SAN CARLOS, Calif., March 4 /PRNewswire FirstCall/ Conceptus, Inc. announced that it had received notice from the American Medical Association (AMA) CPT Editorial Panel that the Panel will establish a Category I CPT code for hysteroscopic sterilization using the Essure system. The original application was made for a Category III new procedure code; but in this action the AMA followed the recommendation of ACOG supporting the establishment of a Category I code. Category I codes are reserved for those procedures that have demonstrated clinical efficacy, widespread use and have Food and Drug Administration (FDA) approval.
that the service/procedure is performed across the country in multiple that many physicians or other health care professionals perform the that the clinical efficacy of the service/procedure has been wellIn contrast, Category III codes are used to facilitate data collection on and assessment of new services and procedures. These codes are intended to be used for data collection purposes to substantiate widespread usage or in use during the FDA approval process. Procedures or new services that do not meet the criteria for widespread use, FDA approval and established clinical efficacy may have a Category III code established until those criteria are met.
1 Panel Agrees To Establish Category I CPT Code For Essure
"We are pleased to see that the timeframe to a specific Category I code for hysteroscopic sterilization has been shortened by several months, if not years, by AMA and ACOG," noted Mark Sieczkarek, President Nike Air Jordan Hat
is able to return home about 45 minutes after the procedure is completed. There is a three month waiting period after the procedure during which women must use another form of birth control. Essure is 99.8% effective after two years of follow up. The establishment of a CPT I code for Essure, the timing of any new CPT code and the effect thereof on such reimbursement decisions, as well as the clinical efficacy of and market demand for our product, among other matters discussed in this release, may differ significantly from the discussion of such matters in the forward looking Nike Cap New
Following the decision of the CPT Editorial Panel, ACOG conducts a survey of physicians who perform the Essure procedure for their patients to establish recommendations for the work Relative Value Units (RUVs) and the direct practice expense inputs for the new code. These RVUs are based on the amount of time a service takes to perform and the intensity of that service as compared to other procedures in both gynecology and across specialties. ACOG's recommendations are then forwarded to the AMA Resource Based Relative Value Scale Update Committee (RUC) where they will be accepted or modified. The New Era Philadelphia Phillies RUC's recommendations are forwarded to the Centers for Medicare Medicaid Services (CMS), which typically accepts over 95% of RUC recommendations. CMS determines the practice expense and professional liability RVUs and then publishes the final RVUs in the Federal Register usually in October for implementation January 1 the next year.
The Essure procedure deploys a soft micro insert into the fallopian tube through the cervix using a minimally invasive transcervical tubal access catheter. Once in place, the device is designed to elicit tissue growth in and around the micro insert to form an occlusion or blockage in the fallopian tube. An Essure procedure does not require cutting or penetrating the abdomen and can be performed in a less costly procedure setting without general anesthesia. A woman New Era Yankees Snapback
and CEO of Conceptus. "This action by the AMA as well as ACOG, the leading medical specialty group in women's health, to upgrade to a Category I code is clear recognition of the clinical efficacy and nationwide use of the Essure procedure. We expect that the new code, once the process to establish it is complete, will significantly ease the burden on a physician's office in obtaining reimbursement for Essure, and accelerate the coverage of Essure by private insurance companies and Medicaid."
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