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




                                                                                                                                                                                                  Physician

        BARD PERIPHERAL VASCULAR, INC.                                                                                                                                                            Payment


        2018 Medicare Final Rule
                                                                                                                                                                                                  Outpatient
        Procedural Payment Guide                                                                                                                                                                   Hospital




        Table of Contents                                                                                                                                                                        Ambulatory
        Lower Leg Revascularization.............................................. 2                Tunneled Venous Access................................................... 17
                                                                                                                                                                                                Surgery Center
        Angiography........................................................................5       Port Procedures................................................................. 18
        Catheter Placement.............................................................6           Repair/Removal Procedures............................................. 20
        Stent Placement................................................................. 11        Guidance Procedures........................................................ 21
        Declots.............................................................................. 12   Feeding............................................................................ 22
        Biliary Stenting.................................................................. 13      Tracheobronchial Stenting............................................... 24
        Grafts - AV Fistula Creation............................................... 14             Stent Removal.................................................................. 25
        Vena Cava Filters............................................................... 15        ABI.................................................................................... 26     Inpatient
        Non-Tunneled Venous Access........................................... 16                   Balloon Valvuloplasty....................................................... 29


Bard Peripheral Vascular, Inc. | 2018 Medicare Final Rule                                                                                                                                                1
BARD PERIPHERAL VASCULAR, INC. - 2018 Medicare Final Rule Procedural Payment Guide
Advancing Lives and the Delivery of Health Care TM




LOWER LEG REVASCULARIZATION (Angioplasty, Stent and Atherectomy)
                                                                                                                                                                               Definitions:
                                                                                                                                                                               CC = Complications and/or Comorbidy
                                                                                                                                                                               MCC = Major Complications and/or Comorbidy

2018 Procedural Payment Guide                                                                                                                                                  Double Digit or Greater Increase
                                                                                                                                                                               Double Digit or Greater Decrease



             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.


       See page 32 for additional                                                                                                           Ambulatory
         information regarding                               Physician Payment                          Outpatient Hospital                                                                   Inpatient
        CPT Codes with “+” sign                                                                                                            Surgery Center

                                                                                                                                                                         ICD-9
  CPT                                                  In-office                 In Hospital                                                                                           MS-DRG
                    Description                                                                                  APC Payment                  ASC Payment              Procedure
                                                                                                                                                                                      Description
                                                                                                                                                                                                         Nat'l Avg Payment
  Code                                         (Free Standing Center)        (Professional Fee)                                                                          Code

                                                                   %                           %                                %                             %                                                             %
                                                2017    2018              2017      2018                  2017       2018                 2017      2018                                              2017       2018
                                                                 Change                      Change                           Change                        Change                                                        Change

  37220     Revascularization,                 $3,114   $3,112    -0.1%   $423       $421     -0.5%      $4,823     $5,085     5.4%      $2,209    $2,525    14.3%
            endovascular, open or
            percutaneous, iliac artery,
            unilateral, initial vessel; with
            transluminal angioplasty
  37221     Revascularization,                 $4,617   $4,616    0.0%    $523       $519     -0.8%      $9,748     $10,510    7.8%      $6,048    $6,402     5.9%
            endovascular, open or
            percutaneous, iliac artery,
            unilateral, initial vessel;
            with transluminal stent
            placement(s), includes
            angioplasty within the same
            vessel, when performed
   +37222   Revascularization,                 $874     $875      0.1%     $197      $196     -0.5%       pack-     pack-                 pack-    pack-
            endovascular, open                                                                            aged      aged                  aged     aged
            or percutaneous, iliac
            artery, each additional
            ipsilateral iliac vessel; with
            transluminal angioplasty
            (List separately in addition
            to code for primary
            procedure)
   +37223   Revascularization,                 $2,590   $2,587    -0.1%   $225      $224      -0.4%       pack-     pack-                 pack-    pack-
            endovascular, open or                                                                         aged      aged                  aged     aged
            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)

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                                                                                                                                                                         2
BARD PERIPHERAL VASCULAR, INC. - 2018 Medicare Final Rule Procedural Payment Guide
Advancing Lives and the Delivery of Health Care TM




LOWER LEG REVASCULARIZATION cont. (Angioplasty, Stent and Atherectomy)
                                                                                                                                                                               Definitions:
                                                                                                                                                                               CC = Complications and/or Comorbidy
                                                                                                                                                                               MCC = Major Complications and/or Comorbidy

2018 Procedural Payment Guide                                                                                                                                                  Double Digit or Greater Increase
                                                                                                                                                                               Double Digit or Greater Decrease



             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.


                                                                                                                                            Ambulatory
                                                              Physician Payment                         Outpatient Hospital                                                                   Inpatient
                                                                                                                                           Surgery Center

                                                                                                                                                                         ICD-9
  CPT                                                  In-office                  In Hospital                                                                                          MS-DRG
                    Description                                                                                  APC Payment                  ASC Payment              Procedure
                                                                                                                                                                                      Description
                                                                                                                                                                                                         Nat'l Avg Payment
  Code                                         (Free Standing Center)         (Professional Fee)                                                                         Code

                                                                     %                         %                                %                              %                                                            %
                                                2017     2018               2017    2018                  2017       2018                 2017      2018                                              2017       2018
                                                                   Change                    Change                           Change                         Change                                                       Change

  37224     Revascularization,                 $3,777    $3,779     0.1%    $467    $465      -0.4%      $4,823     $5,085     5.4%      $3,473    $2,525    -27.3%
            endovascular, open or
            percutaneous, femoral,
            popliteal artery(s),
            unilateral; with transluminal
            angioplasty
  37225     Revascularization,                 $11,063   $11,096    0.3%    $638    $635      -0.5%      $9,748     $10,510    7.8%      $7,449    $7,024     -5.7%
            endovascular, open or
            percutaneous, femoral,
            popliteal artery(s), unilateral;
            with atherectomy, includes
            angioplasty within the same
            vessel, when performed
  37226     Revascularization,                 $9,065    $9,072     0.1%    $551    $547      -0.7%      $9,748     $10,510    7.8%      $6,569    $6,749     2.7%
            endovascular, open or
            percutaneous, femoral,
            popliteal artery(s), unilateral;
            with transluminal stent
            placement(s), includes
            angioplasty within the same
            vessel, when performed
  37227     Revascularization,                 $14,987   $15,015    0.2%    $769    $763      -0.8%      $14,776    $16,019    8.4%     $10,869    $10,864    0.0%       00.40 -     Inclusive
            endovascular, open or                                                                                                                                                    to main
                                                                                                                                                                          00.43,     procedure
            percutaneous, femoral,                                                                                                                                        00.45      DRG
            popliteal artery(s),
            unilateral; with transluminal                                                                                                                                - 00.48,
            stent placement(s) and                                                                                                                                        00.55,
            atherectomy, includes
            angioplasty within the same
            vessel, when performed

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                                                                                                                                                                         3
BARD PERIPHERAL VASCULAR, INC. - 2018 Medicare Final Rule Procedural Payment Guide
Advancing Lives and the Delivery of Health Care TM




LOWER LEG REVASCULARIZATION cont. (Angioplasty, Stent and Atherectomy)
                                                                                                                                                                                  Definitions:
                                                                                                                                                                                  CC = Complications and/or Comorbidy
                                                                                                                                                                                  MCC = Major Complications and/or Comorbidy

2018 Procedural Payment Guide                                                                                                                                                     Double Digit or Greater Increase
                                                                                                                                                                                  Double Digit or Greater Decrease



             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.

