ED Coding & Reimbursement Alert - 2015 Issue 15
Part B Coding Coach: Capture Cannula Services for ECMO Patients
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Article Overview
This article explains the CPT update that reorganized ECMO/ECLS reporting and highlights the cannula-related services that may be performed by surgeons as part of a broader treatment team. It is intended for coding professionals and clinicians who need to understand the scope of the new ECMO/ECLS code family, related procedure categories, and general reporting considerations for insertion, repositioning, removal, and other associated services.
Why This Topic Matters
ECMO/ECLS cases can involve multiple providers and distinct procedural components, so accurate code identification helps prevent missed services and incorrect reporting. The article is relevant to teams coding physician work tied to cannula procedures and related open surgical components within the updated CPT framework.
Article Sections
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Understand the Treatment
Introduces ECMO/ECLS as a therapy used in different patient populations and explains the shift from older reporting to the newer CPT code family. It also distinguishes broad treatment approaches and the physician role in initiation and daily management.
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Select Cannula Codes Based on Approach and Age
Covers the cannula-related CPT code group for ECMO/ECLS and how reporting varies by patient age and procedural approach. It also notes that these services are distinct from other cannula or catheter coding categories.
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Look for Other Open Surgical Codes
Highlights additional open surgical code categories tied to ECMO/ECLS cases, including related supportive procedures. This section focuses on when other procedure types may be considered alongside cannula services.
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Safeguard Your Claims’ Accuracy With These Rules
Summarizes general reporting considerations that affect how ECMO/ECLS cannula-related services are handled in practice. The section addresses common claim-accuracy issues and how overlapping services are discussed in the article.
What You Will Learn
- How the CPT ECMO/ECLS code family is organized at a high level
- Which kinds of provider work are discussed in relation to ECMO/ECLS
- How age and procedural approach relate to cannula service reporting
- What additional open surgical procedure categories are associated with ECMO/ECLS
- Which general reporting considerations are emphasized for claim accuracy
Who Should Read This
- Medical coders
- Coding auditors
- Physician billing staff
- General surgeons
- Cardiothoracic surgery teams
- Revenue cycle professionals
Codes Discussed
Code Ranges Discussed
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