BARD PERIPHERAL VASCULAR, INC. - 2018 Medicare Final Rule Procedural Payment Guide

BARD PERIPHERAL VASCULAR, INC. - 2018 Medicare Final Rule Procedural Payment Guide

BARD PERIPHERAL VASCULAR, INC. - 2018 Medicare Final Rule Procedural Payment Guide

Advancing Lives and the Delivery of Health Care TM 1 Bard Peripheral Vascular, Inc. | 2018 Medicare Final Rule Table of Contents Lower Leg Revascularization . 2 Angiography . . 5 Catheter Placement . . 6 Stent Placement . . 11 Declots . 12 Biliary Stenting . 13 Grafts - AV Fistula Creation . 14 Vena Cava Filters . 15 Non-Tunneled Venous Access . 16 Tunneled Venous Access . 17 Port Procedures . 18 Repair/Removal Procedures . 20 Guidance Procedures . 21 Feeding . 22 Tracheobronchial Stenting . 24 Stent Removal . 25 ABI . 26 Balloon Valvuloplasty . 29 BARD PERIPHERAL VASCULAR, INC. 2018 Medicare Final Rule Procedural Payment Guide Physician Payment Inpatient Outpatient Hospital Ambulatory Surgery Center

BARD PERIPHERAL VASCULAR, INC. - 2018 Medicare Final Rule Procedural Payment Guide

Advancing Lives and the Delivery of Health Care TM 2 Bard Peripheral Vascular, Inc. | 2018 Medicare Final Rule Definitions: CC = Complications and/or Comorbidy MCC = Major Complications and/or Comorbidy Double Digit or Greater Increase Double Digit or Greater Decrease LOWER LEG REVASCULARIZATION (Angioplasty, Stent and Atherectomy) 2018 Procedural Payment Guide NOTE: ICD-9 listings are for reference only. ICD-10PCS coding requires clinical interpretation in order to determine the most appropriate code(s) for your specific coding situation. Physician Payment Outpatient Hospital Ambulatory Surgery Center Inpatient CPT Code Description In-office (Free Standing Center) In Hospital (Professional Fee) APC Payment ASC Payment ICD-9 Procedure Code MS-DRG Description Nat'l Avg Payment 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 37220 Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty $3,114 $3,112 -0.1% $423 $421 -0.5% $4,823 $5,085 5.4% $2,209 $2,525 14.3% 37221 Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed $4,617 $4,616 0.0% $523 $519 -0.8% $9,748 $10,510 7.8% $6,048 $6,402 5.9% +37222 Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal angioplasty (List separately in addition to code for primary procedure) $874 $875 0.1% $197 $196 -0.5% pack- aged pack- aged pack- aged pack- aged +37223 Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure) $2,590 $2,587 -0.1% $225 $224 -0.4% pack- aged pack- aged pack- aged pack- aged Effective October 1, 2015, the ICD-10 CM diagnosis and ICD-10 PCS procedure code sets replaced ICD-9 coding.

Access ICD-9 to ICD-10 code cross reference for diagnosis and procedure codes at: http://www.icd10data.com/Convert See page 32 for important information about the uses and limitations of this document.

See page 32 for additional information regarding CPT Codes with “+” sign

BARD PERIPHERAL VASCULAR, INC. - 2018 Medicare Final Rule Procedural Payment Guide

Advancing Lives and the Delivery of Health Care TM 3 Bard Peripheral Vascular, Inc. | 2018 Medicare Final Rule Definitions: CC = Complications and/or Comorbidy MCC = Major Complications and/or Comorbidy Double Digit or Greater Increase Double Digit or Greater Decrease LOWER LEG REVASCULARIZATION cont. (Angioplasty, Stent and Atherectomy) 2018 Procedural Payment Guide NOTE: ICD-9 listings are for reference only. ICD-10PCS coding requires clinical interpretation in order to determine the most appropriate code(s) for your specific coding situation.

Physician Payment Outpatient Hospital Ambulatory Surgery Center Inpatient CPT Code Description In-office (Free Standing Center) In Hospital (Professional Fee) APC Payment ASC Payment ICD-9 Procedure Code MS-DRG Description Nat'l Avg Payment 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 37224 Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty $3,777 $3,779 0.1% $467 $465 -0.4% $4,823 $5,085 5.4% $3,473 $2,525 -27.3% 37225 Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed $11,063 $11,096 0.3% $638 $635 -0.5% $9,748 $10,510 7.8% $7,449 $7,024 -5.7% 37226 Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed $9,065 $9,072 0.1% $551 $547 -0.7% $9,748 $10,510 7.8% $6,569 $6,749 2.7% 37227 Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when performed $14,987 $15,015 0.2% $769 $763 -0.8% $14,776 $16,019 8.4% $10,869 $10,864 0.0% 00.40 - 00.43, 00.45 - 00.48, 00.55, Inclusive to main procedure DRG Effective October 1, 2015, the ICD-10 CM diagnosis and ICD-10 PCS procedure code sets replaced ICD-9 coding.

Access ICD-9 to ICD-10 code cross reference for diagnosis and procedure codes at: http://www.icd10data.com/Convert See page 32 for important information about the uses and limitations of this document.