       See page 32 for additional
         information regarding                                                                                                              Ambulatory
                                                                Physician Payment                       Outpatient Hospital                                                                    Inpatient
      CPT Codes with “+” sign and                                                                                                          Surgery Center
            OTPT Status Q2

                                                                                                                                                                         ICD-9
  CPT                                                    In-office                  In Hospital                                                                                          MS-DRG
                     Description                                                                                 APC Payment                  ASC Payment              Procedure
                                                                                                                                                                                        Description
                                                                                                                                                                                                         Nat'l Avg Payment
  Code                                           (Free Standing Center)         (Professional Fee)                                                                       Code

                                                                       %                        %                               %                              %                                                            %
                                                  2017     2018               2017    2018                2017       2018                 2017      2018                                               2017      2018
                                                                     Change                   Change                          Change                         Change                                                       Change

  37228     Revascularization, endovascular,     $5,409    $5,408     0.0%    $573    $570     -0.5%     $9,748     $10,510    7.8%      $4,187    $4,481     7.0%        39.50,       252 Other      $18,032   $18,282     1.4%
            open or percutaneous, tibial,                                                                                                                                              Vascular
            peroneal artery, unilateral,                                                                                                                                  39.90        Procedures
            initial vessel; with transluminal                                                                                                                                          with MCC
            angioplasty

  37229     Revascularization, endovascular,     $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      $14,393   $14,566     1.2%
            open or percutaneous, tibial,                                                                                                                                              Vascular
            peroneal artery, unilateral,                                                                                                                                               Procedures
            initial vessel; with atherectomy,                                                                                                                                          with CC
            includes angioplasty within the
            same vessel, when performed

  +37232    Revascularization, endovascular,     $1,207    $1,207     0.0%    $213     $211    -0.9%      pack-     pack-                 pack-    pack-
            open or percutaneous, tibial/
            peroneal artery, unilateral,                                                                  aged      aged                  aged     aged
            each additional vessel; with
            transluminal angioplasty (List
            separately in addition to code for
            primary procedure)

  +37233    Revascularization, endovascular,     $1,459    $1,460     0.1%    $346    $345     -0.3%      pack-     pack-                 pack-    pack-
            open or percutaneous, tibial/
            peroneal artery, unilateral,                                                                  aged      aged                  aged     aged
            each additional vessel;
            with atherectomy, includes
            angioplasty within the same
            vessel, when performed (List
            separately in addition to code for
            primary procedure)

  0238T     Transluminal peripheral                                                                      $14,776    $16,019    8.4%      $9,911    $10,318    4.1%
            atherectomy, open or
            percutaneous, including
            radiological supervision and
            interpretation; iliac artery, each
            vessel

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                                                                                                                                                                          4
BARD PERIPHERAL VASCULAR, INC. - 2018 Medicare Final Rule Procedural Payment Guide
Advancing Lives and the Delivery of Health Care TM




ANGIOGRAPHY
                                                                                                                                                                                Definitions:
                                                                                                                                                                                CC = Complications and/or Comorbidy
                                                                                                                                                                                MCC = Major Complications and/or Comorbidy

2018 Procedural Payment Guide                                                                                                                                                   Double Digit or Greater Increase
                                                                                                                                                                                Double Digit or Greater Decrease



             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.


                                                                                                                                            Ambulatory
                                                          Physician Payment                             Outpatient Hospital                                                                   Inpatient
                                                                                                                                           Surgery Center

                                                                                                                                                                         ICD-9
  CPT                                              In-office                     In Hospital                                                                                           MS-DRG
                   Description                                                                                   APC Payment                  ASC Payment              Procedure
                                                                                                                                                                                      Description
                                                                                                                                                                                                         Nat'l Avg Payment
  Code                                     (Free Standing Center)            (Professional Fee)                                                                          Code

                                                                %                              %                               %                              %                                                             %
                                            2017     2018                 2017      2018                  2017      2018                  2017      2018                                              2017       2018
                                                              Change                         Change                          Change                         Change                                                        Change

  75710     Angiography, extremity,         $164     $175      6.7%        $57       $88      54.4%       pack-     pack-                 pack-    pack-                             Inclusive
            unilateral, radiological                                                                                                                                                 to main
                                                                                                          aged      aged                  aged     aged                              procedure
            supervision and                                                                                                                                                          DRG
            interpretation
  75716     Angiography, extremity,         $189     $198      4.8%        $65       $98      50.8%       pack-     pack-                 pack-    pack-                             Inclusive
            bilateral, radiological                                                                                                                                                  to main
                                                                                                          aged      aged                  aged     aged                              procedure
            supervision and                                                                                                                                                          DRG
            interpretation
  75736     Angiography, pelvic,            $162     $162      0.0%        $56       $56       0.0%       pack-     pack-                 pack-    pack-                   17.71,    Inclusive
            selective or supraselective,                                                                  aged      aged                  aged     aged                   88.48      to main
            radiological supervision and                                                                                                                                             procedure
                                                                                                                                                                                     DRG
            interpretation

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                                                                                                                                                                         5
BARD PERIPHERAL VASCULAR, INC. - 2018 Medicare Final Rule Procedural Payment Guide
Advancing Lives and the Delivery of Health Care TM




CATHETER PLACEMENT
                                                                                                                                                                                 Definitions:
                                                                                                                                                                                 CC = Complications and/or Comorbidy
                                                                                                                                                                                 MCC = Major Complications and/or Comorbidy

2018 Procedural Payment Guide                                                                                                                                                    Double Digit or Greater Increase
                                                                                                                                                                                 Double Digit or Greater Decrease



             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.


                                                                                                                                            Ambulatory
                                                             Physician Payment                          Outpatient Hospital                                                                     Inpatient
                                                                                                                                           Surgery Center

                                                                                                                                                                           ICD-9
  CPT                                                    In-office               In Hospital                                                                                             MS-DRG
                    Description                                                                                  APC Payment                    ASC Payment              Procedure
                                                                                                                                                                                        Description
                                                                                                                                                                                                           Nat'l Avg Payment
  Code                                           (Free Standing Center)      (Professional Fee)                                                                            Code

                                                                   %                           %                               %                                %                                                             %
                                                 2017    2018             2017      2018                  2017      2018                  2017       2018                                               2017       2018
                                                                 Change                      Change                          Change                           Change                                                        Change

  36140     Introduction of needle or            $430    $435     1.2%     $94       $94       0.0%       N/A        N/A                  N/A        N/A                               Inclusive
            intracatheter; extremity                                                                                                                                                   to main
            artery                                                                                                                                                                     procedure
                                                                                                                                                                                       DRG

  36901     Introduction of needle(s) and/       $581    $609     4.8%     $151      $176     16.6%       $684       $613     -10.4%      $369       $319     -13.6%
            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

  36902     Introduction of needle(s) and/       1235     1268    2.7%    $225       $251     11.6%      $4,823     $5,085     5.4%      $3,119     $2,525    -19.0%
            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

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                                                                                                                                                                           6
BARD PERIPHERAL VASCULAR, INC. - 2018 Medicare Final Rule Procedural Payment Guide
Advancing Lives and the Delivery of Health Care TM




CATHETER PLACEMENT cont.
                                                                                                                                                                               Definitions:
                                                                                                                                                                               CC = Complications and/or Comorbidy
                                                                                                                                                                               MCC = Major Complications and/or Comorbidy

2018 Procedural Payment Guide                                                                                                                                                  Double Digit or Greater Increase
                                                                                                                                                                               Double Digit or Greater Decrease



             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.


                                                                                                                                            Ambulatory
                                                             Physician Payment                          Outpatient Hospital                                                                   Inpatient
                                                                                                                                           Surgery Center

                                                                                                                                                                         ICD-9
  CPT                                                    In-office               In Hospital                                                                                           MS-DRG
                    Description                                                                                  APC Payment                  ASC Payment              Procedure
                                                                                                                                                                                      Description
                                                                                                                                                                                                         Nat'l Avg Payment
  Code                                           (Free Standing Center)      (Professional Fee)                                                                          Code

                                                                   %                           %                                %                             %                                                             %
                                                 2017    2018             2017      2018                  2017       2018                 2017      2018                                              2017       2018
                                                                 Change                      Change                           Change                        Change                                                        Change

  36903     Introduction of needle(s) and/       5663    6708     18.5%   $308      $332       7.8%      $9,748     $10,510    7.8%      $6,026    $4,481    -25.6%
            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

  36904     Percutaneous transluminal            1801     1843    2.3%    $355      $387       9.0%      $4,823     $5,085     5.4%      $3,119    $2,525    -19.0%
            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)

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                                                                                                                                                                         7
Advancing Lives and the Delivery of Health Care TM




CATHETER PLACEMENT cont.
                                                                                                                                                                               Definitions:
                                                                                                                                                                               CC = Complications and/or Comorbidy
                                                                                                                                                                               MCC = Major Complications and/or Comorbidy

2018 Procedural Payment Guide                                                                                                                                                  Double Digit or Greater Increase
                                                                                                                                                                               Double Digit or Greater Decrease



             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.


