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Outpatient Reimbursement

In 2024, BONESUPPORT was granted TPT (Transitional-Pass-Through Payment) for CERAMENT® G — The First and Only Injectable Antibiotic-Eluting Bone Graft Substitute

Reimbursement and Coding for CERAMENT® G

Removing Financial Barriers for Patients and Providers 

CERAMENT®G with Gentamicin has been designated by the FDA as a “Breakthrough Device”. This designation has allowed easier access to reimbursement programs through the Centers for Medicare and Medicaid Services (CMS) for both the inpatient and outpatient settings.  The purpose of these programs is to expand patient access to new technology that CMS deems as worth adopting and help ease the decisions between cost and care.

Outpatient Reimbursement Program

In the fall of 2023 CMS approved CERAMENT G for outpatient reimbursement through CMS’s Transitional Pass-Through payment. This payment is intended to reimburse hospital outpatient departments and ambulatory surgical centers for the incremental device cost of CERAMENT G. The purpose of this reimbursement program is to expand access to new technology and provide for more effective treatment or diagnosis of life-threatening or irreversibly debilitating diseases or conditions than current standard of care/alternatives.

Transitional-Pass-Through Payment (TPT) is intended to cover the incremental device cost of CERAMENT G.

TPT Circle

Reimbursement:

  • HCPCS Code: C1602
  • HCPCS Code Description: Orthopedic/device/drug matrix/absorbable bone void filler, antimicrobial-eluting (implantable)

REIMBURSEMENT HOTLINE:

  • Email: usreimbursement@bonesupport.com
  • Phone: 1-866-903-2663

TO ORDER CERAMENT® G:

  • Phone: 1-877-719-6718
  • Email: us.sales@bonesupport.com
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