'o le suia o le fa'aogaina tumau o le defibrillator fa'apipi'i, fa'atasi ai ma ta'ita'i (s), potu tasi pe lua. | 26.85 | 14.92 |
| AVEAGA TULAGA | |||
| 33233 | Aveese na'o le pacemaker pulse generator | 6.92 | 3.14 |
| 33235 | Ave'ese ole pacemaker electrode(s); faiga ta'ilua | 18.77 | 9.90 |
| 33241 | Ave'esea na'o le fa'ato'a fa'ato'a fa'ato'a fa'atosina fatu | 6.37 | 3.04 |
| 33244 | Ave'esea ole fa'aeletise(s) defibrillator e mafai ona fa'atūina e tasi pe lua potu; e ala i le fa'a'ave'esea | 25.44 | 13.74 |
| TOE FAAVAE TULAGA | |||
| 33215 | Toe fa'atulagaina o le pacemaker transvenous muamua po'o le defibrillator fa'apipi'i (taumatau atrial po'o le ventricular taumatau) eletise. | 9.17 | 4.92 |
| 33222 | Toe sii le taga pa'u mo le pacemaker | 10.18 | 4.85 |
| 33223 | Toe fa'anofoina le taga pa'u mo le fa'apipi'iina o le defibrillator | 12.09 | 6.30 |
| Polokalama/SU'UGA TULAGA | |||
| Su'esu'ega masini fa'akomepiuta (i le tagata lava ia) fa'atasi ai ma le fetuutuuna'iga o le masini fa'apipi'iina e fa'ata'ita'i ai le galuega a | |||
| 93280 | le masini ma filifili tulaga sili ona lelei fa'apolokalameina fa'atasi ma au'ili'iliga, toeview ma lipoti mai se fomaʻi poʻo se isi | 2.35 | 0.77 |
| tomai fa'apolofesa fa'alesoifua maloloina; faiga pacemaker ta'i lua | |||
| Su'esu'ega masini su'esu'e (i le tagata lava ia) ma au'ili'iliga, review ma lipoti mai se foma'i po'o se isi soifua maloloina fa'apitoa | |||
| 93288 | fa'apolofesa tausi, e aofia ai feso'ota'iga, fa'amaumauga ma le motusia i taimi uma e feagai ai ma ma'i; tasi, lua, pe tele | 1.23 | 0.43 |
| faiga pacemaker | |||
| Su'esu'ega masini su'esu'e (i le tagata lava ia) ma au'ili'iliga, review ma lipoti mai se foma'i po'o isi tausiga fa'alesoifua maloloina | |||
| 93289 | fa'apolofesa, e aofia ai feso'ota'iga, pu'eina ma motusia i le fa'afeiloa'iga o ma'i; tasi, ta'ilua, po'o le ta'i tele | 1.36 | 0.75 |
| Transvenous implantable defibrillator system, e aofia ai le suʻesuʻeina o le fatu fatu e maua mai elemene faʻamaumauga | |||
| Su'esu'ega masini fa'akomepiuta (i le tagata lava ia) fa'atasi ai ma le fetuutuuna'iga o le masini fa'apipi'iina e fa'ata'ita'i ai le galuega a | |||
| 93283 | le masini ma filifili tulaga sili ona lelei fa'apolokalameina fa'atasi ma au'ili'iliga, toeview ma lipoti mai se fomaʻi poʻo se isi | 2.91 | 1.15 |
| tomai fa'apolofesa fa'alesoifua maloloina; ta'i lua transvenous implantable defibrillator faiga | |||
O se tasi pe sili atu o nei fa'atusatusaga e mafai ona tu'uina atu i le tu'uina atu o tagi e fesoasoani i le fuafuaina o le toe totogiina talafeagai mo nei faiga. E tatau i 'au'aunaga ta'itasi ona filifili le fa'ailoga sili ona talafeagai. O nei mea muamuaampna'o le mea, e le o se lisi mae'ae'a po'o fa'amautu. O fa'amaumauga fa'afoma'i e tatau ona aofia ai fa'amaumauga a le foma'i e lagolago ai le fa'atatau mo le fa'ailoga o lo'o ta'ua e fa'atusatusa, e pei o le taimi o le tautua ma le maualuga o le tomai, fa'aogaina o le toto, ma isi fa'amatalaga talafeagai e lagolagoina le fa'atusatusaina i le code fa'asino mo le totogiina. E tatau i foma'i ona fa'ailoa le fa'ailoga III mo le CCM, ae le o le fa'ailoga fa'asino. O le konekarate a le Medicare po'o le tagata totogi fa'apisinisi e ono talosaga mo se kopi o le fa'amaumauga ina ia faia ai se fa'ai'uga totogi.