BARD PERIPHERAL VASCULAR, INC. - 2018 Medicare Final Rule Procedural Payment Guide

Advancing Lives and the Delivery of Health Care TM 4 Bard Peripheral Vascular, Inc. | 2018 Medicare Final Rule Definitions: CC = Complications and/or Comorbidy MCC = Major Complications and/or Comorbidy Double Digit or Greater Increase Double Digit or Greater Decrease LOWER LEG REVASCULARIZATION cont. (Angioplasty, Stent and Atherectomy) 2018 Procedural Payment Guide NOTE: ICD-9 listings are for reference only. ICD-10PCS coding requires clinical interpretation in order to determine the most appropriate code(s) for your specific coding situation. Physician Payment Outpatient Hospital Ambulatory Surgery Center Inpatient CPT Code Description In-office (Free Standing Center) In Hospital (Professional Fee) APC Payment ASC Payment ICD-9 Procedure Code MS-DRG Description Nat'l Avg Payment 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 37228 Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty $5,409 $5,408 0.0% $573 $570 -0.5% $9,748 $10,510 7.8% $4,187 $4,481 7.0% 39.50, 39.90 252 Other Vascular Procedures with MCC $18,032 $18,282 1.4% 37229 Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed $10,906 $10,942 0.3% $746 $740 -0.8% $14,776 $16,019 8.4% $10,065 $10,228 1.6% 17.56 253 Other Vascular Procedures with CC $14,393 $14,566 1.2% +37232 Revascularization, endovascular, open or percutaneous, tibial/ peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary procedure) $1,207 $1,207 0.0% $213 $211 -0.9% pack- aged pack- aged pack- aged pack- aged +37233 Revascularization, endovascular, open or percutaneous, tibial/ peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure) $1,459 $1,460 0.1% $346 $345 -0.3% pack- aged pack- aged pack- aged pack- aged 0238T Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; iliac artery, each vessel $14,776 $16,019 8.4% $9,911 $10,318 4.1% Effective October 1, 2015, the ICD-10 CM diagnosis and ICD-10 PCS procedure code sets replaced ICD-9 coding.

Access ICD-9 to ICD-10 code cross reference for diagnosis and procedure codes at: http://www.icd10data.com/Convert See page 32 for important information about the uses and limitations of this document.

See page 32 for additional information regarding CPT Codes with “+” sign and OTPT Status Q2

BARD PERIPHERAL VASCULAR, INC. - 2018 Medicare Final Rule Procedural Payment Guide

Advancing Lives and the Delivery of Health Care TM 5 Bard Peripheral Vascular, Inc. | 2018 Medicare Final Rule Definitions: CC = Complications and/or Comorbidy MCC = Major Complications and/or Comorbidy Double Digit or Greater Increase Double Digit or Greater Decrease ANGIOGRAPHY 2018 Procedural Payment Guide NOTE: ICD-9 listings are for reference only. ICD-10PCS coding requires clinical interpretation in order to determine the most appropriate code(s) for your specific coding situation.

Physician Payment Outpatient Hospital Ambulatory Surgery Center Inpatient CPT Code Description In-office (Free Standing Center) In Hospital (Professional Fee) APC Payment ASC Payment ICD-9 Procedure Code MS-DRG Description Nat'l Avg Payment 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 75710 Angiography, extremity, unilateral, radiological supervision and interpretation $164 $175 6.7% $57 $88 54.4% pack- aged pack- aged pack- aged pack- aged Inclusive to main procedure DRG 75716 Angiography, extremity, bilateral, radiological supervision and interpretation $189 $198 4.8% $65 $98 50.8% pack- aged pack- aged pack- aged pack- aged Inclusive to main procedure DRG 75736 Angiography, pelvic, selective or supraselective, radiological supervision and interpretation $162 $162 0.0% $56 $56 0.0% pack- aged pack- aged pack- aged pack- aged 17.71, 88.48 Inclusive to main procedure DRG Effective October 1, 2015, the ICD-10 CM diagnosis and ICD-10 PCS procedure code sets replaced ICD-9 coding.

Access ICD-9 to ICD-10 code cross reference for diagnosis and procedure codes at: http://www.icd10data.com/Convert See page 32 for important information about the uses and limitations of this document.

BARD PERIPHERAL VASCULAR, INC. - 2018 Medicare Final Rule Procedural Payment Guide

Advancing Lives and the Delivery of Health Care TM 6 Bard Peripheral Vascular, Inc. | 2018 Medicare Final Rule Definitions: CC = Complications and/or Comorbidy MCC = Major Complications and/or Comorbidy Double Digit or Greater Increase Double Digit or Greater Decrease CATHETER PLACEMENT 2018 Procedural Payment Guide NOTE: ICD-9 listings are for reference only. ICD-10PCS coding requires clinical interpretation in order to determine the most appropriate code(s) for your specific coding situation. Physician Payment Outpatient Hospital Ambulatory Surgery Center Inpatient CPT Code Description In-office (Free Standing Center) In Hospital (Professional Fee) APC Payment ASC Payment ICD-9 Procedure Code MS-DRG Description Nat'l Avg Payment 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 36140 Introduction of needle or intracatheter; extremity artery $430 $435 1.2% $94 $94 0.0% N/A N/A N/A N/A Inclusive to main procedure DRG 36901 Introduction of needle(s) and/ or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report $581 $609 4.8% $151 $176 16.6% $684 $613 -10.4% $369 $319 -13.6% 36902 Introduction of needle(s) and/ or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report; with transluminal balloon angioplasty, peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty 1235 1268 2.7% $225 $251 11.6% $4,823 $5,085 5.4% $3,119 $2,525 -19.0% Effective October 1, 2015, the ICD-10 CM diagnosis and ICD-10 PCS procedure code sets replaced ICD-9 coding.

Access ICD-9 to ICD-10 code cross reference for diagnosis and procedure codes at: http://www.icd10data.com/Convert See page 32 for important information about the uses and limitations of this document.

