The REEVUE measures the oxygen that the body consumes. Using this measurement it calculates number of calories that an individual burns at rest in a day*. This technique is called Indirect Calorimetry. This information assists in nutritional assessment and medical nutrition Therapy.

The REEVUE is simple to use and provides on-screen and printed results in just 10 minutes. The printout is ideal for maintaining records and will help the clinician and patient to understand the results of the test.

The REEVUE is lightweight and portable. It does not require a computer or manual calibration.

The REEVUE provides an accurate method for measuring VO2 (oxygen consumption) and RMR* (resting metabolic rate)

Indications for Use

The REEVUE can be used for any patient where a measurement of metabolic rate or oxygen uptake (VO2) will be useful, including weight management and nutritional assessment services.

Features

Accurate – The REEVUE has been validated against the clinical standard metabolic cart and has demonstrated equivalent accuracy in resting volunteers for both oxygen consumption and resting energy expenditure.

Ease of Use – When the REEVUE is turned on, it automatically calibrates and is ready to use. After the test is completed, results are presented on the display screen and are printed directly to an optional printer. No computer or software is needed to operate the REEVUE.

Affordable – the REEVUE is priced at only a fraction of the cost of a standard metabolic cart.

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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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