CPT Coding
Indirect calorimetry (the procedure performed by the ReeVue), is CPT coded and
is covered by Medicare and most insurance providers.
|
CPT code |
Description |
Medicare National Fee Limit |
|
94680 |
Oxygen uptake, expired gas
analysis; rest, and exercise, direct, simple
|
$57.55 |
|
94690 |
Oxygen uptake, expired gas
analysis; rest, indirect |
$50.31 |
|
Diagnosis Codes
Weight Management
Medicare Nationally Covered Indications currently reads:
"Service performed in connection with the treatment of obesity are covered by
Medicare when such services are an integral and necessary part of a course of
treatment for diseases such as: hypothyroidism, Cushing's disease, hypothalamic
lesions, cardiovascular diseases, respiratory diseases, diabetes, and
hypertensions."
The common codes associated with these disease states include:
243 Hypothyroidism
250 Diabetes Mellitus
255.0 Cushing's Syndrome
*277.7 Dysmetabolic Syndrome X
401.0-404.9 Hypertension
414.0-414.07 Cardiovascular Disease
780.50-780.59 Sleep Disturbances
786.05 Shortness of Breath
786.00-786.07 Dyspnea and Respiratory Abnormalities
790.29 Abnormal Glucose (Pre-diabetes)
V58.69 Long-term (current) use of other medications
These codes can be used in conjunction with a co-morbidity of obesity:
259.9 Obesity of Endocrine origin
278.0 Obesity, unspecified
278.01 Morbid obesity, severe obesity
Nutritional Assessments
263.0 Malnutrition of moderate degree
263.1 Malnutrition of mild degree
269.9 Nutrition, deficient of insufficient
794.7 Hypermetabolism
Secondary to:
277 Cystic Fibrosis
307.1 Anorexia nervosa
307.51 Bulemia
579.9 Malabsorption
783.6 Hyperalimentation
949 Burns
952 Spinal Cord Injury
995.91 Sepsis
998.83 Non-healing wound
V65.3 Dietary surveillance and counseling
*The Adult Treatment Panel III requires 3 of the following items checked to make
the diagnosis of Metabolic Syndrome, ICD 277.7:
1. Waist Men >102 cm
2. Waist Women >88 cm
3. HDL Men <40 mg/dL
4. HDL Women <50 mg/dL
5. Triglycerides >150 mg/dL
6. Hypertension >130/85
7. Impaired Fasting Glucose >110 mg/dL
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