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Date of this Version

9-26-2019

Document Type

Book Chapters

Summary

  • 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.

Creative Commons License

Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

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