                                                                                                                                            Ambulatory
                                                           Physician Payment                            Outpatient Hospital                                                                   Inpatient
                                                                                                                                           Surgery Center

                                                                                                                                                                         ICD-9
  CPT                                                  In-office                 In Hospital                                                                                           MS-DRG
                    Description                                                                                  APC Payment                  ASC Payment              Procedure
                                                                                                                                                                                      Description
                                                                                                                                                                                                         Nat'l Avg Payment
  Code                                         (Free Standing Center)        (Professional Fee)                                                                          Code

                                                                 %                             %                                %                             %                                                             %
                                               2017    2018               2017      2018                  2017       2018                 2017      2018                                              2017       2018
                                                               Change                        Change                           Change                        Change                                                        Change

  36905     Percutaneous transluminal          2304    2336     1.4%      $445      $464       4.3%      $9,748     $10,510    7.8%      $6,026    $4,481    -25.6%
            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

  36906     Percutaneous transluminal          6867    6927     0.9%      $519      $537       3.5%      $14,776    $16,019    8.4%      $9,342    $6,926    -25.9%
            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

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                                                                                                                                                                         8
Advancing Lives and the Delivery of Health Care TM




CATHETER PLACEMENT cont.
                                                                                                                                                                                 Definitions:
                                                                                                                                                                                 CC = Complications and/or Comorbidy
                                                                                                                                                                                 MCC = Major Complications and/or Comorbidy

2018 Procedural Payment Guide                                                                                                                                                    Double Digit or Greater Increase
                                                                                                                                                                                 Double Digit or Greater Decrease



             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.


                                                                                                                                            Ambulatory
                                                            Physician Payment                           Outpatient Hospital                                                                     Inpatient
                                                                                                                                           Surgery Center

                                                                                                                                                                           ICD-9
  CPT                                                In-office                   In Hospital                                                                                             MS-DRG
                   Description                                                                                   APC Payment                    ASC Payment              Procedure
                                                                                                                                                                                        Description
                                                                                                                                                                                                           Nat'l Avg Payment
  Code                                       (Free Standing Center)          (Professional Fee)                                                                            Code

                                                                %                              %                               %                                %                                                             %
                                             2017    2018                 2017      2018                  2017      2018                  2017       2018                                               2017       2018
                                                              Change                         Change                          Change                           Change                                                        Change

  36907     Transluminal balloon             739      768      3.9%       $130       $154     18.5%       N/C        N/C                  N/C        N/C
            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)
  36908     Transcatheter placement          2722    2754      1.2%        $194      $219     12.9%       N/C        N/C                  N/C        N/C
            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)
  36909     Dialysis circuit permanent       1985    2002      0.9%        $184      $217     17.9%       N/C        N/C                  N/C        N/C
            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)

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                                                                                                                                                                           9
Advancing Lives and the Delivery of Health Care TM




CATHETER PLACEMENT cont.
                                                                                                                                                                               Definitions:
                                                                                                                                                                               CC = Complications and/or Comorbidy
                                                                                                                                                                               MCC = Major Complications and/or Comorbidy

2018 Procedural Payment Guide                                                                                                                                                  Double Digit or Greater Increase
                                                                                                                                                                               Double Digit or Greater Decrease



             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.


                                                                                                                                            Ambulatory
                                                          Physician Payment                             Outpatient Hospital                                                                   Inpatient
                                                                                                                                           Surgery Center

                                                                                                                                                                         ICD-9
  CPT                                              In-office                     In Hospital                                                                                           MS-DRG
                   Description                                                                                   APC Payment                  ASC Payment              Procedure
                                                                                                                                                                                      Description
                                                                                                                                                                                                         Nat'l Avg Payment
  Code                                     (Free Standing Center)            (Professional Fee)                                                                          Code

                                                                %                              %                               %                              %                                                             %
                                            2017     2018                 2017      2018                  2017      2018                  2017      2018                                              2017       2018
                                                              Change                         Change                          Change                         Change                                                        Change

  36245     Selective catheter             $1,324    $1,333    0.7%       $251      $249      -0.8%       N/C        N/C                  pack-    pack-                  38.91      Inclusive
            placement, arterial system;                                                                                                   aged     aged                              to main
            each first order abdominal,                                                                                                                                              procedure
                                                                                                                                                                                     DRG
            pelvic, or lower extremity
            artery branch, within a
            vascular family
  36246     Selective catheter             $838      $837      -0.1%      $268      $266      -0.7%       N/C        N/C                  pack-    pack-                  38.91      Inclusive
            placement, arterial system;                                                                                                   aged     aged                              to main
            initial second order                                                                                                                                                     procedure
                                                                                                                                                                                     DRG
            abdominal, pelvic, or lower
            extremity artery branch,
            within a vascular family
  36247     Selective catheter             $1,523    $1,526    0.2%        $318      $316     -0.6%       N/C        N/C                  pack-    pack-                  38.91      Inclusive
            placement, arterial system;                                                                                                   aged     aged                              to main
            initial third order or more                                                                                                                                              procedure
                                                                                                                                                                                     DRG
            selective abdominal, pelvic,
            or lower extremity artery
            branch, within a vascular
            family

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                                                                                                                                                                         10
Advancing Lives and the Delivery of Health Care TM




STENT PLACEMENT
                                                                                                                                                                               Definitions:
                                                                                                                                                                               CC = Complications and/or Comorbidy
                                                                                                                                                                               MCC = Major Complications and/or Comorbidy

2018 Procedural Payment Guide                                                                                                                                                  Double Digit or Greater Increase
                                                                                                                                                                               Double Digit or Greater Decrease



             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.


       See page 32 for additional                                                                                                           Ambulatory
         information regarding                                     Physician Payment                     Outpatient Hospital                                                                   Inpatient
        CPT Codes with “+” sign                                                                                                            Surgery Center

                                                                                                                                                                          ICD-9
 CPT                                                         In-office                In Hospital                                                                                      MS-DRG
                     Description                                                                                 APC Payment                  ASC Payment               Procedure
                                                                                                                                                                                      Description
                                                                                                                                                                                                         Nat'l Avg Payment
 Code                                                (Free Standing Center)       (Professional Fee)                                                                      Code

                                                                         %                        %                             %                             %                                                             %
                                                     2017     2018              2017    2018              2017       2018                 2017      2018                                              2017       2018
                                                                       Change                   Change                        Change                        Change                                                        Change

 37236     Transcatheter placement of an             $4,017   $3,911   -2.6%    $464    $467      0.6%   $9,748     $10,510    7.8%      $4,187    $4,481     7.0%                    252 - Other    $18,032    $18,282     1.4%
           intravascular stent(s) (except                                                                                                                                             Vascular
           lower extremity arteries for                                                                                                                                               Procedures
           occlusive disease, cervical                                                                                                                                                with MCC
           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

 +37237    Transcatheter placement of an             $2,454   $2,461    0.3%    $224    $223     -0.4%    pack-     pack-                 pack-     pack-                             253 - Other    $14,393    $14,566     1.2%
           intravascular stent(s) (except                                                                                                                                             Vascular
           lower extremity arteries for                                                                   aged      aged                  aged      aged                              Procedures
           occlusive disease, cervical                                                                                                                                                with CC
           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)

 37238     Transcatheter placement of                $4,190   $4,237    1.1%    $314     $313    -0.3%   $9,748     $10,510    7.8%      $6,334    $6,518     2.9%                    254 - Other    $9,670     $10,310     6.6%
           an intravascular stent(s), open                                                                                                                                            Vascular
           or percutaneous, including                                                                                                                                                 Procedures
           radiological supervision and                                                                                                                                               without CC/
           interpretation and including                                                                                                                                               MCC
           angioplasty within the same vessel,
           when performed; initial vein

 +37239    Transcatheter placement of                $2,035   $2,051    0.8%    $159     $159     0.0%    pack-     pack-                 pack-     pack-
           an intravascular stent(s), open
           or percutaneous, including                                                                     aged      aged                  aged      aged
           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)


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                                                                                                                                                                          11
Advancing Lives and the Delivery of Health Care TM




DECLOTS
                                                                                                                                                                                  Definitions:
                                                                                                                                                                                  CC = Complications and/or Comorbidy
                                                                                                                                                                                  MCC = Major Complications and/or Comorbidy

2018 Procedural Payment Guide                                                                                                                                                     Double Digit or Greater Increase
                                                                                                                                                                                  Double Digit or Greater Decrease



             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.