BARD PERIPHERAL VASCULAR, INC. - 2018 Medicare Final Rule Procedural Payment Guide

Advancing Lives and the Delivery of Health Care TM 7 Bard Peripheral Vascular, Inc. | 2018 Medicare Final Rule Definitions: CC = Complications and/or Comorbidy MCC = Major Complications and/or Comorbidy Double Digit or Greater Increase Double Digit or Greater Decrease CATHETER PLACEMENT cont. 2018 Procedural Payment Guide NOTE: ICD-9 listings are for reference only. ICD-10PCS coding requires clinical interpretation in order to determine the most appropriate code(s) for your specific coding situation. Physician Payment Outpatient Hospital Ambulatory Surgery Center Inpatient CPT Code Description In-office (Free Standing Center) In Hospital (Professional Fee) APC Payment ASC Payment ICD-9 Procedure Code MS-DRG Description Nat'l Avg Payment 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 36903 Introduction of needle(s) and/ or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report; with transcatheter placement of intravascular stent(s) peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the stenting, and all angioplasty within the peripheral dialysis segment 5663 6708 18.5% $308 $332 7.8% $9,748 $10,510 7.8% $6,026 $4,481 -25.6% 36904 Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angiography, fluoroscopic guidance, catheter placement(s), and intraprocedural pharmacological thrombolytic injection(s) 1801 1843 2.3% $355 $387 9.0% $4,823 $5,085 5.4% $3,119 $2,525 -19.0% Effective October 1, 2015, the ICD-10 CM diagnosis and ICD-10 PCS procedure code sets replaced ICD-9 coding.

Access ICD-9 to ICD-10 code cross reference for diagnosis and procedure codes at: http://www.icd10data.com/Convert See page 32 for important information about the uses and limitations of this document.

Advancing Lives and the Delivery of Health Care TM 8 Bard Peripheral Vascular, Inc. | 2018 Medicare Final Rule Definitions: CC = Complications and/or Comorbidy MCC = Major Complications and/or Comorbidy Double Digit or Greater Increase Double Digit or Greater Decrease CATHETER PLACEMENT cont. 2018 Procedural Payment Guide NOTE: ICD-9 listings are for reference only. ICD-10PCS coding requires clinical interpretation in order to determine the most appropriate code(s) for your specific coding situation. Physician Payment Outpatient Hospital Ambulatory Surgery Center Inpatient CPT Code Description In-office (Free Standing Center) In Hospital (Professional Fee) APC Payment ASC Payment ICD-9 Procedure Code MS-DRG Description Nat'l Avg Payment 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 36905 Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angiography, fluoroscopic guidance, catheter placement(s), and intraprocedural pharmacological thrombolytic injection(s); with transluminal balloon angioplasty, peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty 2304 2336 1.4% $445 $464 4.3% $9,748 $10,510 7.8% $6,026 $4,481 -25.6% 36906 Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angiography, fluoroscopic guidance, catheter placement(s), and intraprocedural pharmacological thrombolytic injection(s); with transcatheter placement of an intravascular stent(s), peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the stenting, and all angioplasty within the peripheral dialysis circuit 6867 6927 0.9% $519 $537 3.5% $14,776 $16,019 8.4% $9,342 $6,926 -25.9% Effective October 1, 2015, the ICD-10 CM diagnosis and ICD-10 PCS procedure code sets replaced ICD-9 coding.

Access ICD-9 to ICD-10 code cross reference for diagnosis and procedure codes at: http://www.icd10data.com/Convert See page 32 for important information about the uses and limitations of this document.

Advancing Lives and the Delivery of Health Care TM 9 Bard Peripheral Vascular, Inc. | 2018 Medicare Final Rule Definitions: CC = Complications and/or Comorbidy MCC = Major Complications and/or Comorbidy Double Digit or Greater Increase Double Digit or Greater Decrease CATHETER PLACEMENT cont. 2018 Procedural Payment Guide NOTE: ICD-9 listings are for reference only. ICD-10PCS coding requires clinical interpretation in order to determine the most appropriate code(s) for your specific coding situation. Physician Payment Outpatient Hospital Ambulatory Surgery Center Inpatient CPT Code Description In-office (Free Standing Center) In Hospital (Professional Fee) APC Payment ASC Payment ICD-9 Procedure Code MS-DRG Description Nat'l Avg Payment 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 36907 Transluminal balloon angioplasty, central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perform the angioplasty (List separately in addition to code for primary procedure) 739 768 3.9% $130 $154 18.5% N/C N/C N/C N/C 36908 Transcatheter placement of an intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all imaging radiological supervision and interpretation required to perform the stenting, and all angioplasty in the central dialysis segment (List separately in addition to code for primary procedure) 2722 2754 1.2% $194 $219 12.9% N/C N/C N/C N/C 36909 Dialysis circuit permanent vascular embolization or occlusion (including main circuit or any accessory veins), endovascular, including all imaging and radiological supervision and interpretation necessary to complete the intervention (List separately in addition to code for primary procedure) 1985 2002 0.9% $184 $217 17.9% N/C N/C N/C N/C Effective October 1, 2015, the ICD-10 CM diagnosis and ICD-10 PCS procedure code sets replaced ICD-9 coding.

Access ICD-9 to ICD-10 code cross reference for diagnosis and procedure codes at: http://www.icd10data.com/Convert See page 32 for important information about the uses and limitations of this document.

Advancing Lives and the Delivery of Health Care TM 10 Bard Peripheral Vascular, Inc. | 2018 Medicare Final Rule Definitions: CC = Complications and/or Comorbidy MCC = Major Complications and/or Comorbidy Double Digit or Greater Increase Double Digit or Greater Decrease CATHETER PLACEMENT cont. 2018 Procedural Payment Guide NOTE: ICD-9 listings are for reference only. ICD-10PCS coding requires clinical interpretation in order to determine the most appropriate code(s) for your specific coding situation. Physician Payment Outpatient Hospital Ambulatory Surgery Center Inpatient CPT Code Description In-office (Free Standing Center) In Hospital (Professional Fee) APC Payment ASC Payment ICD-9 Procedure Code MS-DRG Description Nat'l Avg Payment 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 36245 Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family $1,324 $1,333 0.7% $251 $249 -0.8% N/C N/C pack- aged pack- aged 38.91 Inclusive to main procedure DRG 36246 Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family $838 $837 -0.1% $268 $266 -0.7% N/C N/C pack- aged pack- aged 38.91 Inclusive to main procedure DRG 36247 Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family $1,523 $1,526 0.2% $318 $316 -0.6% N/C N/C pack- aged pack- aged 38.91 Inclusive to main procedure DRG Effective October 1, 2015, the ICD-10 CM diagnosis and ICD-10 PCS procedure code sets replaced ICD-9 coding.

