At Abbott, we value the work of our partners and want to help make their lives easier. We’ve compiled relevant documents, reimbursement guides, coding and payment overviews, Medicare National Coverage Determinations, and final rule details for our products. E-mail to connect with a Neuromodulation reimbursement specialists.
The links below contain the latest coding information for Abbott Neuromodulation products.
Chronic Pain Coding Guide Medicare coding guide for Spinal Cord Stimulation (SCS) and Dorsal Root Ganglion Stimulation (DRG).
Radio Frequency Ablation (RFA) Coding Guide Medicare coding guide for Radio Frequency Ablation (RFA).
Deep Brain Stimulation (DBS) Coding Guide Medicare coding guide for Deep Brain Stimulation (DBS).
Neuromodulation HCPCS Device Category C-Codes Current reimbursement Healthcare Procedural Coding System (HCPCS) Neuromodulation Category Codes.
Common CPT‡Code Modifiers Use the printable form for easy CPT‡ coding reference.
We have a team of patient therapy access specialists to assist accounts and a reimbursement hotline to answer coding questions. Call 1-800-727-7846 or e-mail them at PTherapyAccess@abbott.com.
If you require the replacement of external parts of your system, please contact Abbott (formerly St. Jude Medical) Technical Services at 1-800-727-7846 (Option 3) to see if your equipment is covered under warranty.
If your equipment is not covered by warranty, the Technical Services staff will give you the option of having Continuum Services facilitate your equipment replacement. Non-warranty replacement equipment requires a signed prescription. Continuum Services will work with the patient, the authorized prescriber, and the insurance company to obtain the prescription and arrange for insurance billing. For more information, visit Continuum online or call 877-217-1485. Email inquiries may also be sent to NMD@abbott.com.
Click here to learn more about the prior-authorization process for hospital outpatient departments for Medicare patients.
‡ Indicates a third party trademark, which is property of its respective owner.
HE&R Disclaimer:
This document and the information contained herein is for general information purposes only and is not intended, and does not constitute, legal, reimbursement, business, clinical, or other advice. Furthermore, it is not intended to and does not constitute a representation or guarantee of reimbursement, payment, or charge, or that reimbursement or other payment will be received. It is not intended to increase or maximize payment by any payer. Similarly, nothing in this document should be viewed as instructions for selecting any particular code, and Abbott does not advocate or warrant the appropriateness of the use of any particular code. The ultimate responsibility for coding and obtaining payment/reimbursement remains with the customer. This includes the responsibility for accuracy and veracity of all coding and claims submitted to third-party payers. In addition, the customer should note that laws, regulations, and coverage policies are complex and are updated frequently, and, therefore, the customer should check with its local carriers or intermediaries often and should consult with legal counsel or a financial, coding, or reimbursement specialist for any questions related to coding, billing, reimbursement or any related issues. This material reproduces information for reference purposes only. It is not provided or authorized for marketing use.
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Links which take you out of Abbott worldwide websites are not under the control of Abbott, and Abbott is not responsible for the contents of any such site or any further links from such site. Abbott is providing these links to you only as a convenience, and the inclusion of any link does not imply endorsement of the linked site by Abbott.
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