2020 Reimbursement for WavelinQ™ EndoAVF System

2020 reimbursement Updated for WavelinQ™ EndoAVF System

CMS has created a new code that has been designated in the clinical APC 5193. The new C-APC code is C9755 – Creation of arteriovenous fistula, percutaneous using magnetic-guided arterial and venous catheters and radiofrequency energy, including flow-directing procedures (e.g., vascular coil embolization with radiologic supervision and interpretation, when performed) and fistulogram(s), angiography, venography, and/or ultrasound, with radiologic supervision and interpretation, when performed. New reimbursement rates are in effect as of January 1, 2020.

Reimbursement Hotline
(844) 337-2670

The WavelinQ™ Reimbursement Hotline is available to answer your questions.
Hotline hours are from 6 am to 4 pm PST. The hotline can be reached via phone or email.

(844) 337-2670

BDPI.reimbursement@milestonecro.com.

Any email or voice mail will be returned within 24 business hours. For information on physician billing, please contact your respective professional society.

Frequently Asked Questions

For how long is the code valid?
C9755 is a permanent code until a level 1 CPT code is established.

In what setting is this new code reimbursed?
The new C code is only reimbursed in the Hospital Outpatient Department (HOPD) and Ambulatory Surgical Center (ASC). Currently there is no reimbursement available for the Office Based Lab (OBL) as there is not a Level 1 CPT code for the procedure at this time.

Can a facility bill C9755 along with other CPT codes (e.g. embolization) for the technical component?
No, C9755 is inclusive of all products and steps in the IFU to perform the procedure.

Resources

Hospital Outpatient Department 2020 Reimbursement

Ambulatory Surgical Center 2020 Reimbursement

Disclaimer: Becton, Dickinson and Company does not guarantee that the use of any code will ensure coverage or payment at any particular level. Medicare, Medicaid or other payers may implement policies differently in various sections of the country. Physicians and hospitals should confirm with a particular payer or coding authority, such as the American Medical Association or medical specialty society, which codes or combinations of codes are appropriate for a particular procedure or combination of procedures. Reimbursement for a product or procedure can be different depending upon the setting in which the product is used. Coverage and payment policies can also change over time making the information provided herein obsolete.

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