Ambu aScope 4 RhinoLaryngo Endoscopes User Guide

Ambu aScope 4 RhinoLaryngo Endoscopes

Product Information

• Specifications:
  • Product Name: aScope 4 RhinoLaryngo
  • Type: Single-use, sterile, flexible video rhinolaryngoscopes
  • Models: aScope RhinoLaryngo Slim (for nasal endoscopy and laryngoscopy), aScope RhinoLaryngo Intervention (for therapeutic procedures)
  • Compatibility: Compatible with aView 2 Advance HD monitor

Product Usage Instructions

• Preparing for Use:
  • Ensure the aScope 4 RhinoLaryngo is sterile and undamaged before proceeding with the procedure.
• Insertion and Navigation:
  • Insert the endoscope gently into the nasal or laryngeal passage. Navigate carefully to visualize the area of interest on the monitor.
• Procedure Conduct:
  • Perform the necessary diagnostic or therapeutic procedures using the functionalities provided by the scope RhinoLaryngo Slim or Intervention model.
• Post-Procedure Care:
  • After completing the procedure, carefully remove the endoscope and dispose of it according to medical waste disposal guidelines.

FAQs

• Q: Can the aScope 4 RhinoLaryngo be reused?
  • A: No, the aScope 4 RhinoLaryngo endoscopes are designed for single-use only to ensure sterility and optimal performance.
• Q: Is the aScope RhinoLaryngo Slim suitable for therapeutic procedures?
  • A: The aScope RhinoLaryngo Slim is primarily designed for nasal endoscopy and laryngoscopy. For therapeutic procedures, it is recommended to use the aScope RhinoLaryngo Intervention model.
• Q: What is the compatibility of the aScope 4 RhinoLaryngo with external monitors?
  • A: The aScope 4 RhinoLaryngo is compatible with the aView 2 Advance HD monitor for clear visualization during procedures.

About the aScope

About the aScope 4 RhinoLaryngo

• aScope 4 RhinoLaryngo endoscopes are single-use, sterile, flexible video rhinolaryngos copes that offer an intuitive, lightweight design with similar functionality to reusable rhinolaryngos copes. aScope RhinoLaryngo Slim is designed for use in nasal endoscopy and laryngoscopy, and aScope RhinoLaryngo Intervention is designed for use in therapeutic procedures.
• Both models are compatible with the aViewTM 2 Advance HD monitor.

HOSPITAL OUTPATIENT, AMBULATORY SURGICAL CENTER, AND PHYSICIAN OFFICE CODING AND PAYMENT

• The table below provides an overview of potential billing and coding and associated Medicare national payment rates when a scope 4 RhinoLaryngo endoscopes are used in hospital outpatient departments (HOPDs; places of service 19 and 22), ambulatory surgical centres (ASCs; place of service 24), and physician offices (place of service 11).
• The physician relative value units (RVUs) for the procedures below are listed.
• Place of service definitions are provided.

CPT Codes

CPT Codes and 2024 Medicare National Payment Rates for Rhino Procedures

$211.82
31238| Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage| $246.56| $164.05| 5153| $1,617.14| $757.16
31239| Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy| n/a| $595.29| 5154| $3,568.05| $1,566.67
31254| Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)| $429.93| $237.40| 5155| $6,521.19| $2,301.13
31276| Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed| n/a| $369.03| 5155| $6,521.19| $2,301.13
31287| Nasal/sinus endoscopy, surgical, with sphenoidotomy| n/a| $196.47| 5155| $6,527.97| $2,301.13
31288| Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus| n/a| $228.56| 5155| $6,527.97| $2,301.13
31502| Tracheotomy tube change before the establishment of the fistula tract| n/a| $34.05| 5161| $232.98| $126.72
31505| Laryngoscopy, indirect; diagnostic (separate procedure)| $88.41| $48.79| 5151| $188.73| $65.82
31573| Laryngoscopy, flexible; with therapeutic injection(s) (eg, chemo- denervation agent or corticosteroid, injected percutaneous, transoral, or via endoscope channel), unilateral| $283.24| $145.71| 5153| $1,618.82| $192.54
31574| Laryngoscopy, flexible; with injection(s) for augmentation (eg, percutaneous, transoral), unilateral| $917.49| $146.37| 5153| $1,618.82| $757.16
31575| Laryngoscopy, flexible; diagnostic| $127.05| $67.45| 5151| $188.73| $91.68
31576| Laryngoscopy, flexible; with biopsy(ies)| $266.54| $117.22| 5153| $1,618.82| $757.16
42975| Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing; flexible, diagnostic| n/a| $95.29| 5153| $1,618.82| $757.16
92511| Nasopharyngoscopy with an endoscope (separate procedure)| $115.26| $37.00| 5151| $188.73| n/a
92612| Flexible endoscopic evaluation of swallowing by cine or video recording| $195.16| $64.51| n/a| n/a| n/a

2024 Physician Relative Value Units (RVUs)4

1.04
31505| Laryngoscopy, indirect; diagnostic (separate procedure)| 2.70| 1.49
31573| Laryngoscopy, flexible; with therapeutic injection(s) (eg, chemo- denervation agent or corticosteroid, injected percutaneous, transoral, or via endoscope channel), unilateral| 8.65| 4.45
31574| Laryngoscopy, flexible; with injection(s) for augmentation (eg, percutaneous, transoral), unilateral| 28.02| 4.47
31575| Laryngoscopy, flexible; diagnostic| 3.88| 2.06
31576| Laryngoscopy, flexible; with biopsy(ies)| 8.14| 3.58
42975| Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing; flexible, diagnostic| n/a| 2.91
92511| Nasopharyngoscopy with an endoscope (separate procedure)| 3.52| 1.13
92612| Flexible endoscopic evaluation of swallowing by cine or video recording| 5.96| 1.97

Hospital Revenue Codes

Revenue codes are used by hospitals to report services and supplies to specific cost centers. The following are potential revenue codes that may be used when billing for the aScope 4 RhinoLaryngo.