                                                                                                                                            Ambulatory
                                                            Physician Payment                           Outpatient Hospital                                                                      Inpatient
                                                                                                                                           Surgery Center

                                                                                                                                                                            ICD-9
  CPT                                              In-office                     In Hospital                                                                                              MS-DRG
                   Description                                                                                   APC Payment                     ASC Payment              Procedure
                                                                                                                                                                                         Description
                                                                                                                                                                                                            Nat'l Avg Payment
  Code                                     (Free Standing Center)            (Professional Fee)                                                                             Code

                                                                %                              %                               %                                 %                                                             %
                                            2017     2018                 2017      2018                  2017      2018                  2017        2018                                               2017       2018
                                                              Change                         Change                          Change                            Change                                                        Change

  36593     Declotting by thrombolytic      $32       $32      0.0%        N/A       N/A       N/A        $279      $298       6.8%        $31        $32       3.2%         99.10      061 - Acute     $14,897   $15,898      6.7%
                                                                                                                                                                                        Ischemic
            agent of implanted vascular                                                                                                                                                 Stroke with
            access device or catheter                                                                                                                                                   Use of
                                                                                                                                                                                        Thrombolytic
                                                                                                                                                                                        Agent with
                                                                                                                                                                                        MCC

                                                                                                                                                                                        062 - Acute     $10,269   $10,928      6.4%
                                                                                                                                                                                        Ischemic
                                                                                                                                                                                        Stroke with
                                                                                                                                                                                        Use of
                                                                                                                                                                                        Thrombolytic
                                                                                                                                                                                        Agent with CC

                                                                                                                                                                                        063 - Acute     $8,581     $9,179      7.0%
                                                                                                                                                                                        Ischemic
                                                                                                                                                                                        Stroke with
                                                                                                                                                                                        Use of
                                                                                                                                                                                        Thrombolytic
                                                                                                                                                                                        Agent without
                                                                                                                                                                                        CC/MCC

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                                                                                                                                                                             12
Advancing Lives and the Delivery of Health Care TM




BILIARY STENTING
                                                                                                                                                                                 Definitions:
                                                                                                                                                                                 CC = Complications and/or Comorbidy
                                                                                                                                                                                 MCC = Major Complications and/or Comorbidy

2018 Procedural Payment Guide                                                                                                                                                    Double Digit or Greater Increase
                                                                                                                                                                                 Double Digit or Greater Decrease



             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.


                                                                                                                                            Ambulatory
                                                            Physician Payment                           Outpatient Hospital                                                                   Inpatient
                                                                                                                                           Surgery Center

                                                                                                                                                                         ICD-9
  CPT                                               In-office                    In Hospital                                                                                            MS-DRG
                    Description                                                                                  APC Payment                  ASC Payment              Procedure
                                                                                                                                                                                       Description
                                                                                                                                                                                                         Nat'l Avg Payment
  Code                                      (Free Standing Center)           (Professional Fee)                                                                          Code

                                                                %                              %                               %                              %                                                             %
                                            2017     2018                 2017      2018                  2017      2018                  2017      2018                                              2017       2018
                                                              Change                         Change                          Change                         Change                                                        Change

  47538     Placement of stent(s) into      $4,392   $4,408    0.4%       $248      $247      -0.4%      $4,197     $4,488     6.9%      $2,037    $3,076    51.0%                    Inclusive
            a bile duct, percutaneous,                                                                                                                                                to main
            including diagnostic                                                                                                                                                      procedure
            cholangiography, imaging                                                                                                                                                  DRG
            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
  47539     Placement of stent(s) into      $4,860   $4,884    0.5%       $449      $448      -0.2%      $4,197     $4,488     6.9%      $2,037    $2,097     2.9%                    Inclusive
            a bile duct, percutaneous,                                                                                                                                                to main
            including diagnostic                                                                                                                                                      procedure
            cholangiography, imaging                                                                                                                                                  DRG
            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
  47556     Biliary endoscopy,               N/A      N/A                 $434      $383      -11.8%     $4,197     $4,488     6.9%      $3,002    $2,097    -30.1%       51.87       Inclusive
            percutaneous via T-tube                                                                                                                                                   to main
            with dilation of biliary duct                                                                                                                                             procedure
            structures with stent                                                                                                                                                     DRG

                                                                                                                                                                           N/A        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                                                                                                                                                                         13
Advancing Lives and the Delivery of Health Care TM




GRAFTS - AV FISTULA CREATION
                                                                                                                                                                                Definitions:
                                                                                                                                                                                CC = Complications and/or Comorbidy
                                                                                                                                                                                MCC = Major Complications and/or Comorbidy

2018 Procedural Payment Guide                                                                                                                                                   Double Digit or Greater Increase
                                                                                                                                                                                Double Digit or Greater Decrease



             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.


                                                                                                                                            Ambulatory
                                                            Physician Payment                           Outpatient Hospital                                                                     Inpatient
                                                                                                                                           Surgery Center

                                                                                                                                                                          ICD-9
  CPT                                              In-office                     In Hospital                                                                                            MS-DRG
                   Description                                                                                     APC Payment                 ASC Payment              Procedure
                                                                                                                                                                                       Description
                                                                                                                                                                                                          Nat'l Avg Payment
  Code                                     (Free Standing Center)            (Professional Fee)                                                                           Code

                                                                %                              %                                 %                             %                                                             %
                                            2017     2018                 2017      2018                  2017        2018                2017      2018                                               2017       2018
                                                              Change                         Change                            Change                        Change                                                        Change

  36830     Creation of A-V fistula,        N/A       N/A                 $702      $696      -0.9%      $3,923       $4,265     8.7%    $2,119    $2,222     4.9%         39.27
            nonautogenous graft

                                                                                                                                                                                      673 - Other     $18,196    $19,833     9.0%
                                                                                                                                                                                      Kidney and
                                                                                                                                                                                      Urinary Tract
                                                                                                                                                                                      Procedures
                                                                                                                                                                                      with MCC

                                                                                                                                                                                      674 - Other     $12,274    $13,047     6.3%
                                                                                                                                                                                      Kidney and
                                                                                                                                                                                      Urinary Tract
                                                                                                                                                                                      Procedures
                                                                                                                                                                                      with CC

  36833     Revision, A-V fistula, with     N/A       N/A                 $854      $849      -0.6%      $3,923       $4,265     8.7%    $2,119    $2,222     4.9%         39.42      675 - Other     $8,425     $9,279      10.1%
            thrombectomy, autogenous                                                                                                                                                  Kidney and
            or nonautogenous graft                                                                                                                                                    Urinary Tract
                                                                                                                                                                                      Procedures
                                                                                                                                                                                      without CC/
                                                                                                                                                                                      MCC

  35621     Bypass graft, other than        N/A       N/A                 $1,158    $1,149    -0.8%       Inpa-       Inpa-               Inpa-     Inpa-                  39.29      252 - Other     $18,032   $18,282      1.4%
            vein, axillary-femoral                                                                                                                                                    Vascular
                                                                                                           tient       tient               tient     tient                            Procedures
                                                                                                           only        only                only      only                             with MCC

  35654     Bypass graft, other than        N/A       N/A                 $1,444    $1,432    -0.8%       Inpa-       Inpa-               Inpa-     Inpa-                  39.29      253 - Other     $14,393   $14,566      1.2%
            vein, axillary-femoral-                                                                                                                                                   Vascular
                                                                                                           tient       tient               tient     tient                            Procedures
            femoral                                                                                        only        only                only      only                             with CC



  35661     Bypass graft, other than        N/A       N/A                 $1,144    $1,134    -0.9%       Inpa-       Inpa-               Inpa-     Inpa-                  39.29      254 - Other     $9,670     $10,310     6.6%
            vein, femoral-femoral                                                                                                                                                     Vascular
                                                                                                           tient       tient               tient     tient                            Procedures
                                                                                                           only        only                only      only                             without CC/
                                                                                                                                                                                      MCC



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                                                                                                                                                                            14
Advancing Lives and the Delivery of Health Care TM




VENA CAVA FILTERS
                                                                                                                                                                                   Definitions:
                                                                                                                                                                                   CC = Complications and/or Comorbidy
                                                                                                                                                                                   MCC = Major Complications and/or Comorbidy

2018 Procedural Payment Guide                                                                                                                                                      Double Digit or Greater Increase
                                                                                                                                                                                   Double Digit or Greater Decrease



             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.


