How familiar are you with HCPCS and CPT analysis and applications? NAMSA is well connected to secure new coding sponsorship. 

Healthcare Common Procedure Coding System (HCPCS) and Current Procedural Terminology (CPT) Code Analysis and Applications provide the basis for all medtech reimbursement in the U.S.–often more important than companies wish to acknowledge. HCPCS coding directs new products and services into the proper pre-determined payment methodologies and rates and coverage policy wherever they may exist.

When new HCPCS Level I (CPT) or Level II coding is required, NAMSA successfully guides clients to achieve new codes through the American Medical Association (AMA) CPT™ Editorial Panel or the Centers for Medicare and Medicaid (CMS) HCPCS Workgroup process. We maintain strong relationships with medical societies whose sponsorship is critical to success in these endeavors.  It is a long process, but one that can catapult a new technology into the payment pipeline.

Many items of Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) are already defined in HCPCS.  For audit protection and distributor assurance, verification should be obtained through CMS’ Provider Data Analysis and Coding (PDAC) contractor. Professional services enabled by new technologies may already be captured under existing CPT coding.  This can and should be verified through medical societies before advising clinical users of this option.