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Centers for Medicare & Medicaid Services Establishes New Category I CPT Add-On Code for Coronary IVL
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0 KommentareNew Add-On Code Goes Into Effect January 1, 2024
SANTA CLARA, Calif., Nov. 03, 2023 (GLOBE NEWSWIRE) -- Shockwave Medical, Inc. (NASDAQ: SWAV), a pioneer in the development and commercialization of transformational technologies for the treatment
of cardiovascular disease, announced today that as part of the Calendar Year 2024 Physician Fee Schedule (PFS) final rule, the U.S. Centers for Medicare & Medicaid Services (CMS) has
established a Category I Current Procedural Terminology (CPT) add-on code for procedures involving coronary Intravascular Lithotripsy (IVL). These updates will become effective January 1,
2024.
The new CPT code, +92972, has been created to describe when coronary IVL is performed and has been assigned work Relative Value Units (RVU) and professional fees that remunerate physicians for the additional work associated with performing coronary IVL. Because +92972 is an add-on code, the work RVUs and fees associated with coronary IVL will be added to the remuneration physicians receive for percutaneous coronary intervention (PCI) procedures, including when atherectomy is also performed. The relevant code is as follows:
| CPT | Description | Additional Work RVUs1 | Additional Payment1,2 | |
| +92972 | Percutaneous transluminal coronary lithotripsy | +2.97 | +$140 | |
- CMS-1784-F; Medicare Physician Fee Schedule Fiscal Year 2024 Final Rule
- Payment rates do not take into account geographical or additional adjustments. Providers should contact their local Medicare Administrative Contractor (MAC) or CMS for specific information as payment rates vary by region.
Prior to the establishment of CPT code +92972, there were no additional RVUs or fees for physicians who performed coronary IVL. CMS first proposed the new CPT add-on code via the FY2024 Proposed PFS which, following a 60-day public comment period, has now been finalized.
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"We would like to thank the cardiology medical societies, the American Medical Association CPT Editorial Panel and staff and CMS for their work in establishing a new CPT code for coronary IVL. Now that additional work RVUs and professional fees are associated with coronary IVL, we believe physicians will be appropriately remunerated for their commitment to adequate lesion preparation in these complex interventions involving calcified coronary arteries," said Robert Fletcher, Senior Vice President of Marketing and Market Access at Shockwave Medical.
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