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Reimbursement

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Reimbursement

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Edwards Lifesciences is committed to supporting use of our products by providing general information on coverage, coding and reimbursement relevant to our products that our customers may find useful.

Visit the links below for our C-Code finder and our reimbursement and coding guides. For additional questions, please contact our reimbursement hotline.  

HCPCS C code finder

The Healthcare Common Procedure Code System (HCPCS) C Code Finder is intended to help providers and others identify the HCPCS C Code that may be appropriate for an Edwards product. HCPCS C Codes are used to report devices used in hospital outpatient procedures in order to allow Medicare to track device use and cost information relevant to the Medicare hospital outpatient prospective payment system. Providers should always confirm appropriate codes before claims are submitted.

Facility and physician billing guides

These  guides are intended to provide information to providers regarding appropriate coding, coverage, and payment for procedures performed with the Edwards Lifesciences products.

These guides contain information regarding most commonly billed CPT, ICD-10, and HCPCS coding, as well as certain Medicare payments for procedures related to our products.

Still need help?

Call our reimbursement hotline or drop us an email.

(888)352-0901

We usually respond within one business day

Reimbursement information provided by Edwards Lifesciences is gathered from third-party sources and is presented for informational purposes only. Edwards makes no representation, warranty or guarantee as to the timeliness, accuracy, or completeness of the information and such information is not, and should not be construed as reimbursement, coding or legal advice. Any and all references to reimbursement codes are provided as examples only and are not intended to be a recommendation or advice as to the appropriate code for a particular patient, diagnosis, product or procedure or a guarantee or promise of coverage or payment, nor does Edwards Lifesciences warranty that codes listed are appropriate in all related clinical scenarios. It is the responsibility of the provider to determine if coverage exists and what requirements are necessary for submitting a proper claim for reimbursement to a health plan or payer, including the appropriate code(s) for products provided or services rendered. Laws, regulations, payer policies and code sets (i.e., CPT, ICD-10, and HCPCS) related to coverage, coding and reimbursement are complex and change frequently; providers are responsible for all decisions relating to coding and reimbursement submissions. Accordingly, Edwards strongly recommends consultation with payers, reimbursement specialists and/or legal counsel regarding appropriate product or procedure codes, coverage, and reimbursement matters. All codes referenced herein are examples only and may not be all-inclusive. Coding should be based on the medical record documentation and the code sets in effect at the time of service. Edwards specifically disclaims liability or responsibility for the results or consequences of any actions taken in reliance on any information provided.