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The CPT® Code 99191 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 involves the setup and management of the pump system, which may include additional monitoring capabilities such as electrocardiogram (ECG) and pressure monitoring. The time allocated for this procedure is specifically 45 minutes. It is important to note that this code is applicable for each hour of assembly, allowing for accurate billing based on the duration of the procedure. For treatments that last three-quarters of an hour, this code is appropriate, while for those lasting half an hour, CPT® Code 99192 should be utilized. This distinction is crucial for proper coding and reimbursement in medical billing practices.
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The indications for the use of CPT® Code 99191 include scenarios where a physician needs to assemble and operate a pump that incorporates an oxygenator or heat exchanger. This procedure is typically indicated in situations requiring enhanced oxygenation or temperature regulation of blood or other fluids during medical interventions. Specific conditions may include, but are not limited to, complex surgical procedures, cardiopulmonary bypass, or other critical care situations where precise management of blood flow and oxygenation is essential.
The procedure associated with CPT® Code 99191 involves several critical steps to ensure the safe and effective operation of the pump system. Each step is essential for the successful assembly and operation of the equipment.
After the assembly and operation of the pump with an oxygenator or heat exchanger, the physician will monitor the patient for any immediate post-procedural complications. This may include assessing the patient's vital signs, ensuring stable hemodynamics, and observing for any adverse reactions to the procedure. The physician may also provide instructions for follow-up care and any necessary monitoring that should occur after the procedure. The expected recovery time will vary based on the patient's condition and the complexity of the procedure performed, but close observation is typically required in the immediate aftermath to ensure patient safety and efficacy of the treatment.
| Short Descr | SPECIAL PUMP SERVICES | Medium Descr | ASSEMBLY&OPERJ PUMP OXYGENATOR/HEAT EXCH 45 MI | Long Descr | Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes | 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 |
| 25 | Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service: it may be necessary to indicate that on the day a procedure or service identified by a cpt code was performed, the patient's condition required a significant, separately identifiable e/m service above and beyond the other service provided or beyond the usual preoperative and postoperative care associated with the procedure that was performed. a significant, separately identifiable e/m service is defined or substantiated by documentation that satisfies the relevant criteria for the respective e/m service to be reported (see evaluation and management services guidelines for instructions on determining level of e/m service). the e/m service may be prompted by the symptom or condition for which the procedure and/or service was provided. as such, different diagnoses are not required for reporting of the e/m services on the same date. this circumstance may be reported by adding modifier 25 to the appropriate level of e/m service. note: this modifier is not used to report an e/m service that resulted in a decision to perform surgery. see modifier 57 for significant, separately identifiable non-e/m services, see modifier 59. | FS | Split (or shared) evaluation and management visit | GC | This service has been performed in part by a resident under the direction of a teaching physician |
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| 2013-01-01 | Changed | Medium Descriptor changed. |
| 2007-01-01 | Changed | Code description changed. |
| Pre-1990 | Added | Code added. |
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