When submitting a claim using a Category III CPT Code, including for the Vanquish procedure, Medicare may request providers submit additional documentation through the Medicare Paperwork (PWK) process to be able to accurately adjudicate the claim. The PWK process will allow you to alert Medicare when submitting an electronic Part B claim that you’re also intending to submit supporting documentation separately via mail or fax. Refer to your local MAC website for detailed instructions on your MAC’s PWK process
The following documentation is an example of documentation that may be requested through the PWK process at the time of the initial claim submission:
- History and physical notes.
- Lab/Biopsy/Diagnostic test results, if applicable.
- Progress/office notes specific to the patient’s condition.
- Operative/procedure report for the Vanquish
procedure.
- Relevant peer reviewed articles
- Society guidelines, if available
- Any additional documentation that supports the need for the Vanquish procedure.
The Category III service billed may be rejected or denied by Medicare if the PWK process is not followed, necessitating resubmission of the claim and or appeal
Federal law (USA) restricts this device to sale by or on the order of a physician.
Refer to the device User Manual for a list of contraindications, warnings, and cautions.
Training: Do not operate the Vanquish System without completing Francis Medical-provided physician training. Untrained operation of the device may lead to improper use. Improper use can result in patient injury or equipment malfunction.