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CVRx Announces Increased Inpatient Payment for Barostim Procedure

Key Takeaway: CVRx, Inc. announced that the Centers for Medicare and Medicaid Services (CMS) has reassigned the Barostim implant procedure to a higher payment category, effective October 1, 2024. The new MS-DRG 276 assignment increases the average national payment from $17,000-$23,000 to approximately $43,000. This change aims to improve access to the Barostim therapy for patients with heart failure. CVRx's Barostim System is approved for use in heart failure patients and is a breakthrough medical technology that uses neuromodulation to address heart failure symptoms.

Market Sentiment Analysis

POSITIVE FACTORS

  • Reassignment to a higher payment category potentially increases revenue for CVRx.
  • Increased reimbursement is expected to facilitate access to the Barostim therapy for heart failure patients.
  • Recognition by CMS is a positive endorsement of the Barostim procedure's importance and resource requirements.

Full Press Release Details

MINNEAPOLIS, Aug. 02, 2024 (GLOBE NEWSWIRE) -- CVRx, Inc. (NASDAQ: CVRX) (“CVRx”), a commercial-stage medical device company, announced today that Centers for Medicare and Medicaid Services (CMS) has reassigned the Barostim implant procedure for the inpatient setting as part of the Fiscal Year (FY) 2025 Medicare Hospital Inpatient Prospective Payment System (IPPS) final rule.
In FY 2024, Barostim was assigned to MS-DRGs 252, 253, 254 with a national average payment range of $17,000-$23,000. For FY 2025, Barostim will be reassigned to MS-DRG 276, which carries a national average payment of approximately $43,000. The new payment takes effect Oct. 1, 2024.
“We applaud CMS’ consideration and recognition of the resource requirements associated with the Barostim implant procedure. We believe that reassignment to MS-DRG 276 will facilitate increased access to the therapy for patients with heart failure by establishing sufficient reimbursement for the procedure when performed in an inpatient setting,” said Kevin Hykes, President and CEO of CVRx.
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.
Finn Partners 917.497.2867
Mark Klausner or Mike Vallie

Frequently Asked Questions

What is the Barostim implant procedure's new payment rate?

For FY 2025, the Barostim implant procedure will be reimbursed at approximately $43,000.

When does the new Barostim reimbursement take effect?

The new reimbursement rate for Barostim takes effect on October 1, 2024.

Who is the President and CEO of CVRx?

Kevin Hykes is the President and CEO of CVRx.

What does the Barostim System do?

The Barostim System improves heart failure symptoms by delivering electrical pulses to baroreceptors.

Is Barostim FDA-approved for heart failure patients?

Yes, Barostim is FDA-approved for use in heart failure patients in the U.S.

Last updated: Aug 2, 2024