CMS Grants Additional Reimbursement for Ambu aScope 5 HD Through a Transitional Passthrough Payment (TPT)

Effective Jan. 1, 2024, the aScope™ 5 Broncho HD single-use bronchoscope received a new transitional pass-through (TPT) payment category and new HCPCS C code for use in bronchoscopic procedures in the hospital outpatient department (HOPD). The aScope 5 TPT payment category will remain in effect for two to three years.
 

Why was only the aScope 5 Broncho HD awarded TPT Status?

According to CMS, only the aScope 5 Broncho HD single-use bronchoscope provides:

  • High-definition (HD) chip on scope

  • Compatibility with high-frequency
    tools (APC, Cryo, Nd:YAG Laser)

  • Superior articulation with tool

"... the evidence demonstrates that the device is a substantial clinical improvement over currently available treatment options in the clinical setting." 1

 - Centers for Medicare & Medicaid Services (CMS) 

Centers for Medicare & Medicaid Services


 aScope 5 Broncho HD HCPCS CPT Code 

C1601 — Endoscope, single-use (i.e. disposable), pulmonary, imaging/illumination device (insertable)

  • C1601 was awarded only to Ambu aScope 5 HD.

  • C1601 must be included on the claim to receive TPT payment. This prompts additional reimbursement for Medicare FFS outpatient procedures performed with the aScope 5 Broncho HD.

  • All facilities will continue to code and submit charges as they normally would, but will just need to add C1601 to the claim.


Explore More | Download Our TPT Info Sheet and Guides

aScope 5 Transitional Pass-Through Payment Info Sheet


Download

How-to Graphic Guide to Coding aScope 5 TPT


Download

aScope Broncho 2024 Coding and Reimbursement Guide


Download

If you have additional questions, please contact the Ambu Reimbursement Support Team: US-HealthEcon@ambu.com


References

1. 2024 CMS OPPS/ASC Final Rule, 88FR 81738 (Available on CMS website), (November 2023).

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