                                                                                                                                            Ambulatory
                                                             Physician Payment                          Outpatient Hospital                                                                      Inpatient
                                                                                                                                           Surgery Center

                                                                                                                                                                           ICD-9
  CPT                                                   In-office                In Hospital                                                                                              MS-DRG
                    Description                                                                                  APC Payment                    ASC Payment              Procedure
                                                                                                                                                                                         Description
                                                                                                                                                                                                           Nat'l Avg Payment
  Code                                          (Free Standing Center)       (Professional Fee)                                                                            Code

                                                                    %                          %                               %                                %                                                             %
                                                 2017    2018              2017     2018                  2017      2018                  2017       2018                                               2017       2018
                                                                  Change                     Change                          Change                           Change                                                        Change

  36010     Introduction of catheter, vena      $492     $491     -0.2%    $114      $114      0.0%        NA        NA                    NA         NA                     N/A        Inclusive
            cava                                                                                                                                                                        to main
                                                                                                                                                                                        procedure
                                                                                                                                                                                        DRG

                                                                                                                                                                                        Inclusive
                                                                                                                                                                                        to main
                                                                                                                                                                                        procedure
                                                                                                                                                                                        DRG

   37191    Insertion of intravascular          $2,609   $2,610    0.0%    $236     $234      -0.8%      $3,923     $4,265     8.7%       Inpa-      Inpa-                  38.70       252 - Other    $18,032   $18,282      1.4%
            vena cava filter, endovascular                                                                                                                                              Vascular
                                                                                                                                           tient      tient                             Procedures
            approach including vascular
            access, vessel selection, and
                                                                                                                                           only       only                              with MCC
            radiological supervision and
            interpretation, intraprocedural
            roadmapping, and imaging
            guidance (ultrasound and
            fluoroscopy), when performed

  37192     Repositioning of intravascular      $1,628   $1,377   -15.4%   $379     $366      -3.4%      $2,360     $2,493     5.6%       Inpa-      Inpa-                  38.70       253 - Other    $14,393   $14,566      1.2%
            vena cava filter, endovascular                                                                                                                                              Vascular
                                                                                                                                           tient      tient                             Procedures
            approach including vascular
            access, vessel selection, and
                                                                                                                                           only       only                              with CC
            radiological supervision and
            interpretation, intraprocedural
            roadmapping, and imaging
            guidance (ultrasound and
            fluoroscopy), when performed

  37193     Retrieval (removal) of              $1,555   $1,558    0.2%    $368     $366      -0.5%      $2,360     $2,493     5.6%       Inpa-      Inpa-                  38.70       254 - Other    $9,670     $10,310     6.6%
            intravascular vena cava filter,                                                                                                                                             Vascular
                                                                                                                                           tient      tient                             Procedures
            endovascular approach
            including vascular access, vessel
                                                                                                                                           only       only                              without CC/
                                                                                                                                                                                        MCC
            selection, and radiological
            supervision and interpretation,
            intraprocedural roadmapping,
            and imaging guidance
            (ultrasound and fluoroscopy),
            when performed

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                                                                                                                                                                            15
Advancing Lives and the Delivery of Health Care TM




NON-TUNNELED VENOUS ACCESS
                                                                                                                                                                               Definitions:
                                                                                                                                                                               CC = Complications and/or Comorbidy
                                                                                                                                                                               MCC = Major Complications and/or Comorbidy

2018 Procedural Payment Guide                                                                                                                                                  Double Digit or Greater Increase
                                                                                                                                                                               Double Digit or Greater Decrease



             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.


                                                                                                                                            Ambulatory
                                                          Physician Payment                             Outpatient Hospital                                                                   Inpatient
                                                                                                                                           Surgery Center

                                                                                                                                                                         ICD-9
  CPT                                              In-office                     In Hospital                                                                                           MS-DRG
                   Description                                                                                   APC Payment                  ASC Payment              Procedure
                                                                                                                                                                                      Description
                                                                                                                                                                                                         Nat'l Avg Payment
  Code                                     (Free Standing Center)            (Professional Fee)                                                                          Code

                                                                %                              %                               %                              %                                                             %
                                            2017     2018                 2017      2018                  2017      2018                  2017      2018                                              2017       2018
                                                              Change                         Change                          Change                         Change                                                        Change

  36555     Insert non-tunnel central      $209      $189      -9.6%       $110      $89      -19.1%      $684      $983      43.7%       $369      $512     38.8%        86.07      579 - Other     $14,805    $15,561     5.1%
            venous catheter (5yrs)                                                                                                                                                  Skin,
                                                                                                                                                                                     Subcutaneous
                                                                                                                                                                                     Tissue
                                                                                                                                                                                     and Breast
                                                                                                                                                                                     Procedures
                                                                                                                                                                                     with CC

  36580     Replace nontunneled             $218     $219      0.5%        $69       $69       0.0%       $684      $983      43.7%       $369      $512     38.8%        86.07      581 - Other     $6,895     $7,292      5.8%
            central venous catheter                                                                                                                                                  Skin,
                                                                                                                                                                                     Subcutaneous
            w/o port                                                                                                                                                                 Tissue
                                                                                                                                                                                     and Breast
                                                                                                                                                                                     Procedures
                                                                                                                                                                                     without CC/
                                                                                                                                                                                     MCC


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                                                                                                                                                                          16
Advancing Lives and the Delivery of Health Care TM




TUNNELED VENOUS ACCESS
                                                                                                                                                                                 Definitions:
                                                                                                                                                                                 CC = Complications and/or Comorbidy
                                                                                                                                                                                 MCC = Major Complications and/or Comorbidy

2018 Procedural Payment Guide                                                                                                                                                    Double Digit or Greater Increase
                                                                                                                                                                                 Double Digit or Greater Decrease



             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.


                                                                                                                                            Ambulatory
                                                          Physician Payment                             Outpatient Hospital                                                                   Inpatient
                                                                                                                                           Surgery Center

                                                                                                                                                                         ICD-9
  CPT                                              In-office                     In Hospital                                                                                            MS-DRG
                   Description                                                                                   APC Payment                  ASC Payment              Procedure
                                                                                                                                                                                       Description
                                                                                                                                                                                                         Nat'l Avg Payment
  Code                                     (Free Standing Center)            (Professional Fee)                                                                          Code

                                                                %                              %                               %                              %                                                             %
                                            2017     2018                 2017      2018                  2017      2018                  2017      2018                                              2017       2018
                                                              Change                         Change                          Change                         Change                                                        Change

  36557     Insert tunneled central         $937     $956      2.0%       $326      $329       0.9%      $3,923     $4,265     8.7%      $2,119    $2,222     4.9%         N/A        Inclusive
            venous catheter w/o port                                                                                                                                                  to main
            (5yrs)                                                                                                                                                                   procedure
                                                                                                                                                                                      DRG

  36565     Insertion of tunneled           $904     $903       -0.1%     $348      $347      -0.3%      $2,360     $2,493     5.6%      $1,274    $1,299     2.0%                    Inclusive
            centrally inserted central                                                                                                                                                to main
            venous access device,                                                                                                                                                     procedure
                                                                                                                                                                                      DRG
            requiring 2 catheters via 2
            separate venous access
            sites; without subcutaneous
            port or pump (eg, Tesio type
            catheter)
  36581     Replace tunneled centrally      $717      $720      0.4%       $191      $190     -0.5%      $2,360     $2,493     5.6%      $1,274    $1,299     2.0%        86.07       579 - Other    $14,805    $15,561     5.1%
            inserted central venous                                                                                                                                                   Skin,
            access catheter w/o port                                                                                                                                                  Subcutaneous
                                                                                                                                                                                      Tissue
                                                                                                                                                                                      and Breast
                                                                                                                                                                                      Procedures
                                                                                                                                                                                      with MCC

                                                                                                                                                                                      580 - Other    $8,972     $9,261      3.2%
                                                                                                                                                                                      Skin,
                                                                                                                                                                                      Subcutaneous
                                                                                                                                                                                      Tissue
                                                                                                                                                                                      and Breast
                                                                                                                                                                                      Procedures
                                                                                                                                                                                      with CC

                                                                                                                                                                                      581 - Other    $6,895     $7,292      5.8%
                                                                                                                                                                                      Skin,
                                                                                                                                                                                      Subcutaneous
                                                                                                                                                                                      Tissue
                                                                                                                                                                                      and Breast
                                                                                                                                                                                      Procedures
                                                                                                                                                                                      without CC/
                                                                                                                                                                                      MCC

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                                                                                                                                                                          17
Advancing Lives and the Delivery of Health Care TM




PORT PROCEDURES
                                                                                                                                                                                   Definitions:
                                                                                                                                                                                   CC = Complications and/or Comorbidy
                                                                                                                                                                                   MCC = Major Complications and/or Comorbidy

2018 Procedural Payment Guide                                                                                                                                                      Double Digit or Greater Increase
                                                                                                                                                                                   Double Digit or Greater Decrease



             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.