Lipoti o Taualumaga a le Falema'i Falema'i
Ole tulafono ole ICD-10-CM (diagnosis), ICD-10-PCS (procedure) codes, ma faʻamatalaga DRG o loʻo tuʻuina atu mo faʻataʻitaʻiga masani a le CCM i le falemaʻi falemaʻi.
ICD-10-CM Code3
| AGAFAI LOTO TOIFO FAAMATALAGA TULAGA | CC | MCC |
| I50.10 | Fa'aletonu le ventricular agavale, e le o ta'ua | X | |
| I50.20 | Fa'aletonu ole fatu ole systolic (congestive). | X | |
| I50.21 | Fa'ato'a fa'aletonu o le fatu (congestive). | X | |
| I50.22 | Fa'aletonu ole fatu fa'asolosolo (congestive). | X | |
| I50.23 | Fa'aletonu ile fatu fa'ama'i (congestive) ole fatu | X | |
| I50.30 | Le fa'ailoaina o le fatu fa'aletonu (congestive) fatu | X | |
| I50.31 | Fa'ato'ilalo le fatu fa'aletonu (congestive). | X | |
| I50.32 | Fa'ato'a fa'aletonu fatu (diastolic) (congestive). | X | |
| I50.33 | Ma'i i luga ole fatu diastolic (congestive) faaumiumi | X | |
| I50.40 | Le fa'ailoaina tu'ufa'atasiga tu'ufa'atasi (congestive ma diastolic (congestive) fatu faaletonu | X | |
| I50.41 | Tu'ufa'atasi tu'ufa'atasia fa'aletonu fatu (congestive) ma le diastolic (congestive). | X | |
| I50.42 | Fa'aletonu le fatu fa'atasi tu'ufa'atasia (congestive) ma le diastolic (congestive). | X | |
| I50.43 | Ma'i i luga ole fatu fa'ama'i tu'ufa'atasi (congestive) ma le diastolic (congestive). | X | |
| I50.80 | Isi fatu faaletonu | ||
| I50.810 | Taumatau fatu faaletonu, e le o ta'ua | ||
| I50.811 | Fa'aletonu le fatu taumatau | ||
| I50.812 | Fa'aletonu fatu taumatau | ||
| I50.813 | Ma'i ile fa'aletonu ole fatu taumatau | ||
| I50.814 | Ua faaletonu le fatu taumatau ona o le faaletonu o le fatu agavale | ||
| I50.82 | Biventricular fatu faaletonu | ||
| I50.83 | Fa'aletonu fatu fatu maualuga | ||
| I50.84 | Fa'ai'u stage faaletonu fatu | ||
| I50.89 | Isi fatu faaletonu | ||
| I50.90 | Fa'aletonu le fatu, e le o ta'ua |
ICD-10-PCS4
FA'ATUNUU/SUIA
- 0JH60AZ Fa'aofiina o le Mea Fa'atonu Fa'akonekarate i totonu o le Fatafata i lalo o le Tissue ma Fascia, Tatala Fa'alatalata
- 0JH63AZ Fa'aofiina o Mea Fa'atonu Fa'akonekarate i totonu o le Fatafata i lalo o le Tissue ma le Fascia, Fa'asagaga Fa'asa'o.
