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Medicare covers medically necessary services, robotic surgery is no exception. Since the FDA approves robotics, coverage may be available for some robotic surgery procedures. In some situations, the use of newer technology improved the patient’s overall outcomes following a surgical procedure. Including cases of robotic cardiac surgery, according to reports by The National Library of Medicine.
Surgeons often perform minimally invasive surgeries known as laparoscopic surgery. Other common robot-assisted surgeries include several procedures. Such as, colectomies made up 15%, hysterectomies at 90%, and 20% of prostate removal surgeries are performed robotically.
Is Robotic Prostate Surgery Covered by Medicare?
The Centers for Medicare and Medicaid Services (CMS) doesn’t have a policy for the national coverage on radical prostatectomy. Procedures to remove the prostate may be open, laparoscopic, or robot-assisted surgery. Local coverage is a little different. As it stands, robot surgery for prostate cancer is a service Medicare covers. Additionally, reimbursement for providers is the same as the compensation for traditional (laparoscopic) prostatectomy.
Is the Da Vinci Robotic Hysterectomy Covered by Medicare?
Medical procedures like hysterectomies are often a necessary form of treatment, so Medicare benefits pick up the coverage. Patients having a voluntary hysterectomy (non-medically necessary) such as for sterilization, then Medicare won’t cover the costs.
The da Vinci Robotic hysterectomy cost and coverage depend on if the procedure is done at an inpatient or outpatient facility. Part A benefits cover patients who have a hysterectomy in an inpatient hospital setting. Part B pays for outpatient services and hysterectomies.
Both Parts may have deductible amounts that must be met before Medicare will cover costs for any procedure. After the deductible is met, either Part covers 80% of the Medicare-approved expenses. Beneficiaries are responsible for the remaining 20% of the bill.