                                                                                                                                            Ambulatory
                                                          Physician Payment                             Outpatient Hospital                                                                      Inpatient
                                                                                                                                           Surgery Center

                                                                                                                                                                            ICD-9
  CPT                                              In-office                     In Hospital                                                                                              MS-DRG
                   Description                                                                                   APC Payment                  ASC Payment                 Procedure
                                                                                                                                                                                         Description
                                                                                                                                                                                                           Nat'l Avg Payment
  Code                                     (Free Standing Center)            (Professional Fee)                                                                             Code

                                                                %                              %                               %                                %                                                              %
                                           2017      2018                 2017      2018                  2017      2018                  2017        2018                                               2017       2018
                                                              Change                         Change                          Change                           Change                                                         Change

  36560     Insert tunneled centrally     $1,025    $1,332    30.0%       $355      $396      11.5%      $2,360     $2,493     5.6%      $1,274      $1,800     41.3%        N/A        Inclusive
            inserted central venous                                                                                                                                                     to main
            catheter w/port (5yrs)                                                                                                                                                     procedure
                                                                                                                                                                                        DRG

  36582     Replace tunneled centrally    $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     $14,805    $15,561     5.1%
            inserted central venous                                                                                                                                                     Skin,
            catheter w/port                                                                                                                                                             Subcutaneous
                                                                                                                                                                                        Tissue
                                                                                                                                                                                        and Breast
                                                                                                                                                                                        Procedures
                                                                                                                                                                                        with MCC

                                                                                                                                                                                        580 - Other     $8,972     $9,261      3.2%
                                                                                                                                                                                        Skin,
                                                                                                                                                                                        Subcutaneous
                                                                                                                                                                                        Tissue
                                                                                                                                                                                        and Breast
                                                                                                                                                                                        Procedures
                                                                                                                                                                                        with CC

                                                                                                                                                                                        581 - Other     $6,895     $7,292      5.8%
                                                                                                                                                                                        Skin,
                                                                                                                                                                                        Subcutaneous
                                                                                                                                                                                        Tissue
                                                                                                                                                                                        and Breast
                                                                                                                                                                                        Procedures
                                                                                                                                                                                        without CC/
                                                                                                                                                                                        MCC


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                                                                                                                                                                             18
Advancing Lives and the Delivery of Health Care TM




PORT PROCEDURES cont.
                                                                                                                                                                                 Definitions:
                                                                                                                                                                                 CC = Complications and/or Comorbidy
                                                                                                                                                                                 MCC = Major Complications and/or Comorbidy

2018 Procedural Payment Guide                                                                                                                                                    Double Digit or Greater Increase
                                                                                                                                                                                 Double Digit or Greater Decrease



             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.


                                                                                                                                            Ambulatory
                                                            Physician Payment                           Outpatient Hospital                                                                   Inpatient
                                                                                                                                           Surgery Center

                                                                                                                                                                         ICD-9
  CPT                                              In-office                     In Hospital                                                                                            MS-DRG
                   Description                                                                                   APC Payment                  ASC Payment              Procedure
                                                                                                                                                                                       Description
                                                                                                                                                                                                         Nat'l Avg Payment
  Code                                     (Free Standing Center)            (Professional Fee)                                                                          Code

                                                                %                              %                               %                              %                                                             %
                                            2017     2018                 2017      2018                  2017      2018                  2017      2018                                              2017       2018
                                                              Change                         Change                          Change                         Change                                                        Change

  36570     Insert peripherally inserted   $1,259    $1,425    13.2%      $329      $343       4.3%      $2,360     $2,493     5.6%      $1,274    $1,299     2.0%         N/A        Inclusive
            central venous access                                                                                                                                                     to main
            device w/port (5yrs)                                                                                                                                                     procedure
                                                                                                                                                                                      DRG

  36585     Replace peripherally           $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    $14,805    $15,561     5.1%
            inserted central venous                                                                                                                                                   Skin,
            access device w/port                                                                                                                                                      Subcutaneous
                                                                                                                                                                                      Tissue
                                                                                                                                                                                      and Breast
                                                                                                                                                                                      Procedures
                                                                                                                                                                                      with MCC

                                                                                                                                                                                      580 - Other    $8,972     $9,261      3.2%
                                                                                                                                                                                      Skin,
                                                                                                                                                                                      Subcutaneous
                                                                                                                                                                                      Tissue
                                                                                                                                                                                      and Breast
                                                                                                                                                                                      Procedures
                                                                                                                                                                                      with CC

  49419     Insertion of tunneled           N/A       N/A                 $462       $461     -0.2%      $3,923     $4,265     8.7%      $2,119    $2,222     4.9%                    581 - Other    $6,895     $7,292      5.8%
            intraperitoneal catheter,                                                                                                                                                 Skin,
            with subcutaneous port (ie,                                                                                                                                               Subcutaneous
                                                                                                                                                                                      Tissue
            totally implantable)                                                                                                                                                      and Breast
                                                                                                                                                                                      Procedures
                                                                                                                                                                                      without CC/
                                                                                                                                                                                      MCC


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                                                                                                                                                                          19
Advancing Lives and the Delivery of Health Care TM




REPAIR / REMOVAL PROCEDURES
                                                                                                                                                                                 Definitions:
                                                                                                                                                                                 CC = Complications and/or Comorbidy
                                                                                                                                                                                 MCC = Major Complications and/or Comorbidy

2018 Procedural Payment Guide                                                                                                                                                    Double Digit or Greater Increase
                                                                                                                                                                                 Double Digit or Greater Decrease



             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.


                                                                                                                                            Ambulatory
                                                          Physician Payment                             Outpatient Hospital                                                                   Inpatient
                                                                                                                                           Surgery Center

                                                                                                                                                                         ICD-9
  CPT                                               In-office                    In Hospital                                                                                            MS-DRG
                   Description                                                                                   APC Payment                  ASC Payment              Procedure
                                                                                                                                                                                       Description
                                                                                                                                                                                                         Nat'l Avg Payment
  Code                                      (Free Standing Center)           (Professional Fee)                                                                          Code

                                                                %                              %                               %                              %                                                             %
                                            2017     2018                 2017      2018                  2017      2018                  2017      2018                                              2017       2018
                                                              Change                         Change                          Change                         Change                                                        Change

  36575     Repair of tunneled or non-      $169     $168      -0.6%       $36       $36       0.0%       $684       $613     -10.4%      $369      $319     -13.6%       86.09
            tunneled central venous
            access device w/o port


  36576     Repair tunneled central         $322     $322      0.0%       $192       $191     -0.5%       $684      $983      43.7%       $369      $512     38.8%        86.09       579 - Other    $14,805    $15,561     5.1%
                                                                                                                                                                                      Skin,
            venous catheter w/port                                                                                                                                                    Subcutaneous
                                                                                                                                                                                      Tissue
                                                                                                                                                                                      and Breast
                                                                                                                                                                                      Procedures
                                                                                                                                                                                      with MCC

  36578     Replace , catheter only, non-   $458     $459      0.2%        $211      $211      0.0%      $2,360     $2,493     5.6%      $1,274    $1,299     2.0%        86.09       580 - Other    $8,972     $9,261      3.2%
            tunneled centrally inserted                                                                                                                                               Skin,
            central venous access                                                                                                                                                     Subcutaneous
                                                                                                                                                                                      Tissue
            device w/port                                                                                                                                                             and Breast
                                                                                                                                                                                      Procedures
                                                                                                                                                                                      with CC

