Welcome to our reimbursement information center. Intuitive provides reimbursement resources for healthcare professionals who have coding questions related to robotic-assisted procedures. Find current guides below and contact us if you need further assistance.
Refer to the da Vinci surgical system guides for facilities and physicians to see Medicare national average reimbursement rates and general coding information for on-label procedures.
Refer to the Ion bronchoscopy system guides for facilities and physicians to see Medicare national average reimbursement rates and general coding information for on-label procedures.
Surgical procedures performed using robotic assistance should be billed using existing CPT codes for laparoscopic surgical procedures when available.
According to the Centers for Medicare and Medicaid Services (CMS), medical and surgical procedures should be reported with the Current Procedural Terminology (CPT®)/HCPCS codes that most comprehensively describe the services performed.
HCPCS S codes are created by commercial payers for covered services and supplies that do not have a CPT code. S codes cannot be reported to Medicare, Medicaid or other federal health insurance companies. The HCPCS code S2900 (Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure)) was created to report a service integral to the primary surgical procedure and not a separately reimbursed service. When a surgical procedure is reported using code S2900, reimbursement will be considered included as part of the primary surgical procedure. Check payer policies whether the use of S2900 is necessary to report robotic procedures.
If you need assistance or further information, get in touch with our reimbursement team here at Intuitive.
Important safety information
Patients should talk to their doctor to decide if da Vinci surgery is right for them. Patients and doctors should review all available information on non-surgical and surgical options and associated risks in order to make an informed decision.
Serious complications may occur in any surgery, including da Vinci surgery, up to and including death. Serious risks include, but are not limited to, injury to tissues and organs and conversion to other surgical techniques which could result in a longer operative time and/or increased complications. For Important Safety Information, including surgical risks, indications, and considerations and contraindications for use, please also refer to www.intuitive.com/safety.
Individuals' outcomes may depend on a number of factors, including but not limited to patient characteristics, disease characteristics and/or surgeon experience.
Reimbursement practices
Intuitive is providing this information for educational purposes only, in support of accurate coding and reimbursement practices based on Medicare coding, coverage, and payment. Intuitive cannot guarantee that this document is complete or without errors, as coding, coverage, and payment are subject to change at any time. HCPCS codes listed in this guide represent no statement, promise, or guarantee that these codes are appropriate or that reimbursement will be made. The tools and resources available on this website cannot under any circumstances be interpreted as, or used in place of, clinical judgment. Any coding and reimbursement decisions and practices are the sole responsibility of the provider and/or designated party responsible for coding and billing.
CPT is a registered trademark of the American Medical Association.