Pulmonary Valve Replace or Repair with Cardiac Cath, 10 Days
A surgical procedure to treat disease affecting the pulmonary heart valve. An inpatient diagnostic cardiac catheterization is performed to evaluate your cardiac disease. The surgical procedure involves the repair or the replacement of the pulmonary leaflets or the entire pulmonary valve to restore blood flow and oxygenation.
The Bundled Rate plus Outlier Per Diems includes:
1. Those comprehensive facility services, supplies, and equipment necessary to perform the Bundled Procedure and rendered by PROVIDER 2. Those professional services necessary to perform the Bundled Procedure and rendered by a Physician 3. The treatment of any complication or concurrent related illness associated with or resulting from the performance of the Bundled Procedure The Bundled Rate Period covers the 1 day(s) prior to the procedure for the scheduled Accarent Procedure and up to 10 inpatient days in the hospital. Should the length of stay exceed 10 inpatient days, then per diem outlier payments will be applicable for each subsequent inpatient day. Covered outpatient follow-up services related to the bundled procedure beginning on the day of discharge through 30 calendar days are included in the bundled price.
There are no exclusions.
Candidacy for the bundled procedure will be determined by the Provider.