Access ICD-9 to ICD-10 code cross reference for diagnosis and procedure codes at: http://www.icd10data.com/Convert See page 32 for important information about the uses and limitations of this document.

Advancing Lives and the Delivery of Health Care TM 11 Bard Peripheral Vascular, Inc. | 2018 Medicare Final Rule Definitions: CC = Complications and/or Comorbidy MCC = Major Complications and/or Comorbidy Double Digit or Greater Increase Double Digit or Greater Decrease STENT PLACEMENT 2018 Procedural Payment Guide Physician Payment Outpatient Hospital Ambulatory Surgery Center Inpatient CPT Code Description In-office (Free Standing Center) In Hospital (Professional Fee) APC Payment ASC Payment ICD-9 Procedure Code MS-DRG Description Nat'l Avg Payment 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 37236 Transcatheter placement of an intravascular stent(s) (except lower extremity arteries for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed; initial artery $4,017 $3,911 -2.6% $464 $467 0.6% $9,748 $10,510 7.8% $4,187 $4,481 7.0% 252 - Other Vascular Procedures with MCC $18,032 $18,282 1.4% +37237 Transcatheter placement of an intravascular stent(s) (except lower extremity arteries for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed; each additional artery (List separately in addition to code for primary procedure) $2,454 $2,461 0.3% $224 $223 -0.4% pack- aged pack- aged pack- aged pack- aged 253 - Other Vascular Procedures with CC $14,393 $14,566 1.2% 37238 Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; initial vein $4,190 $4,237 1.1% $314 $313 -0.3% $9,748 $10,510 7.8% $6,334 $6,518 2.9% 254 - Other Vascular Procedures without CC/ MCC $9,670 $10,310 6.6% +37239 Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each additional vein (List separately in addition to code for primary procedure) $2,035 $2,051 0.8% $159 $159 0.0% pack- aged pack- aged pack- aged pack- aged NOTE: ICD-9 listings are for reference only.

ICD-10PCS coding requires clinical interpretation in order to determine the most appropriate code(s) for your specific coding situation. Effective October 1, 2015, the ICD-10 CM diagnosis and ICD-10 PCS procedure code sets replaced ICD-9 coding. Access ICD-9 to ICD-10 code cross reference for diagnosis and procedure codes at: http://www.icd10data.com/Convert See page 32 for important information about the uses and limitations of this document.

See page 32 for additional information regarding CPT Codes with “+” sign

Advancing Lives and the Delivery of Health Care TM 12 Bard Peripheral Vascular, Inc. | 2018 Medicare Final Rule Definitions: CC = Complications and/or Comorbidy MCC = Major Complications and/or Comorbidy Double Digit or Greater Increase Double Digit or Greater Decrease DECLOTS 2018 Procedural Payment Guide Physician Payment Outpatient Hospital Ambulatory Surgery Center Inpatient CPT Code Description In-office (Free Standing Center) In Hospital (Professional Fee) APC Payment ASC Payment ICD-9 Procedure Code MS-DRG Description Nat'l Avg Payment 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 36593 Declotting by thrombolytic agent of implanted vascular access device or catheter $32 $32 0.0% N/A N/A N/A $279 $298 6.8% $31 $32 3.2% 99.10 061 - Acute Ischemic Stroke with Use of Thrombolytic Agent with MCC $14,897 $15,898 6.7% 062 - Acute Ischemic Stroke with Use of Thrombolytic Agent with CC $10,269 $10,928 6.4% 063 - Acute Ischemic Stroke with Use of Thrombolytic Agent without CC/MCC $8,581 $9,179 7.0% NOTE: ICD-9 listings are for reference only.

ICD-10PCS coding requires clinical interpretation in order to determine the most appropriate code(s) for your specific coding situation. Effective October 1, 2015, the ICD-10 CM diagnosis and ICD-10 PCS procedure code sets replaced ICD-9 coding. Access ICD-9 to ICD-10 code cross reference for diagnosis and procedure codes at: http://www.icd10data.com/Convert See page 32 for important information about the uses and limitations of this document.

Advancing Lives and the Delivery of Health Care TM 13 Bard Peripheral Vascular, Inc. | 2018 Medicare Final Rule Definitions: CC = Complications and/or Comorbidy MCC = Major Complications and/or Comorbidy Double Digit or Greater Increase Double Digit or Greater Decrease BILIARY STENTING 2018 Procedural Payment Guide Physician Payment Outpatient Hospital Ambulatory Surgery Center Inpatient CPT Code Description In-office (Free Standing Center) In Hospital (Professional Fee) APC Payment ASC Payment ICD-9 Procedure Code MS-DRG Description Nat'l Avg Payment 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 47538 Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter removal(s) when performed, and all associated radiological supervision and interpretation, each stent; existing access $4,392 $4,408 0.4% $248 $247 -0.4% $4,197 $4,488 6.9% $2,037 $3,076 51.0% Inclusive to main procedure DRG 47539 Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter removal(s) when performed, and all associated radiological supervision and interpretation, each stent; new access, without placement of separate biliary drainage catheter $4,860 $4,884 0.5% $449 $448 -0.2% $4,197 $4,488 6.9% $2,037 $2,097 2.9% Inclusive to main procedure DRG 47556 Biliary endoscopy, percutaneous via T-tube with dilation of biliary duct structures with stent N/A N/A $434 $383 -11.8% $4,197 $4,488 6.9% $3,002 $2,097 -30.1% 51.87 Inclusive to main procedure DRG N/A Inclusive to main procedure DRG NOTE: ICD-9 listings are for reference only.