- 0JH80AZ Fa'aofiina o Mea Fa'akomupiuta Feso'ota'iga i totonu o le Tissue Subcutaneous ma le Fascia, Tatala Fa'alatalata
- 0JH83AZ Fa'aofiina o Mea Fa'atonu Fa'akonekarate i totonu o le Tissue Subcutaneous ma le Fascia, Fa'ata'ita'i.
- 02H63MZ Fa'aofiina o le ta'i fatu i totonu o le atrium taumatau, fa'alatalata (pe a fa'amaoti mai e fai ma ta'i mo se masini e fa'aogaina fa'akonekarate)
- 02HK3MZ Fa'aofiina o le ta'i fatu i totonu o le ventricle taumatau, fa'alatalata (pe a fa'amaoti mai e fai ma ta'i mo se masini e fa'aogaina fa'akonekarate)
Fa'atonuga ile Falema'i ile falema'i ile DRG
VAEGA FESOASOANI I LE MA'IGA (DRG)
| MS-DRG | Fa'amatalaga | 2025 Totogi Fa'avae a le Atunu'u5 | |
| 275 | Fa'ato'a fa'ama'i fatu fa'atasi ma le fa'amama fa'ato'aga ma le MCC | $49,290 | |
| 276 | Faʻapipiʻi faʻamaʻi fatu faʻatasi ma MCC poʻo Carotid Sinus Neurostimulator | $43,204 | |
| 277 | Fa'ato'a fa'ama'i fatu e aunoa ma le MCC | $32,446 | |
| HCPCS LEVEL II OFISA KROSSWALA | |||
| Meafaigaluega Vaega | Meafaigaluega Fa'amatalaga | Numera Fa'ata'ita'i | HCPCS C-Code6 |
| IPG | OPTIMIZER® Atamai | 10-B411-3-XX | C1824 |
| IPG | OPTIMIZER® Smart Mini | 10-B501-3-XX | C1824 |
| IPG | OPTIMIZER® Lite | 10-B502-3-XX | C1824 |
| Totogi ma'i | OPTIMIZER® Fa'atonuga Laiti | 10-F202-3-XX | K1030 (fa'aoga mo na'o sui) |
| Totogi ma'i | Guardio Charger System | 10-F311-3-XX | K1030 (fa'aoga mo na'o sui) |
| Totogi ma'i | Vesta Charger System | 10-F301-3-XX | K1030 (fa'aoga mo na'o sui) |
- Patient Charger Vesta Charger System (OPT Lite) 10-F302-3-XX K1030 (fa'aoga mo na'o sui)
- Ta'ita'i Fa'ata'ita'iga Tiliva Ta'ita'i Va'aiga Eseese C1898
- Fa'ailoa Fa'atomuga/Fa'afu Various Various
faamatalaga
HCPCS LEVEL II TULAFONO & FAAMATALAGA
| HCPCS Code | Meafaigaluega Fa'amatalaga | Tupe maua Code |
| C1824 | Fa'aola, fa'a'otoga fa'atotonuga fatu (fa'ato'itia) | 0278 – O isi totoga |
| C1898 | Ta'ita'i, pacemaker, e ese mai le transvenous VDD tasi pasi | 0275 – Pacemakers |
K1030 Fa'aola fa'aola mo le maa (i totonu) mo le fa'aogaina ma le fatu fa'apipi'i fa'atosina fa'atupu fa'aletonu, na'o le sui.
