‘An important validation’: CMS issues new codes for IVL procedures

CMS has issued new codes for intravascular lithotripsy (IVL) procedures performed in a patient’s peripheral arteries in both the hospital outpatient and inpatient settings.

Shockwave Medical, the healthcare technology company that started developing IVL back in 2009, issued a statement detailing the big announcement.  

“The decision by CMS to assign codes for peripheral IVL procedures in both outpatient and inpatient settings is an important validation of Shockwave’s technology as a unique and distinct therapy for treating complex calcified disease in the peripheral arteries,” Doug Godshall, president and CEO of Shockwave Medical, said in the statement. “We look forward to continued engagement with CMS as these new codes will now enable the collection of cost data specific to IVL procedures, which is the information the agency utilizes when making future adjustments to procedure payment levels. The appreciation for IVL’s unique ability to safely and effectively treat these challenging patients is growing globally and we are grateful that CMS has taken this important first step on the path towards establishing a reimbursement level that appropriately reflects the clinical value delivered by IVL.” 

In total, CMS has issued four new HCPCS codes and 17 new ICD-10 codes.

More billing information related to IVL is available here. The HCPCS outpatient codes are scheduled to go into effect on July 1, and the ICD-10 inpatient codes go into effect on October 1.