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CPB with a lung transplant

Lynn Posted Fri 22nd of January, 2016 20:58:27 PM

one of my docs did the lung txp and the other doc did the Cardiopulmary bypass initiaion, cannulation and decannulation--do i use the ECMO/ECLS codes for this? Also is decannulation allowed on same day as initiation and cannulation? Thank you

SuperCoder Answered Mon 25th of January, 2016 03:17:00 AM

Hi,

ECMO is a separate procedure if it is NOT done as part of other heart/lung surgery. But I think in your case its done as a part of lung transplant.

Lynn Posted Mon 25th of January, 2016 09:01:58 AM

but can i use the ECMO codes for cardiopulmonary bypass? One doc did the lung txp and the other put the patient on bypass--initiation, cannulation and decannulation--are the ECMO/ECLS codes correct in this situation?

Lynn Posted Wed 27th of January, 2016 04:52:09 AM

i am still waiting for a direct answer on if i can use ECMO codes for cardiopulmonary bypass or not--please answer i have been waiting since Friday--today is Wednesday--Thank you

SuperCoder Answered Wed 27th of January, 2016 05:24:49 AM

Hi,

I apologise for the delay.

I think you cant code ECMO because cardiopulmonary bypass is done along with transplant. If you are using CPT code 32852 than it includes cardiopulmonary bypass. If separate physician is doing the procedure you can bill with modifier.

Thanks

SuperCoder Answered Thu 28th of January, 2016 04:07:48 AM

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