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CPT Code for Limited Echo with Impella and VA ECMO flow measurements
Question:
Per the below results how would this Limited Echo be coded - 93308-26 or with unlisted cpt code due to administration of Epinephrine, Vasopressin, Norepinephrine, fentanyl - Implella pump flow measurements and VA ECMO flow rates included in results.
Echo Summary -
1. Overall left ventricular ejection fraction estimated at 10 to 15%
2. Severely decreased global LV systolic function
3. Mildly reduced RV Systolic Function
4. Moderately dilatedLt/RT Atrium
5. Severe MV regurgitation - Severe aortic stenosis
6. MV ERO 0.56 cm2
Vena contracta 1.34 cm
Jet fil1s the lt atrium
Peak continuous wave MR velocity 3.42 m/s
7. Epineprine 2 mcg/min; Vasopressin 0.04 units/min; norepineprine 5cmg/min; fentanyl 5mcg/min
8. Impella CP; P2Impella flow 2.2 1/min, CPO 0.5
9. NSR, HR83.
10. VA ECMO; 5.45LPM,SVo2 75.6; RPM 4315
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