ICD-10PCS coding requires clinical interpretation in order to determine the most appropriate code(s) for your specific coding situation. Effective October 1, 2015, the ICD-10 CM diagnosis and ICD-10 PCS procedure code sets replaced ICD-9 coding. Access ICD-9 to ICD-10 code cross reference for diagnosis and procedure codes at: http://www.icd10data.com/Convert See page 32 for important information about the uses and limitations of this document.

Advancing Lives and the Delivery of Health Care TM 14 Bard Peripheral Vascular, Inc. | 2018 Medicare Final Rule Definitions: CC = Complications and/or Comorbidy MCC = Major Complications and/or Comorbidy Double Digit or Greater Increase Double Digit or Greater Decrease GRAFTS - AV FISTULA CREATION 2018 Procedural Payment Guide Physician Payment Outpatient Hospital Ambulatory Surgery Center Inpatient CPT Code Description In-office (Free Standing Center) In Hospital (Professional Fee) APC Payment ASC Payment ICD-9 Procedure Code MS-DRG Description Nat'l Avg Payment 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 36830 Creation of A-V fistula, nonautogenous graft N/A N/A $702 $696 -0.9% $3,923 $4,265 8.7% $2,119 $2,222 4.9% 39.27 673 - Other Kidney and Urinary Tract Procedures with MCC $18,196 $19,833 9.0% 674 - Other Kidney and Urinary Tract Procedures with CC $12,274 $13,047 6.3% 36833 Revision, A-V fistula, with thrombectomy, autogenous or nonautogenous graft N/A N/A $854 $849 -0.6% $3,923 $4,265 8.7% $2,119 $2,222 4.9% 39.42 675 - Other Kidney and Urinary Tract Procedures without CC/ MCC $8,425 $9,279 10.1% 35621 Bypass graft, other than vein, axillary-femoral N/A N/A $1,158 $1,149 -0.8% Inpa- tient only Inpa- tient only Inpa- tient only Inpa- tient only 39.29 252 - Other Vascular Procedures with MCC $18,032 $18,282 1.4% 35654 Bypass graft, other than vein, axillary-femoral- femoral N/A N/A $1,444 $1,432 -0.8% Inpa- tient only Inpa- tient only Inpa- tient only Inpa- tient only 39.29 253 - Other Vascular Procedures with CC $14,393 $14,566 1.2% 35661 Bypass graft, other than vein, femoral-femoral N/A N/A $1,144 $1,134 -0.9% Inpa- tient only Inpa- tient only Inpa- tient only Inpa- tient only 39.29 254 - Other Vascular Procedures without CC/ MCC $9,670 $10,310 6.6% NOTE: ICD-9 listings are for reference only.

ICD-10PCS coding requires clinical interpretation in order to determine the most appropriate code(s) for your specific coding situation. Effective October 1, 2015, the ICD-10 CM diagnosis and ICD-10 PCS procedure code sets replaced ICD-9 coding. Access ICD-9 to ICD-10 code cross reference for diagnosis and procedure codes at: http://www.icd10data.com/Convert See page 32 for important information about the uses and limitations of this document.

Advancing Lives and the Delivery of Health Care TM 15 Bard Peripheral Vascular, Inc. | 2018 Medicare Final Rule Definitions: CC = Complications and/or Comorbidy MCC = Major Complications and/or Comorbidy Double Digit or Greater Increase Double Digit or Greater Decrease VENA CAVA FILTERS 2018 Procedural Payment Guide Physician Payment Outpatient Hospital Ambulatory Surgery Center Inpatient CPT Code Description In-office (Free Standing Center) In Hospital (Professional Fee) APC Payment ASC Payment ICD-9 Procedure Code MS-DRG Description Nat'l Avg Payment 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 36010 Introduction of catheter, vena cava $492 $491 -0.2% $114 $114 0.0% NA NA NA NA N/A Inclusive to main procedure DRG Inclusive to main procedure DRG 37191 Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed $2,609 $2,610 0.0% $236 $234 -0.8% $3,923 $4,265 8.7% Inpa- tient only Inpa- tient only 38.70 252 - Other Vascular Procedures with MCC $18,032 $18,282 1.4% 37192 Repositioning of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed $1,628 $1,377 -15.4% $379 $366 -3.4% $2,360 $2,493 5.6% Inpa- tient only Inpa- tient only 38.70 253 - Other Vascular Procedures with CC $14,393 $14,566 1.2% 37193 Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed $1,555 $1,558 0.2% $368 $366 -0.5% $2,360 $2,493 5.6% Inpa- tient only Inpa- tient only 38.70 254 - Other Vascular Procedures without CC/ MCC $9,670 $10,310 6.6% NOTE: ICD-9 listings are for reference only.

ICD-10PCS coding requires clinical interpretation in order to determine the most appropriate code(s) for your specific coding situation. Effective October 1, 2015, the ICD-10 CM diagnosis and ICD-10 PCS procedure code sets replaced ICD-9 coding. Access ICD-9 to ICD-10 code cross reference for diagnosis and procedure codes at: http://www.icd10data.com/Convert See page 32 for important information about the uses and limitations of this document.

Advancing Lives and the Delivery of Health Care TM 16 Bard Peripheral Vascular, Inc. | 2018 Medicare Final Rule Definitions: CC = Complications and/or Comorbidy MCC = Major Complications and/or Comorbidy Double Digit or Greater Increase Double Digit or Greater Decrease NON-TUNNELED VENOUS ACCESS 2018 Procedural Payment Guide Physician Payment Outpatient Hospital Ambulatory Surgery Center Inpatient CPT Code Description In-office (Free Standing Center) In Hospital (Professional Fee) APC Payment ASC Payment ICD-9 Procedure Code MS-DRG Description Nat'l Avg Payment 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 36555 Insert non-tunnel central venous catheter (5yrs) $238 $214 -10.1% $125 $101 -19.2% $684 $983 43.7% $369 $512 38.8% 86.07 580 - Other Skin, Subcutaneous Tissue and Breast Procedures with CC $8,972 $9,261 3.2% 36580 Replace nontunneled central venous catheter w/o port $218 $219 0.5% $69 $69 0.0% $684 $983 43.7% $369 $512 38.8% 86.07 581 - Other Skin, Subcutaneous Tissue and Breast Procedures without CC/ MCC $6,895 $7,292 5.8% NOTE: ICD-9 listings are for reference only.

