TMR is reimbursed by most insurance plans, including Medicare and
Blue Cross/Blue Shield. That goes for TMR as a primary procedure, or
when it is performed as a compliment to bypass surgery. Medicare has
covered TMR since 1999.
Medicare Part A reimbursement coding:
| |
DRG |
Description |
| |
108
|
Other Cardiothoracic Procedures (TMR)
|
| |
|
|
| |
ICD - 9
|
Description |
| |
36.31
|
Open Chest TMR
|
Medicare Part B reimbursement coding (Physician, CPT Coding):
| |
CPT |
Description |
| |
33140 |
Transmyocardial laser revascularization, by thoracotomy; (separate procedure) |
| |
|
|
| |
33141
|
Performed at the time of other open cardiac procedure/s; (List separately in addition to code for primary procedure) |
Disclaimer
Reimbursement
policies and payments can vary considerably from one insurer to another
and are based on the medical necessity for an individual patient.
HeartOfNewLife.com does not guarantee coverage or payment utilizing the
information listed. The information outlined is designed to serve as a
guideline only.
If you have questions regarding the reimbursement of TMR, contact us at
info@HeartOfNewLife.com