CVRx Announces Positive Outpatient Payment for Barostim Procedure in 2025
05 November 2024 - 12:00AM
CVRx, Inc. (NASDAQ: CVRX) (“CVRx”), a commercial-stage medical
device company, announced today that the Centers for Medicare and
Medicaid Services (CMS) assigned the Barostim procedure to New
Technology Ambulatory Payment Classification (APC) 1580. The APC
payment of approximately $45,000 will continue in 2025, as
published in the 2025 Medicare Hospital Outpatient Prospective
Payment System (OPPS) final rule.
This follows the recent announcement that the American Medical
Association CPT® Editorial Panel approved the application to
transition Barostim from Category III to Category I CPT codes,
expected to be implemented on January 1, 2026. Additionally, as
previously announced, CMS reassigned Barostim to a higher paying
MS-DRG for inpatient procedures effective October 1, 2024,
increasing payment to $43,000 from a previous range of
$17,000-$23,000.
“We applaud this action by CMS, which appropriately recognizes
the resource requirements associated with the Barostim implant
procedure in the outpatient setting. We appreciate the support from
the CMS Hospital Outpatient Physician Advisory Panel, medical
societies, and the hospital and physician community throughout the
public comment period,” said Kevin Hykes, President and CEO of
CVRx. “The three positive reimbursement developments announced in
the last month represent a fundamental and comprehensive
improvement in physician coding and hospital reimbursement. This
will facilitate broader patient access to Barostim therapy, further
strengthening our commercial foundation.”
About CVRx,
Inc.
CVRx is focused on the development and commercialization of the
Barostim™ System, the first medical technology approved by FDA that
uses neuromodulation to improve the symptoms of heart failure.
Barostim is an implantable device that delivers electrical pulses
to baroreceptors located in the wall of the carotid artery.
Baroreceptors activate the body’s baroreflex, which in turn triggers
an autonomic response to the heart. The therapy is designed to
restore balance to the autonomic nervous system and thereby reduce
the symptoms of heart failure. Barostim received the FDA
Breakthrough Device designation and is FDA-approved for use in
heart failure patients in the U.S. It has also received the CE Mark
for heart failure and resistant hypertension in the European
Economic Area. To learn more about Barostim, visit
www.cvrx.com.
Forward-Looking Statements
This press release contains forward-looking statements within
the meaning of the Private Securities Litigation Reform Act of
1995. The statements about expected implementation of the Category
I CPT code and further facilitation of reimbursement and patient
access are forward-looking statements. These statements speak only
as of the date of this press release and are based on our current
expectations and projections about future events, and are subject
to a number of known and unknown risks and uncertainties that could
cause actual results to differ from our expectations, including
completion of a formal survey to be conducted by AMA to determine
the reimbursement level and the actual impact of the codes on
actual reimbursement and patient access. These forward-looking
statements speak only as of the date of this press release. Except
as required by applicable law, we do not plan to publicly update or
revise any forward-looking statements contained herein, whether as
a result of any new information, future events, changed
circumstances or otherwise.
Media Contact:
Laura O’Neill Finn Partners
917.497.2867laura.oneill@finnpartners.com
Investor Contact:
Mark Klausner or Mike Vallie ICR Westwicke
443.213.0501ir@cvrx.com
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