ICD-10PCS coding requires clinical interpretation in order to determine the most appropriate code(s) for your specific coding situation. Effective October 1, 2015, the ICD-10 CM diagnosis and ICD-10 PCS procedure code sets replaced ICD-9 coding. Access ICD-9 to ICD-10 code cross reference for diagnosis and procedure codes at: http://www.icd10data.com/Convert See page 32 for important information about the uses and limitations of this document.

Advancing Lives and the Delivery of Health Care TM 17 Bard Peripheral Vascular, Inc. | 2018 Medicare Final Rule Definitions: CC = Complications and/or Comorbidy MCC = Major Complications and/or Comorbidy Double Digit or Greater Increase Double Digit or Greater Decrease TUNNELED VENOUS ACCESS 2018 Procedural Payment Guide Physician Payment Outpatient Hospital Ambulatory Surgery Center Inpatient CPT Code Description In-office (Free Standing Center) In Hospital (Professional Fee) APC Payment ASC Payment ICD-9 Procedure Code MS-DRG Description Nat'l Avg Payment 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 36557 Insert tunneled central venous catheter w/o port (5yrs) $730 $729 -0.1% $274 $272 -0.7% $2,360 $2,493 5.6% $1,274 $1,299 2.0% N/A Inclusive to main procedure DRG 36565 Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; without subcutaneous port or pump (eg, Tesio type catheter) $904 $903 -0.1% $348 $347 -0.3% $2,360 $2,493 5.6% $1,274 $1,299 2.0% Inclusive to main procedure DRG 36581 Replace tunneled centrally inserted central venous access catheter w/o port $717 $720 0.4% $191 $190 -0.5% $2,360 $2,493 5.6% $1,274 $1,299 2.0% 86.07 579 - Other Skin, Subcutaneous Tissue and Breast Procedures with MCC $14,805 $15,561 5.1% 580 - Other Skin, Subcutaneous Tissue and Breast Procedures with CC $8,972 $9,261 3.2% 581 - Other Skin, Subcutaneous Tissue and Breast Procedures without CC/ MCC $6,895 $7,292 5.8% NOTE: ICD-9 listings are for reference only.

ICD-10PCS coding requires clinical interpretation in order to determine the most appropriate code(s) for your specific coding situation. Effective October 1, 2015, the ICD-10 CM diagnosis and ICD-10 PCS procedure code sets replaced ICD-9 coding. Access ICD-9 to ICD-10 code cross reference for diagnosis and procedure codes at: http://www.icd10data.com/Convert See page 32 for important information about the uses and limitations of this document.

Advancing Lives and the Delivery of Health Care TM 18 Bard Peripheral Vascular, Inc. | 2018 Medicare Final Rule Definitions: CC = Complications and/or Comorbidy MCC = Major Complications and/or Comorbidy Double Digit or Greater Increase Double Digit or Greater Decrease PORT PROCEDURES Physician Payment Outpatient Hospital Ambulatory Surgery Center Inpatient CPT Code Description In-office (Free Standing Center) In Hospital (Professional Fee) APC Payment ASC Payment ICD-9 Procedure Code MS-DRG Description Nat'l Avg Payment 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 36560 Insert tunneled centrally inserted central venous catheter w/port (5yrs) $1,110 $1,106 -0.4% $354 $351 -0.8% $2,360 $2,493 5.6% $1,274 $1,299 2.0% N/A Inclusive to main procedure DRG 36582 Replace tunneled centrally inserted central venous catheter w/port $1,028 $1,023 -0.5% $303 $301 -0.7% $2,360 $2,493 5.6% $1,274 $1,299 2.0% 86.07 579 - Other Skin, Subcutaneous Tissue and Breast Procedures with MCC $14,805 $15,561 5.1% 580 - Other Skin, Subcutaneous Tissue and Breast Procedures with CC $8,972 $9,261 3.2% 581 - Other Skin, Subcutaneous Tissue and Breast Procedures without CC/ MCC $6,895 $7,292 5.8% 2018 Procedural Payment Guide NOTE: ICD-9 listings are for reference only.

ICD-10PCS coding requires clinical interpretation in order to determine the most appropriate code(s) for your specific coding situation. Effective October 1, 2015, the ICD-10 CM diagnosis and ICD-10 PCS procedure code sets replaced ICD-9 coding. Access ICD-9 to ICD-10 code cross reference for diagnosis and procedure codes at: http://www.icd10data.com/Convert See page 32 for important information about the uses and limitations of this document.

Advancing Lives and the Delivery of Health Care TM 19 Bard Peripheral Vascular, Inc. | 2018 Medicare Final Rule Definitions: CC = Complications and/or Comorbidy MCC = Major Complications and/or Comorbidy Double Digit or Greater Increase Double Digit or Greater Decrease PORT PROCEDURES cont. Physician Payment Outpatient Hospital Ambulatory Surgery Center Inpatient CPT Code Description In-office (Free Standing Center) In Hospital (Professional Fee) APC Payment ASC Payment ICD-9 Procedure Code MS-DRG Description Nat'l Avg Payment 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 36570 Insert peripherally inserted central venous access device w/port (5yrs) $1,238 $1,248 0.8% $322 $322 0.0% $2,360 $2,493 5.6% $1,274 $1,299 2.0% N/A Inclusive to main procedure DRG 36585 Replace peripherally inserted central venous access device w/port $1,096 $1,081 -1.4% $284 $282 -0.7% $2,360 $2,493 5.6% $1,274 $1,299 2.0% 86.07 579 - Other Skin, Subcutaneous Tissue and Breast Procedures with MCC $14,805 $15,561 5.1% 580 - Other Skin, Subcutaneous Tissue and Breast Procedures with CC $8,972 $9,261 3.2% 49419 Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) N/A N/A $462 $461 -0.2% $3,923 $4,265 8.7% $2,119 $2,222 4.9% 581 - Other Skin, Subcutaneous Tissue and Breast Procedures without CC/ MCC $6,895 $7,292 5.8% 2018 Procedural Payment Guide NOTE: ICD-9 listings are for reference only.

