Heart Smart Inc.
1160 E. Jericho Turnpike
Suite 12
Huntington, NY 11743

ph: 631.676.3749 ext 1
fax: 631.676.3776

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Microlife's WatchWT Practice Solutions provide a reimbursable model for healthcare providers.

Microlife Medical Home Solutions Inc. WatchWT programs are cost-effective for physician practices.  Standard CPT, E/M, & MNT codes are applicable with WatchWT MedGem® indirect calorimeter and PracticeWare™ program.

Many payers including Medicare and private insurance companies reimburse IC evaluation for patients with pulmonary, cardiovascular and metabolic disease. Medicare indicates "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, cardiovascular diseases, respiratory diseases, diabetes and hypertension."

The amount reimbursed varies by region, payer and policy. Currently, the allowable coverage by Medicare is between $50-$80. For the latest allowable rate by Medicare, visit the CMS physician fee schedule website.  The allowable rate by private insurance carriers is between $60-$100.

CPT Code (information provided is for education only. Contact local carriers for exact information)

94690     Oxygen uptake, expired gas analysis, rest, indirect . 

ICD-9 Codes:

The WatchWT MedGem measurement may be considered medically necessary for asymptomatic overweight patients. Private insurance carriers are likely to reimburse for IC evaluation in patients with co-morbid conditions secondary to excess bodyweight or obesity.  

323.2

Sleep Apnea, Hypoventilation

 

416.0

Chronic pulmonary heart disease

250.1

Diabetes Mellitus

428.0

Heart failure

 

272.1

Hypercholesterolemia

493.0

Asthma

 

272.4

Hyperlipidemia

496.0

Chronic airway obstruction

 

277.7

Metabolic Syndrome

517.8

Lung involvement in other diseases classified elsewhere

 

278.0

Obesity

 

780.5

Sleep Disturbance

401.1

Hypertension

 

 783.1

Abnormal weight gain

414.0

Cardiovascular disease

 

 

786.0

Dyspnea, shortness of  breath                           

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Heart Smart Inc.
1160 E. Jericho Turnpike
Suite 12
Huntington, NY 11743

ph: 631.676.3749 ext 1
fax: 631.676.3776