Indirect calorimetry (the procedure performed by
the ReeVue), is CPT coded and is covered by Medicare and most insurance
providers.
Medicare Nationally Covered
Indications currently reads:
"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, hypothalamic lesions,
cardiovascular diseases, respiratory diseases, diabetes, and
hypertensions."
The common codes associated
with these disease states include:
243 Hypothyroidism
250 Diabetes Mellitus
255.0 Cushing's Syndrome
*277.7 Dysmetabolic Syndrome X
401.0-404.9 Hypertension
414.0-414.07 Cardiovascular Disease
780.50-780.59 Sleep Disturbances
786.05 Shortness of Breath
786.00-786.07 Dyspnea and Respiratory Abnormalities
790.29 Abnormal Glucose (Pre-diabetes)
V58.69 Long-term (current) use of other medications
These codes can be used in
conjunction with a co-morbidity of obesity:
259.9 Obesity of
Endocrine origin
278.0 Obesity, unspecified
278.01 Morbid obesity, severe obesity
Nutritional Assessments
263.0 Malnutrition
of moderate degree
263.1 Malnutrition of mild degree
269.9 Nutrition, deficient of insufficient
794.7 Hypermetabolism
Secondary to:
277 Cystic Fibrosis
307.1 Anorexia nervosa
307.51 Bulemia
579.9 Malabsorption
783.6 Hyperalimentation
949 Burns
952 Spinal Cord Injury
995.91 Sepsis
998.83 Non-healing wound
V65.3 Dietary surveillance and counseling
*The Adult Treatment Panel III
requires 3 of the following items checked to make the diagnosis of
Metabolic Syndrome, ICD 277.7:
1. Waist Men >102 cm
2. Waist Women >88 cm
3. HDL Men <40 mg/dL
4. HDL Women <50 mg/dL
5. Triglycerides >150 mg/dL
6. Hypertension >130/85
7. Impaired Fasting Glucose >110 mg/dL