ICD-10PCS coding requires clinical interpretation in order to determine the most appropriate code(s) for your specific coding situation. Effective October 1, 2015, the ICD-10 CM diagnosis and ICD-10 PCS procedure code sets replaced ICD-9 coding. Access ICD-9 to ICD-10 code cross reference for diagnosis and procedure codes at: http://www.icd10data.com/Convert See page 32 for important information about the uses and limitations of this document.

Advancing Lives and the Delivery of Health Care TM 20 Bard Peripheral Vascular, Inc. | 2018 Medicare Final Rule Definitions: CC = Complications and/or Comorbidy MCC = Major Complications and/or Comorbidy Double Digit or Greater Increase Double Digit or Greater Decrease REPAIR / REMOVAL PROCEDURES Physician Payment Outpatient Hospital Ambulatory Surgery Center Inpatient CPT Code Description In-office (Free Standing Center) In Hospital (Professional Fee) APC Payment ASC Payment ICD-9 Procedure Code MS-DRG Description Nat'l Avg Payment 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 36575 Repair of tunneled or non- tunneled central venous access device w/o port $169 $168 -0.6% $36 $36 0.0% $684 $613 -10.4% $369 $319 -13.6% 86.09 36576 Repair tunneled central venous catheter w/port $322 $322 0.0% $192 $191 -0.5% $684 $983 43.7% $369 $512 38.8% 86.09 579 - Other Skin, Subcutaneous Tissue and Breast Procedures with MCC $14,805 $15,561 5.1% 36578 Replace , catheter only, non- tunneled centrally inserted central venous access device w/port $458 $459 0.2% $211 $211 0.0% $2,360 $2,493 5.6% $1,274 $1,299 2.0% 86.09 580 - Other Skin, Subcutaneous Tissue and Breast Procedures with CC $8,972 $9,261 3.2% 36589 Removal tunneled central venous catheter w/o port $168 $168 0.0% $142 $142 0.0% $684 $613 -10.4% $369 $319 -13.6% 86.09 581 - Other Skin, Subcutaneous Tissue and Breast Procedures without CC/ MCC $6,895 $7,292 5.8% 36590 Removal tunneled central venous catheter w/port $228 $227 -0.4% $198 $198 0.0% $684 $613 -10.4% $369 $319 -13.6% 86.09 36596 Mech remov tunneled central venous catheter $134 $134 0.0% $46 $46 0.0% $684 $983 43.7% $369 $512 38.8% 86.09 36597 Reposition venous catheter under fluoro $130 $130 0.0% $64 $63 -1.6% $684 $983 43.7% $369 $512 38.8% N/A Inclusive to main procedure DRG 2018 Procedural Payment Guide NOTE: ICD-9 listings are for reference only.

ICD-10PCS coding requires clinical interpretation in order to determine the most appropriate code(s) for your specific coding situation. Effective October 1, 2015, the ICD-10 CM diagnosis and ICD-10 PCS procedure code sets replaced ICD-9 coding. Access ICD-9 to ICD-10 code cross reference for diagnosis and procedure codes at: http://www.icd10data.com/Convert See page 32 for important information about the uses and limitations of this document.

Advancing Lives and the Delivery of Health Care TM 21 Bard Peripheral Vascular, Inc. | 2018 Medicare Final Rule Definitions: CC = Complications and/or Comorbidy MCC = Major Complications and/or Comorbidy Double Digit or Greater Increase Double Digit or Greater Decrease GUIDANCE PROCEDURES Physician Payment Outpatient Hospital Ambulatory Surgery Center Inpatient CPT Code Description In-office (Free Standing Center) In Hospital (Professional Fee) APC Payment ASC Payment ICD-9 Procedure Code MS-DRG Description Nat'l Avg Payment 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 76937 Ultrasound guidance for vascular access with permanent recording $32 $32 0.0% $15 $15 0.0% pack- aged pack- aged pack- aged pack- aged 88.79 Inclusive to main procedure DRG 77001 Flouroscopic guidance for central venous access device placement or removal $85 $85 0.0% $19 $19 0.0% pack- aged pack- aged pack- aged pack- aged 87.39 Inclusive to main procedure DRG 88.16 Inclusive to main procedure DRG 2018 Procedural Payment Guide NOTE: ICD-9 listings are for reference only.

ICD-10PCS coding requires clinical interpretation in order to determine the most appropriate code(s) for your specific coding situation. Effective October 1, 2015, the ICD-10 CM diagnosis and ICD-10 PCS procedure code sets replaced ICD-9 coding. Access ICD-9 to ICD-10 code cross reference for diagnosis and procedure codes at: http://www.icd10data.com/Convert See page 32 for important information about the uses and limitations of this document.

