Wiki Vad device

Part of E/M

I believe it is part of E/M, unless you are performing all of 93750
(from Encoder Pro)
Patients with a previously implanted ventricular assist device (VAD) require periodic interrogation of the device. Code 93750 reports a diagnostic procedure that is performed in person, and includes a face-to-face assessment of all device functions. Components that must be evaluated include device parameters (alarms, drivelines, and power surges) and a review of the device function (flow/volume status, septum status, and recovery). This code includes the physician analysis, review, and report. It also includes device programming, if performed.

It is definitely NOT ECMO management (CPT 33960)

You might want to check in the Cardiovascular forum; that's where you'll find the experts in this field.

F Tessa Bartels, CPC, CEMC
 
Can you bill 93750 more than once per day if it is being done under the evaluation of a cardiologist to determine medical reasons to adjust clinical therapies (medications) and then a 2nd time by the surgeon involved looking for technical device faults that may need surgical interventions? or should they be able to interpret and make those decisions and determination from one interrogation? Abbott says: There are no Correct Coding Initiative (CCI) edits for the interrogation code. It can be billed once, per day, per patient, per specialty, if medical necessity is adequately documented. Som can Cardiology and Surgery each perform their own interrogation and interpretations since they are distinct specialties?
thank you
 
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