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Dear
Canaloplasty Pioneers,
iScience
Interventional is proud to announce that the AMA-CPT panel has just
published the new CAT I CPT (Current Procedural Terminology) code
for Canaloplasty, and the associated RVU valuation for professional
fee calculation and facility payment rates.
There
are actually two (2) new codes associated with the use of
the iTrack Canaloplasty Microcatheter; CPT 66175 and
66174. 66175 is used when Canaloplasty with suture
or stent placement is completed; 66174 would be used when
the iTrack Canaloplasty Microcatheter is utilized to dilate
Schlemm's canal, but suture placement is not possible.
Below
are the CMS National Average payment rates associated with these
two new CPT codes (Payment rates calculated using the 2010
conversion factor of $36.8729 - these payment rates could change if
the conversion factor is modified):
� 66175
- Transluminal
dilation of Schlemm's canal with suture placement
o Professional
payment $1210.54
o ASC
payment $1675.21
o HOPD
Payment $2978.11
� 66174
- Transluminal
dilation of Schlemm's canal without suture
placement
o Professional
payment $1067.84
o ASC
payment $1675.21
o HOPD
Payment
$2978.11
These
new codes go into effect on January 1st, 2011.
Until that date, you should continue to utilize CPT code 0177T when
billing for Canaloplasty with suture or stent placement, and 0176T
when billing for a Canaloplasty that is attempted, but suture or
stent placement is not possible. In previous communiqu�s I have
shared with you that iScience Interventional has partnered with The
Reimbursement Group (TRG); TRG
stands at the ready to help you
incorporate this pending change in coding and payment, and enable
you to extend the possibility of a covered Canaloplasty procedure
to all patients who can benefit within your practice. If you have
questions re: payment rates and coverage for specific insurance
plans or CMS in your geography, I would encourage you to reach out
to your local TRG
contact for further clarification of this coding and payment rate
change.
TRG
Contact information
Hot
Line: (866) 274-3220
Email:
canaloplasty@trgltd.com
Fax: (847)
929-4770
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