Advancing Lives and the Delivery of Health Care TM 22 Bard Peripheral Vascular, Inc. | 2018 Medicare Final Rule Definitions: CC = Complications and/or Comorbidy MCC = Major Complications and/or Comorbidy Double Digit or Greater Increase Double Digit or Greater Decrease FEEDING Physician Payment Outpatient Hospital Ambulatory Surgery Center Inpatient CPT Code Description In-office (Free Standing Center) In Hospital (Professional Fee) APC Payment ASC Payment ICD-9 Procedure Code MS-DRG Description Nat'l Avg Payment 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 49440 Percutaneous placement of gastrostomy tube $988 $986 -0.2% $216 $215 -0.5% $1,334 $1,427 7.0% $608 $628 3.3% 43.11 Inclusive to main procedure DRG 49441 Percutaneous placement of jejunostomy tube $1,115 $1,116 0.1% $253 $252 -0.4% $1,334 $1,427 7.0% $608 $628 3.3% 43.11 Inclusive to main procedure DRG 43760 Change of gastrostomy tube, J-Tube straightforward $499 $506 1.4% $49 $49 0.0% $216 $230 6.5% $117 $120 2.6% 97.02 Inclusive to main procedure DRG 43761 Repostioning of gastric feeding tube $121 $121 0.0% $107 $107 0.0% $216 $230 6.5% $117 $120 2.6% 44.99 326 - Stomach, Esophageal and Duodenal Procedures with MCC $29,215 $25,511 -12.7% 327 - Stomach, Esophageal and Duodenal Procedures with CC $14,098 $11,851 -15.9% 328 - Stomach, Esophageal and Duodenal Procedures without CC/ MCC $8,359 $8,410 0.6% 97.02 Inclusive to main procedure DRG 2018 Procedural Payment Guide NOTE: ICD-9 listings are for reference only.

ICD-10PCS coding requires clinical interpretation in order to determine the most appropriate code(s) for your specific coding situation. Effective October 1, 2015, the ICD-10 CM diagnosis and ICD-10 PCS procedure code sets replaced ICD-9 coding. Access ICD-9 to ICD-10 code cross reference for diagnosis and procedure codes at: http://www.icd10data.com/Convert See page 32 for important information about the uses and limitations of this document.

Advancing Lives and the Delivery of Health Care TM 23 Bard Peripheral Vascular, Inc. | 2018 Medicare Final Rule Definitions: CC = Complications and/or Comorbidy MCC = Major Complications and/or Comorbidy Double Digit or Greater Increase Double Digit or Greater Decrease FEEDING cont. Physician Payment Outpatient Hospital Ambulatory Surgery Center Inpatient CPT Code Description In-office (Free Standing Center) In Hospital (Professional Fee) APC Payment ASC Payment ICD-9 Procedure Code MS-DRG Description Nat'l Avg Payment 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 49450 Replace gastrostomy tube $678 $680 0.3% $70 $69 -1.4% $699 $743 6.3% $378 $387 2.4% 97.03 Inclusive to main procedure DRG 49451 Replace jejunostomy tube $741 $742 0.1% $94 $94 0.0% $699 $743 6.3% $378 $387 2.4% 97.04 Inclusive to main procedure DRG 74355 Radiologic supervision and interpretation placement of enteroclysis tube (i.e.

J-Tube) N/A N/A $39 $40 2.6% pack- aged pack- aged pack- aged pack- aged 87.69 Inclusive to main procedure DRG 2018 Procedural Payment Guide NOTE: ICD-9 listings are for reference only. ICD-10PCS coding requires clinical interpretation in order to determine the most appropriate code(s) for your specific coding situation. Effective October 1, 2015, the ICD-10 CM diagnosis and ICD-10 PCS procedure code sets replaced ICD-9 coding. Access ICD-9 to ICD-10 code cross reference for diagnosis and procedure codes at: http://www.icd10data.com/Convert See page 32 for important information about the uses and limitations of this document.

Advancing Lives and the Delivery of Health Care TM 24 Bard Peripheral Vascular, Inc. | 2018 Medicare Final Rule Definitions: CC = Complications and/or Comorbidy MCC = Major Complications and/or Comorbidy Double Digit or Greater Increase Double Digit or Greater Decrease TRACHEOBRANCHIAL STENTING Physician Payment Outpatient Hospital Ambulatory Surgery Center Inpatient CPT Code Description In-office (Free Standing Center) In Hospital (Professional Fee) APC Payment ASC Payment ICD-9 Procedure Code MS-DRG Description Nat'l Avg Payment 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 2017 2018 % Change 31631 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of tracheal stent(s) (includes tracheal/ bronchial dilation as required) N/A N/A $238 $237 -0.4% $4,361 $4,864 11.5% $1,708 $1,768 3.5% 31.64, 31.93 166 - Other Respiratory System O.R.

Procedures with MCC $19,258 $19,658 2.1% 31636 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of bronchial stent(s) (includes tracheal/ bronchial dilation as required), initial bronchus N/A N/A $229 $229 0.0% $4,361 $4,864 11.5% $2,561 $2,501 -2.3% 167 - Other Respiratory System O.R. Procedures with CC $10,642 $10,082 -5.3% +31637 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; each additional major bronchus stented (List separately in addition to code for primary procedure) N/A N/A $77 $77 0.0% pack- aged pack- aged pack- aged pack- aged 31.93, 31.99 168 - Other Respiratory System O.R.

Procedures without CC/ MCC $7,272 $7,145 -1.7% 31638 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with revision of tracheal or bronchial stent inserted at previous session (includes tracheal/bronchial dilation as required) N/A N/A $261 $259 -0.8% $4,361 $4,864 11.5% $1,708 $1,768 3.5% 2018 Procedural Payment Guide NOTE: ICD-9 listings are for reference only. ICD-10PCS coding requires clinical interpretation in order to determine the most appropriate code(s) for your specific coding situation. Effective October 1, 2015, the ICD-10 CM diagnosis and ICD-10 PCS procedure code sets replaced ICD-9 coding.

Access ICD-9 to ICD-10 code cross reference for diagnosis and procedure codes at: http://www.icd10data.com/Convert See page 32 for important information about the uses and limitations of this document.

See page 32 for additional information regarding CPT Codes with “+” sign