Reimbursement Strategies and CPT Codes for Device Development

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Academic Entrepreneurship for Health & Medical Professionals
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Entrepreneurial and Small Business Operations
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Kuo, Tai-Yun
Manaker, Scott
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For latest version: please go to https://academicentrepreneurship.pubpub.org/pub/1fani3y6/release/3 Reimbursement refers to the complicated process by which physicians and hospitals deliver products and services and then receive payment from third-party payers. Reimbursement consists of three factors: coding, coverage, and payment. The Current Procedural Terminology (CPT) codes include category I, II, and III codes, each with a different purpose and criteria. Requesting a new CPT code for a new device is a complicated and lengthy process, so an early understanding of the process is important to identifying the necessary resources. Working with CPT code consultants and a medical specialty society can help a startup obtain new CPT codes to ensure reimbursement for new medical devices, or determine if the new device fits within an existing CPT code.

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2019-09-26
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