AMA CPT® Assistant - 2018 Issue 12 (December)

Surgery: Cardiovascular System (Q&A) (December 2018)

December 2018 page 8b Surgery: Cardiovascular System Question: Is the first day or subsequent day of service the only difference between the initiation of extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) and the management of ECMO/ECLS? Answer: The initiation comes first and the daily management (subsequent) occurs each day thereafter. Initiation involves determining the applicable ECMO/ECLS device components, blood flow expectation, gas exchange, and other necessary parameters to manage the treatment circuit. Initiation includes clinical determination of the type of extracorporeal support needed: veno-venous (VV) or veno-arterial (VA). VV ECMO/ECLS is only used for pulmonary support and requires at...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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