Cardiovascular Catheterization, Outpatient
A procedure to determine how well your heart is functioning and to diagnose any possible cardiac diseases. The procedure involves the insertion of a catheter into an artery most often in the groin or arms and threading it to a coronary blood vessel. Dye is inserted through the catheter and then radiological pictures are taken to determine if there is any cardiac disease. This bundle procedure is performed on an outpatient basis.
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.