2025 Customer Billing Quick Reference for Hospital Outpatient Departments

This guide provides detailed information regarding the billing process for the LithoVue Single-Use Digital Flexible Ureteroscope and LithoVue Elite Single-Use Digital Flexible Ureteroscope in the context of Medicare reimbursement. It outlines the transitional pass-through (TPT) payment category established by the Centers for Medicare & Medicaid Services (CMS) for these devices, including the specific HCPCS code C1747. The guide explains how hospitals can bill for these devices when used in outpatient procedures, including the necessary procedure coding and revenue codes. Additionally, it discusses the implications of device payment calculations based on hospital-reported charges and the importance of accurate charge setting for future Medicare rate adjustments. The document also includes illustrative billing examples to assist hospitals in understanding the financial aspects of using these single-use ureteroscopes, emphasizing the elimination of reprocessing costs associated with reusable devices.