Fa'ailoga
Fa'ailoga, fa'asalalauga ma fa'amatalaga e fa'atatau i le toe totogiina o lo'o tu'uina mai e le Impulse Dynamics e maua mai fa'amatalaga isi vaega. O nei fa'amatalaga e tu'uina atu mo le fa'amalieina na'o le 'au'aunaga fa'alesoifua maloloina ma e le fa'atusalia le toe totogiina, fa'atulafono po'o le tausisia o fautuaga. Fa'ailoga, fa'asalalau ma fa'amatalaga toe totogiina e fa'atatau i suiga faifaipea ma fa'afuase'i; o lea e fautuaina ai e le Impulse Dynamics ia tagata fa'aoga e va'ai i puna'oa fa'amatalaga o lo'o lisiina e fa'amaonia ai le sa'o a'o le'i fa'atinoina le fa'amatalaga o lo'o tu'uina atu ii. E le faia e le Impulse Dynamics se faʻamatalaga poʻo se faʻamaonia e uiga i lenei faʻamatalaga poʻo lona saʻo, atoatoa poʻo le faʻaogaina ma e leai se matafaioi mo le faʻafouina o lenei faʻamatalaga. O le Impulse Dynamics e fa'afitia maoti le noataga po'o le matafaioi mo i'uga po'o taunuuga o so'o se gaioiga na faia e fa'alagolago i fa'amatalaga i lenei pepa. E le fa'amaonia e le Impulse Dynamics o le fa'aogaina po'o le fa'alagolago i so'o se tulafono o lo'o lisiina i totonu o lenei pepa o le a maua ai so'o se tulaga fa'amaonia po'o le fa'amaoniaina o le kava po'o le toe totogiina. E fa'amalosia malosi e le Impulse Dynamics le 'au'aunaga soifua maloloina e tu'uina atu fa'amatalaga sa'o ma talafeagai mo au'aunaga ma fautuaina e te feutaga'i sa'o ma tagata totogi (fa'ata'ita'iga o le Centers for Medicare and Medicaid Services (CMS)), fa'amaonia fa'apolofesa fa'ailoga tupe toe totogi, isi tagata tomai fa'apitoa tau toe totogiina, ma/po'o le tulafono. faufautua e uiga i faʻamatalaga uma, faʻasalalauga, ma faʻamatalaga toe totogiina.
Fa'ailoga mo le fa'aoga
- O le togafitiga CCM o loʻo faʻaalia e faʻaleleia ai le 6-minute hall savali mamao, tulaga lelei o le olaga ma le tulaga galue o NYHA Vasega III maʻi faʻaletonu fatu o loʻo tumau faʻailoga e ui lava i taʻiala faʻatonuina togafitiga faafomaʻi, e le o mauaina le CRT, ma maua se LVEF mai le 25% i le 45%.
- O masini Optimizer® e tu'uina atu fa'ailo CCM e le fa'afiafiaina i le fatu ma e leai se pacemaker po'o le ICD.
Contraindications:
O le faʻaaogaina o le CCM e faʻasalaina i:
- O ma'i o lo'o i ai se masini tricuspid valve
- O ma'i e le mafai ona maua le avanoa e fa'apipi'i ai ta'i
Fa'asinomaga:
- Fa'amatalaga Fa'atonu Fa'atonu (CPT®) Lomiga Fa'apolofesa 2020. Puletaofia 1995-2020 American Medical Association. Ua taofia aia tatau uma.
- https://www.cms.gov/medicare/payment/prospective-payment-systems/hospital-outpatient/regulations-notices/cms-1786-fc
- ICD-10-CM Fa'apitoa mo Foma'i ma Falema'i, 2020. AAPC.
- https://www.cms.gov/medicare/coding-billing/icd-10-codes/2024-icd-10-pcs
- https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/fy-2024-ipps-final-rule-home-page
- 2020 Alpha-Numeric HCPCS File.
Impulse Dynamics
- 50 Lake Center Pulega Park
- 401 Auala 73 N, Fale 50, Suite 100 Marlton, NJ 08053-3449
- 856-642-9933
- © 2025 Impulse Dynamics
- www.impulse-dynamics.com
- reimbursement@impulse-dynamics.com
Pepa / Punaoa
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IMPULSE DYNAMICS Implantable Optimizer Smart System [pdf] Taiala mo Tagata Fa'aoga 0408T, 0409T, 0410T, 0411T, 0412T, 0413T, 0414T, 0415T, Implantable Optimizer Smart System, Optimizer Smart System, Smart System, System |
