Operational and Economic Advantages
Delivering Value
and Making Reimbursement Easy
- Streamline reimbursement with unique CMS-designated HCPCS codes
- Improved clinical outcomes and lower resource burden
- Partnership with ZHealth to streamline your coding and reimbursement process
Streamline reimbursement
|
HCPCS Code
|
Description
|
|---|---|
|
C8004
|
Simulation angiogram with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the angiogram, for subsequent therapeutic radioembolization of tumors |
|
C9797
|
Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction |
|
Device Code
|
Description
|
|
C1982*
|
Catheter, pressure-generating, one-way valve, intermittently occlusive |
*For Medicare claims, HOPDs are required to report C1982 for the TriNav Infusion Systems devices.
2025 Medicare Ambulatory Payment Classification (APC) HOPD Assignment
C9797 is assigned to (APC) 5194 Level 4 Endovascular Procedures.
C8004 is assigned to (APC) 5193 Level 3 Endovascular Procedures.
For Medicare claims, payment for the device reported as C1982 is packaged into the APC payment for the procedure. Commercial payers may pay separately for the device, depending on individual contracts with the payer.
|
APC
|
Description
|
2025 APC Payment1
|
Status Indicator
|
|---|---|---|---|
|
5193
|
Level 3 Endovascular Procedures
|
$11,340.57
|
J1
|
|
5194
|
Level 4 Endovascular Procedures
|
$17,956.72
|
J1
|
Fewer complications and hospitalizations2,3
In a comprehensive Real-World Evidence study, patients treated with SmartValve technology experienced fewer in-patient visits and complications post-procedure compared to those with a traditional microcatheter.2,3
21% lower
instance of fatigue (20.9% vs. 26.4%)2,3
$3,135 reduced
in-patient visits2,3
61% reduced
incidence of gastric ulcers (1.8% vs. 4.7%)2,3
$4,599 reduced
charges related to clinical complications2,3
49% reduced
reports of jaundice (3.7% vs. 7.3%)2,3
We’ve got your back
Navigating reimbursement is easy with ZHealth
Our partnership with ZHealth—a leader in coding reimbursement support—gives TriNav users a comprehensive suite of personalized reimbursement resources to simplify processes and empower you in the conversations you have with patients.
- Individual consultations and support
- Timely responses to reimbursement questions (within 24 hours)
- Physician and hospital reimbursement guides
- TriNav Coding Webinars
- Access case studies, newsletters, billing guides, FAQs, and more, available to our customers at no cost
Our commitment to your reimbursement
November 2019
December 2022
December 2023
February 2025
Commonly asked questions about working with ZHealth
Use the ZHealth Portal to ask questions about TriNav reimbursement. You will receive a response within 24 hours. Or, email them at [email protected]
No, our partnership with ZHealth is built into our service, so you don’t need to pay extra for ZHealth to support your reimbursement process with TriNav.
Yes. These webinars, as well as case studies, are available on the ZHealth website.
Yes. In most cases, you will receive a response within less than 24 hours.