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The CPT® Code 99190 refers to the assembly and operation of a pump that is equipped with either an oxygenator or a heat exchanger. This procedure is typically performed by a physician and is crucial in various medical settings, particularly in situations requiring extracorporeal circulation, such as during certain surgical procedures or in critical care environments. The code encompasses the entire process of setting up and managing the pump, which may include monitoring the patient's heart activity through an electrocardiogram (ECG) and/or measuring blood pressure, although these monitoring functions are not mandatory for the procedure to be coded under 99190. It is important to note that this code is billed for each hour of service provided. For shorter durations of treatment, there are specific codes available: CPT® Code 99191 is used for treatment lasting three-quarters of an hour, while CPT® Code 99192 is designated for treatment lasting half an hour. This structured approach to coding ensures that healthcare providers are accurately reimbursed for the time and resources dedicated to patient care during these complex procedures.
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The assembly and operation of a pump with an oxygenator or heat exchanger, as described by CPT® Code 99190, is indicated in various clinical scenarios where extracorporeal circulation is necessary. This may include, but is not limited to, the following conditions:
The procedure for the assembly and operation of the pump with an oxygenator or heat exchanger involves several critical steps to ensure patient safety and effective treatment. Each step is essential for the successful implementation of the procedure:
After the assembly and operation of the pump with an oxygenator or heat exchanger, the physician must ensure proper post-procedure care. This includes monitoring the patient for any adverse reactions or complications that may arise from the use of the pump. The physician should assess the patient's vital signs and overall stability, providing additional support as needed. Documentation of the procedure and any follow-up care instructions is essential for continuity of care and for billing purposes. The expected recovery will depend on the underlying condition being treated and the duration of pump operation, with close observation required during the initial recovery phase.
| Short Descr | SPECIAL PUMP SERVICES | Medium Descr | ASSEMBLY&OPERJ PUMP OXYGENATOR/HEAT EXCH EA HR | Long Descr | Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour | Status Code | Statutory Exclusion (from MPFS, may be paid under other methodologies) | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 9 - Not Applicable | Multiple Procedures (51) | 9 - Concept does not apply. | Bilateral Surgery (50) | 9 - Concept does not apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 9 - Concept does not apply. | Co-Surgeons (62) | 9 - Concept does not apply. | Team Surgery (66) | 9 - Concept does not apply. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Inpatient Procedures, not paid under OPPS | Type of Service (TOS) | 1 - Medical Care | Berenson-Eggers TOS (BETOS) | P6C - Minor procedures - other (Medicare fee schedule) | MUE | 1 | CCS Clinical Classification | 237 - Ancillary Services |
| 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. |
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| Pre-1990 | Added | Code added. |
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