Reimbursement

2020 Coding and Reimbursement for the Ellipsys® Vascular Access System

As of July 1, 2020, HCPCS code C9754 was discontinued and replaced with G2170.

G2170 – Percutaneous arteriovenous fistula creation (avf), direct, any site, by tissue approximation using thermal resistance energy, and secondary procedures to redirect blood flow (e.g., transluminal balloon angioplasty, coil embolization) when performed, and includes all imaging and radiologic guidance, supervision and interpretation, when performed.

For questions regarding coding, coverage and payment, please contact the Ellipsys® Reimbursement Hotline at 888-ENDOAVF (363-6283) or by email at ellipsys@emersonconsultants.com

Disclaimer: Health economic and reimbursement information provided by Avenu Medical, Inc. is gathered from third-party sources and is subject to change without notice as a result of complex laws, regulations, rules and policies. It is provided for convenience only and is not a substitute for a comprehensive review of payer coding, coverage, and payment policies. This information is presented for illustrative purposes only and does not constitute reimbursement or legal advice. Avenu Medical, Inc. encourages providers to submit accurate and appropriate claims for services. It is always the provider’s responsibility to determine medical necessity and the proper place of service for delivery of any services and to submit appropriate codes, charges, and modifiers for services that are rendered. Avenu Medical, Inc. recommends that you consult with your payers, reimbursement specialists and/or legal counsel regarding coding, coverage and reimbursement matters. It is always the provider’s responsibility to understand and comply with Medicare’s national coverage determinations (NCDs) and local coverage determinations (LCDs) and articles and any other coverage requirements established by relevant payers. Payer policies will vary, may be updated frequently, and should be verified prior to treatment to ascertain any limitations payers may impose on diagnosis, coding, or place-of-service requirements. The coding options listed within this guide are commonly used codes and are not intended to be an all-inclusive list.

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