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CPT coding Indirect calorimetry (the procedure performed by the ReeVue), is CPT coded and is covered by Medicare and most insurance providers. CPT code Description Oxygen uptake; expired gas analysis; rest, indirect 94690 Medicare National Average $58.46 Diagnosis codes Weight Management Medicare Nationally Covered Indications currently reads: "Services 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 hypertension." The common codes associated with these disease states include: 243 Hypothyroidism 780.50 - 780.59 Sleep Disturbances 250 Diabetes Mellitus 780.71 Chronic Fatigue 255 Disorders of Adrenal Glands 786.05 Shortness of Breath 272 Disorders of Lipoid Metabolism 786.00 - 786.07 Dyspnea and respiratory abnormalities 277.7 Dysmetabolic Syndrome X 790.29 Abnormal Glucose (Pre-diabetes) 401.0-404.9 Hypertension 794.7 Abnormal Basal Metabolic Rate 414.0 - 414.07 Cardiovascular Disease V58.69 Long-term (current) use of other medications 443 Peripheral Vascular Disease * 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 263.0 263.1 269.9 794.7 malnutrition of moderate degree malnutrition of mild degree nutrition, deficient or insufficient 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. 2. 3. 4. 5. 6. 7. Waist men >102 cm Waist women >88 cm HDL men <40 mg/dL HDL women <50 mg/dL Triglycerides >150 mg/dL Hypertension >130/85 Impaired fasting glucose >110 mg/dL FAQ Frequently asked questions about the REEVUE How does the REEVUE measure metabolic rate? The human body consumes a fixed amount of oxygen per calorie burned. The REEVUE™ measures the amount of oxygen the patient's body is consuming. Based on the measured oxygen consumption rate, the REEVUE then calculates the Resting Energy Expenditure 1 (REE). Or, in other words, the exact amount of calories that person is burning. What are the steps of a REEVUE test? The REEVUE™ automatically calibrates itself, so there is no need to configure the unit prior to each test. First, ask the patient to relax in a seated or reclining position. The patient then breathes into a mask or mouthpiece for about 10 minutes. When the test is complete the R EEVUE ™prints a detailed report of the results. Perhaps the simplest indirect calorimeter ever built! For what patients is the REEVUE contraindicated? The REEV UE™ is not intended for use on ventilated patients, patients unable to tolerate being off supplemental oxygen for 20 minutes, or where an RQ is required. This was done to keep the product simple and affordable for caregivers that simply require an accurate Resting Energy Expenditure for determining caloric requirements. How many tests can you do on the machine? The REEV UE™ will perform an unlimited number of tests. Can the disposable hose be used more than once? The disposable hose (the MetaBreather™) is for single patient use only. It cannot be effectively cleaned between patients and the valves within the mouthpiece will not maintain accuracy through multiple tests. Is certification required to operate the machine? No certification is required. With its simple one button operation, anyone can be trained to operate the REEV UE™ in just minutes. What kind of warranty accompanies these products? All KORR™ products come with a full 1 year warranty which includes all parts, labor, and shipping. A renewable warranty is available to purchase for subsequent years. What happens if the machine needs any maintenance? All maintenance and repairs are performed at KORR™ Medical’s Service Center in Salt Lake City, Utah. It is recommended (but not required) that the devices be sent in every 20-24 months for recalibration. REE is calculated using the W eir equation with an assumed RQ=0.83. REE = 6.925*V O2 . See "W eir, J.B., New Methods for Calculating Metabolic Rate with Special Reference to Protein Metabolism. J. Physiology, 1949 109: pages 1-9" 9A T0050 E