  36589     Removal tunneled central        $168     $168      0.0%        $142      $142      0.0%       $684       $613     -10.4%      $369      $319     -13.6%       86.09       581 - Other    $6,895     $7,292      5.8%
            venous catheter w/o port                                                                                                                                                  Skin,
                                                                                                                                                                                      Subcutaneous
                                                                                                                                                                                      Tissue
                                                                                                                                                                                      and Breast
                                                                                                                                                                                      Procedures
                                                                                                                                                                                      without CC/
                                                                                                                                                                                      MCC

  36590     Removal tunneled central        $228     $227      -0.4%      $198       $198      0.0%       $684       $613     -10.4%      $369      $319     -13.6%       86.09
            venous catheter w/port

  36596     Mech remov tunneled             $134     $134      0.0%        $46       $46       0.0%       $684      $983      43.7%       $369      $512     38.8%        86.09
            central venous catheter

  36597     Reposition venous catheter      $130     $130      0.0%        $64       $63       -1.6%      $684      $983      43.7%       $369      $512     38.8%         N/A        Inclusive
            under fluoro                                                                                                                                                              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                                                                                                                                                                         20
Advancing Lives and the Delivery of Health Care TM




GUIDANCE PROCEDURES
                                                                                                                                                                               Definitions:
                                                                                                                                                                               CC = Complications and/or Comorbidy
                                                                                                                                                                               MCC = Major Complications and/or Comorbidy

2018 Procedural Payment Guide                                                                                                                                                  Double Digit or Greater Increase
                                                                                                                                                                               Double Digit or Greater Decrease



             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.


                                                                                                                                            Ambulatory
                                                            Physician Payment                           Outpatient Hospital                                                                   Inpatient
                                                                                                                                           Surgery Center

                                                                                                                                                                         ICD-9
  CPT                                              In-office                     In Hospital                                                                                           MS-DRG
                   Description                                                                                   APC Payment                  ASC Payment              Procedure
                                                                                                                                                                                      Description
                                                                                                                                                                                                         Nat'l Avg Payment
  Code                                     (Free Standing Center)            (Professional Fee)                                                                          Code

                                                                %                              %                               %                              %                                                             %
                                            2017     2018                 2017      2018                  2017      2018                  2017      2018                                              2017       2018
                                                              Change                         Change                          Change                         Change                                                        Change

  76937     Ultrasound guidance             $32       $32      0.0%        $15       $15       0.0%       pack-     pack-                 pack-    pack-                  88.79      Inclusive
            for vascular access with                                                                                                                                                 to main
                                                                                                          aged      aged                  aged     aged                              procedure
            permanent recording                                                                                                                                                      DRG


  77001     Flouroscopic guidance           $85       $85      0.0%        $19       $19       0.0%       pack-     pack-                 pack-    pack-                  87.39      Inclusive
                                                                                                                                                                                     to main
            for central venous access                                                                     aged      aged                  aged     aged                              procedure
            device placement or                                                                                                                                                      DRG
            removal
                                                                                                                                                                          88.16      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                                                                                                                                                                         21
Advancing Lives and the Delivery of Health Care TM




FEEDING
                                                                                                                                                                                     Definitions:
                                                                                                                                                                                     CC = Complications and/or Comorbidy
                                                                                                                                                                                     MCC = Major Complications and/or Comorbidy

2018 Procedural Payment Guide                                                                                                                                                        Double Digit or Greater Increase
                                                                                                                                                                                     Double Digit or Greater Decrease



             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.


                                                                                                                                            Ambulatory
                                                          Physician Payment                             Outpatient Hospital                                                                        Inpatient
                                                                                                                                           Surgery Center

                                                                                                                                                                            ICD-9
  CPT                                              In-office                     In Hospital                                                                                                MS-DRG
                   Description                                                                                   APC Payment                     ASC Payment              Procedure
                                                                                                                                                                                           Description
                                                                                                                                                                                                              Nat'l Avg Payment
  Code                                     (Free Standing Center)            (Professional Fee)                                                                             Code

                                                                %                              %                               %                                 %                                                               %
                                            2017     2018                 2017      2018                  2017      2018                  2017        2018                                                  2017      2018
                                                              Change                         Change                          Change                            Change                                                          Change

  49440     Percutaneous placement of      $988      $986      -0.2%      $216       $215     -0.5%      $1,334     $1,427     7.0%       $608        $628      3.3%         43.11        Inclusive
            gastrostomy tube                                                                                                                                                              to main
                                                                                                                                                                                          procedure
                                                                                                                                                                                          DRG

  49441     Percutaneous placement of      $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
            jejunostomy tube                                                                                                                                                              procedure
                                                                                                                                                                                          DRG

  43760     Change of gastrostomy          $499      $506       1.4%       $49       $49       0.0%       $216      $230       6.5%       $117        $120      2.6%         97.02        Inclusive
            tube, J-Tube straightforward                                                                                                                                                  to main
                                                                                                                                                                                          procedure
                                                                                                                                                                                          DRG

  43761     Repostioning of gastric         $121      $121     0.0%        $107      $107      0.0%       $216      $230       6.5%       $117        $120      2.6%         44.99        326 - Stomach,   $29,215   $25,511   -12.7%
            feeding tube                                                                                                                                                                  Esophageal
                                                                                                                                                                                          and Duodenal
                                                                                                                                                                                          Procedures
                                                                                                                                                                                          with MCC

                                                                                                                                                                                          327 - Stomach,   $14,098   $11,851   -15.9%
                                                                                                                                                                                          Esophageal
                                                                                                                                                                                          and Duodenal
                                                                                                                                                                                          Procedures
                                                                                                                                                                                          with CC

                                                                                                                                                                                          328 - Stomach,   $8,359    $8,410     0.6%
                                                                                                                                                                                          Esophageal
                                                                                                                                                                                          and Duodenal
                                                                                                                                                                                          Procedures
                                                                                                                                                                                          without CC/
                                                                                                                                                                                          MCC

                                                                                                                                                                             97.02        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                                                                                                                                                                          22
Advancing Lives and the Delivery of Health Care TM




FEEDING cont.
                                                                                                                                                                               Definitions:
                                                                                                                                                                               CC = Complications and/or Comorbidy
                                                                                                                                                                               MCC = Major Complications and/or Comorbidy

2018 Procedural Payment Guide                                                                                                                                                  Double Digit or Greater Increase
                                                                                                                                                                               Double Digit or Greater Decrease



             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.


                                                                                                                                            Ambulatory
                                                            Physician Payment                           Outpatient Hospital                                                                   Inpatient
                                                                                                                                           Surgery Center

                                                                                                                                                                         ICD-9
  CPT                                              In-office                     In Hospital                                                                                           MS-DRG
                   Description                                                                                   APC Payment                  ASC Payment              Procedure
                                                                                                                                                                                      Description
                                                                                                                                                                                                         Nat'l Avg Payment
  Code                                     (Free Standing Center)            (Professional Fee)                                                                          Code

                                                                %                              %                               %                              %                                                             %
                                            2017     2018                 2017      2018                  2017      2018                  2017      2018                                              2017       2018
                                                              Change                         Change                          Change                         Change                                                        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      N/A       N/A                  $39       $40       2.6%       pack-     pack-                 pack-    pack-                  87.69      Inclusive
            interpretation placement                                                                                                                                                 to main
                                                                                                          aged      aged                  aged     aged                              procedure
            of enteroclysis tube (i.e.                                                                                                                                               DRG
            J-Tube)

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                                                                                                                                                                         23
Advancing Lives and the Delivery of Health Care TM




TRACHEOBRANCHIAL STENTING
                                                                                                                                                                               Definitions:
                                                                                                                                                                               CC = Complications and/or Comorbidy
                                                                                                                                                                               MCC = Major Complications and/or Comorbidy

2018 Procedural Payment Guide                                                                                                                                                  Double Digit or Greater Increase
                                                                                                                                                                               Double Digit or Greater Decrease



             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.


