Blog/ Hospital billing

How to charge physician fees for ECMO?

Discover the right TUSS coding for extracorporeal membrane oxygenation and the payment components tied to the installation, maintenance and removal of this life support in the intensive care setting

By
Rivio, Editorial team
Published
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2 minutes

How to charge physician fees for ECMO?

Rivio answers

The ECMO (extracorporeal membrane oxygenation) procedure has a specific code in the TUSS system: 40902034 - Extracorporeal membrane oxygenation (ECMO). Associated physician fees

The physician fees associated with the use of ECMO can be charged using complementary codes, according to the stages of the procedure:

  1. ECMO installation: includes cannula insertion and initial system setup.

  2. Maintenance and monitoring: refers to the continuous follow-up of the patient on ECMO.

  3. ECMO removal: includes removal of the cannulas and ending the support.

Fees should be charged based on other TUSS codes associated with the activities performed, such as:

  • 30105017 - Central venous catheterization (if applicable for inserting the venous cannulas).

  • 30205026 - Intensive care unit follow-up (if the physician is responsible for the ongoing management of ECMO in the ICU).

  • 30209060 - Invasive procedure for hemodynamic support (in situations involving cardiovascular support).

Check with the payer how to bill in order to ensure payment for this procedure.

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