Permanent Pacemaker Insertion or Replacement, Outpatient
An outpatient procedure to treat an irregular heartbeat particularly a slow heartbeat. The procedure involves the implantation of a pacemaker to sense heart rate and keep the heart beating regularly, by sending electrical signals to the heart when needed.
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 covers outpatient services 1 day(s) prior to the scheduled Accarent outpatient procedure through 30 calendar days. Should the patient require an inpatient admission, per diem outlier payments will be applicable for each subsequent inpatient day. The per diem applies on all inpatient days beginning on inpatient day number 1 through 30 days after your procedure.
Unrelated inpatient admissions during the bundled rate payment period for cardiovascular catheterization cpts: 93453, 93454, 93458, 93459 (during outpatient bundle)
Candidacy for the bundled procedure will be determined by the Provider.