       See page 32 for additional                                                                                                           Ambulatory
         information regarding                              Physician Payment                           Outpatient Hospital                                                                   Inpatient
        CPT Codes with “+” sign                                                                                                            Surgery Center

                                                                                                                                                                         ICD-9
  CPT                                              In-office                     In Hospital                                                                                           MS-DRG
                   Description                                                                                   APC Payment                  ASC Payment              Procedure
                                                                                                                                                                                      Description
                                                                                                                                                                                                         Nat'l Avg Payment
  Code                                     (Free Standing Center)            (Professional Fee)                                                                          Code

                                                                %                              %                               %                              %                                                             %
                                            2017     2018                 2017      2018                  2017      2018                  2017      2018                                              2017       2018
                                                              Change                         Change                          Change                         Change                                                        Change

   31631    Bronchoscopy, rigid             N/A       N/A                 $238      $237      -0.4%      $4,361     $4,864     11.5%     $1,708    $1,768     3.5%        31.64,     166 - Other     $19,258   $19,658      2.1%
            or flexible, including                                                                                                                                        31.93      Respiratory
            fluoroscopic guidance,                                                                                                                                                   System O.R.
            when performed; with                                                                                                                                                     Procedures
            placement of tracheal                                                                                                                                                    with MCC
            stent(s) (includes tracheal/
            bronchial dilation as
            required)
  31636     Bronchoscopy, rigid             N/A       N/A                 $229      $229       0.0%      $4,361     $4,864     11.5%     $2,561    $2,501    -2.3%                   167 - Other     $10,642   $10,082     -5.3%
            or flexible, including                                                                                                                                                   Respiratory
            fluoroscopic guidance,                                                                                                                                                   System O.R.
            when performed; with                                                                                                                                                     Procedures
            placement of bronchial                                                                                                                                                   with CC
            stent(s) (includes tracheal/
            bronchial dilation as
            required), initial bronchus
   +31637   Bronchoscopy, rigid             N/A       N/A                  $77       $77       0.0%       pack-     pack-                 pack-    pack-                  31.93,     168 - Other     $7,272     $7,145      -1.7%
            or flexible, including                                                                        aged      aged                  aged     aged                   31.99      Respiratory
            fluoroscopic guidance,                                                                                                                                                   System O.R.
            when performed; each                                                                                                                                                     Procedures
            additional major bronchus                                                                                                                                                without CC/
            stented (List separately in                                                                                                                                              MCC
            addition to code for primary
            procedure)
  31638     Bronchoscopy, rigid             N/A       N/A                 $261      $259      -0.8%      $4,361     $4,864     11.5%     $1,708    $1,768     3.5%
            or flexible, including
            fluoroscopic guidance,
            when performed; with
            revision of tracheal or
            bronchial stent inserted at
            previous session (includes
            tracheal/bronchial dilation
            as required)

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                                                                                                                                                                         24
Advancing Lives and the Delivery of Health Care TM




STENT REMOVAL
                                                                                                                                                                               Definitions:
                                                                                                                                                                               CC = Complications and/or Comorbidy
                                                                                                                                                                               MCC = Major Complications and/or Comorbidy

2018 Procedural Payment Guide                                                                                                                                                  Double Digit or Greater Increase
                                                                                                                                                                               Double Digit or Greater Decrease



             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.


                                                                                                                                            Ambulatory
                                                          Physician Payment                             Outpatient Hospital                                                                   Inpatient
                                                                                                                                           Surgery Center

                                                                                                                                                                         ICD-9
  CPT                                              In-office                     In Hospital                                                                                           MS-DRG
                   Description                                                                                   APC Payment                  ASC Payment              Procedure
                                                                                                                                                                                      Description
                                                                                                                                                                                                         Nat'l Avg Payment
  Code                                     (Free Standing Center)            (Professional Fee)                                                                          Code

                                                                %                              %                               %                              %                                                             %
                                            2017     2018                 2017      2018                  2017      2018                  2017      2018                                              2017       2018
                                                              Change                         Change                          Change                         Change                                                        Change

  31635     Bronchoscopy, rigid            $286      $287      0.3%       $182       $182      0.0%      $1,269     $1,324     4.3%       $569     $588       3.3%        98.15      Inclusive
            or flexible, including                                                                                                                                                   to main
            fluoroscopic guidance,                                                                                                                                                   procedure
            when performed; with                                                                                                                                                     DRG
            removal of foreign body

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                                                                                                                                                                         25
Advancing Lives and the Delivery of Health Care TM




ABI
                                                                                                                                                                                   Definitions:
                                                                                                                                                                                   CC = Complications and/or Comorbidy
                                                                                                                                                                                   MCC = Major Complications and/or Comorbidy

2018 Procedural Payment Guide                                                                                                                                                      Double Digit or Greater Increase
                                                                                                                                                                                   Double Digit or Greater Decrease



             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.


                                                                                                                                            Ambulatory
                                                          Physician Payment                             Outpatient Hospital                                                                     Inpatient
                                                                                                                                           Surgery Center

                                                                                                                                                                           ICD-9
  CPT                                                In-office                   In Hospital                                                                                              MS-DRG
                   Description                                                                                   APC Payment                    ASC Payment              Procedure
                                                                                                                                                                                         Description
                                                                                                                                                                                                           Nat'l Avg Payment
  Code                                       (Free Standing Center)          (Professional Fee)                                                                            Code

                                                                %                              %                               %                                %                                                             %
                                             2017    2018                 2017      2018                  2017      2018                  2017       2018                                               2017       2018
                                                              Change                         Change                          Change                           Change                                                        Change

  93922     Limited bilateral noninvasive    $90      $90      0.0%        $13       $13       0.0%       $100      $105       5.0%       N/A        N/A                    0.23        Inclusive
            physiologic studies of upper                                                                                                                                                to main
            or lower extremity arteries,                                                                                                                                                procedure
            (eg, for lower extremity:                                                                                                                                                   DRG
            ankle/brachial indices at
            distal posterior tibial and
            anterior tibial/dorsalis pedis
            arteries plus bidirectional,
            Doppler waveform
            recording and analysis at
            1-2 levels, or ankle/brachial
            indices at distal posterior
            tibial and anterior tibial/
            dorsalis pedis arteries plus
            volume plethysmography at
            1-2 levels, or ankle/brachial
            indices at distal posterior
            tibial and anterior tibial/
            dorsalis pedis arteries with,
            transcutaneous oxygen
            tension measurement at 1-2
            levels)

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                                                                                                                                                                         26
Advancing Lives and the Delivery of Health Care TM




ABI cont.
                                                                                                                                                                                   Definitions:
                                                                                                                                                                                   CC = Complications and/or Comorbidy
                                                                                                                                                                                   MCC = Major Complications and/or Comorbidy

2018 Procedural Payment Guide                                                                                                                                                      Double Digit or Greater Increase
                                                                                                                                                                                   Double Digit or Greater Decrease



             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.


                                                                                                                                            Ambulatory
                                                          Physician Payment                             Outpatient Hospital                                                                     Inpatient
                                                                                                                                           Surgery Center

                                                                                                                                                                           ICD-9
  CPT                                                In-office                   In Hospital                                                                                              MS-DRG
                   Description                                                                                   APC Payment                    ASC Payment              Procedure
                                                                                                                                                                                         Description
                                                                                                                                                                                                           Nat'l Avg Payment
  Code                                       (Free Standing Center)          (Professional Fee)                                                                            Code

                                                                %                              %                               %                                %                                                             %
                                             2017    2018                 2017      2018                  2017      2018                  2017       2018                                               2017       2018
                                                              Change                         Change                          Change                           Change                                                        Change

  93923     Complete bilateral               $140     $140     0.0%        $23       $23       0.0%       $127      $136       7.1%       N/A        N/A                    0.23        Inclusive
            noninvasive physiologic                                                                                                                                                     to main
            studies of upper or lower                                                                                                                                                   procedure
            extremity arteries, 3 or                                                                                                                                                    DRG
            more levels (eg, for lower
            extremity: ankle/brachial
            indices at distal posterior
            tibial and anterior tibial/
            dorsalis pedis arteries
            plus segmental blood
            pressure measurements
            with bidirectional Doppler
            waveform recording and
            analysis, at 3 or more levels,
            or ankle/brachial indices at
            distal posterior tibial and
            anterior tibial/dorsalis pedis
            arteries plus segmental
            volume plethysmography
            at 3 or more levels, or
            ankle/brachial indices at
            distal posterior tibial and
            anterior tibial/dorsalis pedis
            arteries plus segmental
            transcutaneous oxygen
            tension measurements at
            3 or more levels), or single
            level study with provocative
            functional maneuvers (eg,
            measurements with postural
            provocative tests, or
            measurements with reactive
            hyperemia)

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                                                                                                                                                                         27
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