Navigating the Reimbursement Landscape

A Guide to Understanding Coverage for Cooled RF

COOLIEF* Cooled RF can provide many benefits and is a long-term care solution, so it’s important to know how to get proper reimbursement for your patients. You may be able to obtain the best chronic pain treatment for your patients without shortchanging your practice or facility with the right documentation and proper guidelines.

Documenting Procedural/Operative Reports Accurately provides insight into potential patients that are candidates for the COOLIEF* procedures including:

  • CPT Codes
  • Device Codes
  • ICD-9/ICD-10 Diagnosis Codes
  • Pre-authorization process, including sample Letters of Medical Necessity

References

1. COOLIEF* Cooled Radiofrequency Reimbursement Guide

There are inherent risks in all medical devices. For more detail on indications, cautions, warnings and contraindications, click here.

Disclaimer: This information is derived from a variety of public sources and is provided for informational purposes only. Payment varies by geographic location, coverage and payer. It does not constitute reimbursement or legal advice. It is not intended to increase or maximize reimbursement by any payer. Avanos does not warrant or guarantee that the use of this information will result in coverage or payment. Avanos encourages providers to submit accurate and appropriate claims for services. It is always the provider’s responsibility to determine medical necessity, the proper site for delivery of any services and to submit appropriate codes, charges, and modifiers for services that are rendered. Avanos recommends that you consult with your payers, reimbursement specialists and/or legal counsel regarding coding, coverage, and reimbursement matters. Payer policies will vary and should be verified prior to treatment for limitations on diagnosis, coding, or site of service requirements.

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