Bracco Reimbursement Calculator
The Bracco Reimbursement Calculator is an on-line, interactive application that assist users in determining Medicare payment rates for procedures and products covered under the Hospital Outpatient Prospective Payment System (HOPPS) and the Medicare Part B Physician Fee Schedule (MPFS). Users should not rely solely on this database for reimbursement. We recommend that you confirm coding, coverage and payment policies with your local Medicare Administrative Contractor. To access the database click on the blue highlighted “reimbursement calculator” text. You will then be prompted to register to access the Bracco Reimbursement Calculator.
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Click on the name of the coding resource listed below to access the current versions of these resources:
ICD 9 CM or HCPCS

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Medicare Payment Rates
Quarterly Average Sales Price (ASP) Reimbursement Rates
The Centers for Medicare and Medicaid Services (CMS) reimburses certain drugs and biologicals (including contrast agents and pharmacological stress agents) under the ASP payment methodology as per legislative mandate under the Medicare Modernization Act (MMA). The ASP payment rates are updated quarterly by CMS. Click here to obtain the most recent payment rates.

All users agree to access and use the above mentioned third party websites at their own risk.  Bracco may not have reviewed all of the sites that may be linked to these web pages and makes no warranties or representations as to the accuracy, completeness and/or any other aspect of the information contained in any off-site pages or any other site linked to this site.  All users agree that the linking is at their own risk.

Bracco Diagnostics Inc. is pleased to provide customers with reimbursement support for products manufactured by the company and for medical procedures related to those products based on Medicare reimbursement policies.  Because private payer coverage policies and benefit plans differ greatly, the information offered in this guide may not be applicable for billing and reporting to private payers.  The treating provider is responsible for determining the medical necessity for each specific patient case.  Claims submitted to payers should reflect the medical decisions made by the treating provider, current applicable state and federal regulations, and the provisions of the patient benefit plan.  Bracco Diagnostics Inc. adheres to the Health Insurance Portability and Accountability Act of 1996 (HIPAA) provisions and other applicable state and federal laws concerning the disclosure of protected health information (PHI).  Our Reimbursement Services department does not enter into Business Associate Agreements (BAA) with customers therefore your institution should not disclose PHI to Bracco reimbursement representatives during the course of receiving reimbursement support.  Current Procedural Terminology (CPT) codes and descriptions are copyright © 2007 American Medical Association (AMA). All Rights Reserved. CPT is a trademark of the AMA.