PLACE OF SERVICE

• aScope 4 RhinoLaryngo may be used in different places of service, which are sometimes referred to as settings of care.
• The place of service, as defined by the Centers for Medicare & Medicaid Services (CMS), where a procedure is completed determines which physician service payment is applicable (i.e., non-facility (clinic) or facility), as well as whether a facility payment is applicable and if so which type of facility payment.
• The CMS-defined places of service are listed in the table below.
• The table also indicates which type of physician payment applies to each place of service (see table on pages 2 and 3 for physician payment rates).

Code| Name| Applicable Physician Payment| Applicable Facility Payment| Description (defined by CMS)
---|---|---|---|---
11| Office| Non-Facility| None| Location, other than a hospital, skilled nursing facility (SNF), military treatment facility, community health centre, State or local public health clinic, or intermediate care facility (ICF), where the health professional routinely provides health examinations, diagnosis, and treatment of illness or injury on an ambulatory basis.
19| Off-Campus Outpatient Hospital| Facility| HOPE| A portion of an off-campus hospital provider-based department that provides diagnostic, therapeutic (both surgical and nonsurgical), and rehabilitation services to sick or injured persons who do not require hospitalization or institutionalization.
21| Inpatient Hospital| Facility| Inpatient| A facility, other than psychiatric, that primarily provides diagnostic, therapeutic (both surgical and nonsurgical), and rehabilitation services by, or under, the supervision of physicians to patients admitted for a variety of medical conditions.
22| On-Campus Outpatient Hospital| Facility| HOPE| A portion of a hospital’s main campus that provides diagnostic, therapeutic (both surgical and nonsurgical), and rehabilitation services to sick or injured persons who do not require hospitalization or institutionalization. (Description change effective January 1, 2016).
23| Emergency Room – Hospital| Facility| HOPE| A portion of a hospital where emergency diagnosis and treatment of illness or injury is provided.
24| Ambulatory Surgical Center (ASC)| Facility| ASC| A freestanding facility, other than a physician’s office, where surgical and diagnostic services are provided on an ambulatory basis.

REFERENCES

1. Current Procedural Terminology (CPT®) is a registered trademark of the American Medical Association (AMA). Copyright 2024 AMA. All rights reserved. No fee schedules, basic units, relative value units, or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use.
2. 2024 CMS PFS Final Rule, Addendum B (available on CMS website), 86 Fed. Reg. 6499 (Dec. 21, 2023).
3. 2024 CMS OPPS/ASC Final Rule, Addendum AA and B (available on CMS website), 86 Fed. Reg. 63458 (Dec. 21, 2023).
4. CMS PFS Relative Value Files. Available at https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched/PFS-Relative-Value-Files.
5. Items that are insertable may be billed with revenue code 0278 per the National Uniform Billing Committee (NUBC)’s Updated Guidance on Other Implant Revenue Code (0278) effective July 1, 2020 available athttps://www.nubc.org/system/files/media/file/2020/04/Guidance%20on%20Other%20Implant%20RC0278.pdf.
6. CMS Place of Service Code Set. Available at https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set.

INDICATIONS FOR USE

• The endoscope is a sterile, single-use, flexible endoscope intended for endoscopic procedures and examination within the nasal lumens and upper airway anatomy.
• The endoscope is intended to provide visualization via a monitor. The endoscope is intended for use in a hospital environment. It is designed for use in adults.

DISCLAIMER

• The reimbursement information provided in this guide was obtained from third-party sources and information that is publicly available on the Internet.
• The reported Medicare national average payments are subject to change and may vary based on geographic location and other individual factors.
• Information in this Guide is not legal advice, nor is it advice about how to code or complete claims for payment. It is the provider’s responsibility to report the appropriate codes based on the procedures furnished to a specific patient and the patient’s documented medical condition.
• Providers are also responsible for submitting claims for these services consistent with the specific payer billing requirements.
• Payer billing, coding, and coverage requirements vary from payer to payer and are updated and change over time.
• Ambu encourages providers to verify current billing, coding and coverage policies and requirements with the specific payer if the provider has questions.
• Providers may also contact the American Academy of Otolaryngology-Head and Neck Surgery and/or the American Medical Association (AMA).
• Ambu does not promote the use of its products outside of the FDA-cleared indications for use and labelling.
• For more information, please contact 800-262-8462, select option 7 or email us-reimbursement@ambu.com.

CONTACT

• Ambu, Inc.
• 6721 Columbia Gateway Drive
• Suite 200
• Columbia, MD 21046
• Tel. 800 262 8462
• Fax 800 262 8673
• ambuUSA.com.
• Trademarks, registered or otherwise, are the property of their respective owner(s)
• Distributed by Ambu Inc.
• © 2024 Ambu Inc.
• US: Rx only
• PUB-001098
• V07 – 01/2024
• Ambu USA
• Technical data may be modified without further notice.

References

• Ambu USA - The Single-Use Endoscopy Leader

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