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Official Description

Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 99192 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 procedure is specifically timed for a duration of 30 minutes. It is important to note that this code is applicable for each half-hour segment of assembly and operation. For shorter durations, specifically for treatment lasting three-quarters of an hour, the appropriate code to use is 99191. This distinction in coding is crucial for accurate billing and reimbursement, as it ensures that the time spent on the procedure is appropriately documented and compensated.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure associated with CPT® Code 99192 is indicated for situations where the assembly and operation of a pump with an oxygenator or heat exchanger is necessary. This may include cases where patients require support for oxygenation or temperature regulation during medical procedures. The use of this code is relevant in scenarios involving critical care, surgical interventions, or other medical conditions that necessitate the management of a pump system to ensure adequate physiological support.

  • Critical Care Situations Patients requiring immediate and continuous support for oxygenation or temperature management.
  • Surgical Interventions Procedures that necessitate the use of a pump with an oxygenator or heat exchanger for patient safety and stability.
  • Medical Conditions Conditions that impair normal respiratory or circulatory function, requiring mechanical assistance.

2. Procedure

The procedure for CPT® Code 99192 involves several key steps that ensure the effective assembly and operation of the pump system. Each step is critical to the overall success of the procedure and patient safety.

  • Step 1: Preparation The physician begins by gathering all necessary equipment, including the pump, oxygenator or heat exchanger, and monitoring devices. This preparation phase is essential to ensure that all components are functioning properly and are ready for use.
  • Step 2: Assembly The physician assembles the pump system, connecting the oxygenator or heat exchanger as required. This step involves careful handling of the equipment to prevent any malfunctions or complications during operation.
  • Step 3: Operation Once assembled, the physician operates the pump, monitoring its performance and making any necessary adjustments. This includes ensuring that the oxygenator or heat exchanger is functioning correctly and that the patient is receiving the appropriate level of support.
  • Step 4: Monitoring Throughout the operation, the physician may utilize ECG and pressure monitoring to assess the patient's condition and the effectiveness of the pump system. This monitoring is crucial for identifying any potential issues that may arise during the procedure.

3. Post-Procedure

After the assembly and operation of the pump with an oxygenator or heat exchanger, the physician will typically conduct a thorough assessment of the patient's response to the procedure. This may involve monitoring vital signs and ensuring that the patient is stable before discontinuing the use of the pump. Additionally, any necessary documentation regarding the procedure's duration and the patient's condition should be completed to support accurate billing and compliance. Follow-up care may also be required, depending on the patient's overall health status and the specific medical context in which the pump was used.

Short Descr SPECIAL PUMP SERVICES
Medium Descr ASSEMBLY&OPERJ PUMP OXYGENATOR/HEAT EXCH 30 MI
Long Descr Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 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
95 Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system: synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified health care professional and a patient who is located at a distant site from the physician or other qualified health care professional. the totality of the communication of information exchanged between the physician or other qualified health care professional and the patient during the course of the synchronous telemedicine service must be of an amount and nature that would be sufficient to meet the key components and/or requirements of the same service when rendered via a face-to-face interaction. modifier 95 may only be appended to the services listed in appendix p. appendix p is the list of cpt codes for services that are typically performed face-to-face, but may be rendered via a real-time (synchronous) interactive audio and video telecommunications system.
Date
Action
Notes
2013-01-01 Changed Medium Descriptor changed.
2007-01-01 Changed Code description changed.
Pre-1990 Added Code added.
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Description
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Description
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