Reimbursement

The C-code used for TriNav™ is C1982; catheter, pressure-generating, one-way valve, intermittently occlusive.

C-codes are used for hospital outpatient device reporting for Medicare and some private payers. For Medicare claims, pass-through codes should be used in conjunction with the CPT procedure code(s) currently used by hospitals.

Note: TriSalus™ Life Sciences is not responsible for the correct use of codes on submitted claims; this information does not constitute reimbursement or legal advice.

Transitional Pass-Through (TPT) Payment

The Centers for Medicare & Medicaid Services’ (CMS) TPT payment program facilitates patient access to new and innovative device technologies that have shown substantial clinical improvement by allowing for adequate payment while CMS collects cost data necessary to incorporate the cost of these technologies into existing ambulatory payment classification (APC) payment rates.

The TPT program applies to devices used in procedures reimbursed by Medicare under its Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System. TPT payment does not apply outside of these settings or to payment from non-Medicare payers.

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