
Heart Smart Inc.
1160 E. Jericho Turnpike
Suite 12
Huntington, NY 11743
ph: 631.676.3749 ext 1
fax: 631.676.3776
info
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.
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
|
|
|
|
|
|
|
|
|
|
|
|
|
Heart Smart Inc.
1160 E. Jericho Turnpike
Suite 12
Huntington, NY 11743
ph: 631.676.3749 ext 1
fax: 631.676.3776
info