Reimbursement Guidelines for The AVESTA^® Procedure

The AVESTA procedure may be submitted for reimbursement under existing procedure codes.

Additional Information

1. Specific reimbursement levels will vary according to geography, insurance carrier and/or contracted fee.
   
   
2. Pre-authorization may be needed to ensure coverage and payment.
   
   
3. Contact your local payers to determine the appropriate codes and documentation necessary for coverage and payment of the Inlet procedures.
   
   
4. Provide detailed documentation of all the steps necessary to complete the procedure. Multiple diagnoses and procedures codes (if applicable) may be necessary.

Disclaimer

The information contained on this page is provided to help you understand the reimbursement process. It is for informational purposes only and represents no statement, promise or guarantee by Inlet Medical, Inc. concerning levels of reimbursement, payment, or charge. It is not intended to increase or maximize reimbursement by any payer. Similarly, all listed codes are for informational purposes only and represent no statement, promise, or guarantee by Inlet Medical, Inc., that these codes will be appropriate or that reimbursement will be made. It is the responsibility of the health services provider to confirm the appropriate coding required by their local Medicare carriers, fiscal intermediaries, and commercial payers. We recommend that providers consult their payer organizations regarding local policies and specific payment rates.

Sources

Sources for this information are the Centers for Medicare and Medicaid Services website and the Federal Register, November 15, 2004, sections 3 and 3 final rulings. ICD-9 is based on the official version of the World Health Organization's Ninth Revision, International Classification of Diseases. CPT codes and descriptions are copyright 2004 American Medical Association. All Rights Reserved.