Reimbursement Information
Reimbursement information on coding, coverage and payment amounts for Ultromics EchoGo® Heart Failure
Our Partnership Goals are to:
- Help achieve faster and more precise heart failure diagnoses that will improve patient outcomes
- Widen our existing knowledge base and increase our expertise on heart failure
- Continue to speed up AI innovation and scale up our platforms
- Maintain our close connections within the global scientific community
- Increase inter-industry and academic-industry collaborations
What We Have Achieved with our Partnerships
Published Research and Validation
Reliability in the heart failure sector
Access to world-leading science and data
We are committed to ongoing partnerships with leading organizations as we seek to achieve continuous improvement of our unparalleled AI technology.
Building a community of medical and tech experts
Reimbursement Resources
EchoGo® is a revolutionary AI-powered platform designed to assist healthcare professionals in the diagnosis and management of cardiac diseases. The technology utilizes advanced artificial intelligence to detect disease non-invasively using echocardiography, providing diagnostic outputs to support in the timely detection and effective management of diseases.
EchoGo® Heart Failure
EchoGo® Heart Failure is eligible for reimbursement in both
outpatient and inpatient settings.
Below you will find the necessary coding information and payment methodologies for
ensuring proper reimbursement.
Hospital OutPatient
In hospital outpatient settings, the technical component of EchoGo® Heart Failure is billed using HCPCS code C9786. This is paid through the Ambulatory Payment Classification (APC) system under APC 5743, with a national average payment of $284.88 (adjusted by the wage index for each hospital provider).
Note: As of January 1, 2025 the HCPCS code will sunset and outpatient technical component reimbursement will be paid by Category III CPT code with a national average payment of $297.99 (adjusted by the wage index for each hospital provider)
Hospital InPatient
For inpatient settings, EchoGo® Heart Failure may qualify for the New Technology Add-on Payment (NTAP) if the total cost of care exceeds the MS-DRG payment. Medicare will reimburse $0.65 for every dollar of excess cost, up to a maximum of $1,023.75.
Questions?
Ultromics is working closely with providers to establish coverage with commercial players.
For specific reimbursement
questions, please contact us directly.