REIMBURSEMENT RESOURCES
Improving patient access.
Reimbursement resources for Ultrasound RDN
Great news for physicians treating patients with uncontrolled hypertension:
Paradise Ultrasound RDN has full reimbursement available for Medicare Fee for Service outpatients!
Effective January 1, 2025, CMS has expanded payment for Ultrasound RDN via Transitional Pass-Through (TPT) payment, offering a groundbreaking treatment for uncontrolled hypertension. Take this opportunity to enhance patient care and expand treatment options for hypertension management.
Refer your Medicare patients struggling with uncontrolled hypertension today!
For Medicare Fee-For-Service (FFS) patients
Key Highlights:
- Transitional Pass-Through (TPT) payment by Centers for Medicare and Medicaid Services (CMS) provides an incremental payment for new technologies in the hospital outpatient setting
- Through TPT, Paradise uRDN now has full device reimbursement available for Medicare Fee-for-Service (FFS) patients only. Does not apply to Medicare Advantage or commercial insurance patients)
- Hospital outpatient facilities are eligible
Resources
Medicare FFS FAQ
For Private payer/Non-Medicare Fee-For-Service (FFS) patients
- Patients with private insurance or Medicare Advantage are covered based on medical necessity
- Prior authorization is highly encouraged
- Insurers may provide more consideration for coverage to patients with resistant hypertension
Insurance Type
Private Payer & Medicare Advantage
Prior Auth Requirments
Prior Auth Highly Reccomended
Patient Diagnosis
Resistant HTN
Reimbursement 2025
Based on Private Contracts
- Paradise Ultrasound Renal Denervation System Coding & Payment Guide
- Reimbursement FAQs – Coding/Coverage/Payment
Paradise Ultrasound RDN reimbursement support
To facilitate patient access, our dedicated team can assist you with education on, and submission of, prior authorizations and appeals for the Paradise uRDN procedure. If you are a healthcare provider and would like additional information or assistance, reach out to our patient access support team.
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The information contained in this resource is provided for general educational and informational purposes only and is not intended to constitute legal, financial, or clinical advice. Recor Medical, Inc. does not guarantee reimbursement or payment, nor is this material intended to increase or maximize payment by any payer. Nothing in this document should be viewed as instructions for selecting any particular code, and Recor Medical does not advocate or warrant the appropriateness of the use of any particular code. The ultimate responsibility for coding accuracy, billing, and obtaining reimbursement rests with the healthcare provider or facility. Information provided is gathered from third-party sources and is subject to change without notice due to frequently changing laws, rules and regulations. It is important to consult with appropriate professionals, such as your Medicare contractor, the patient’s plan, legal counsel, reimbursement specialists, or coding experts, for specific guidance and interpretation of coding, coverage, and payment policies. This information is for FDA approved indications only. Where reimbursement is requested for a use not expressly specified in Recor Medical FDA approved labeling (including but not limited to instructions for use, operator’s manual or package insert) consult with your billing advisors or payers for advice on handling such billing issues. Use of this document is completely voluntary by the healthcare provider and is not intended to be a substitute for, or to influence, the independent medical judgment of the physician.
