Reimbursement
Only Cellvizio live unlimited tissue assessment provides high-resolution cellular views of tissue inside the body
Mauna Kea offers reimbursement support for healthcare professionals for use of Cellvizio confocal laser endomicroscopy (a type of optical endomicroscopy) for all clinical indications. Our comprehensive reimbursement program is designed to assist physicians and hospital staff with current coding, coverage and payment information for Cellvizio. This includes:
- A comprehensive Billing Guide
- A dedicated Reimbursement Specialist to provide:
- Assistance with Prior Authorizations and payer expectations
- Coding and Payment information
- Payer Coverage Guidelines
- Advanced reimbursement training at Centers of Excellence
Coding and Payment for Cellvizio Optical Endomicroscopy
The Optical endomicroscopy (OE) procedure enables a physician to image the internal microstructures of tissues and to identify cells and vessels and their organization or architecture in vivo in real-time during an endoscopy procedure through the use of a dedicated Cellvizio probe.
Coding and Payment for Cellvizio Optical Endomicroscopy procedures in the esophagus or upper GI tract are reported with the American Medical Association established CPT codes 43206 and/or 43252.
Other optical endomicroscopy procedures are reported by using unlisted codes for specific clinical indications. OE procedures, when performed, are reported as separate and distinct procedures from the endoscopy procedure performed.
The Current Procedural Terminology (CPT)* codes used for reimbursement for Cellvizio® Optical Endomicroscopy:
| CPT | Description |
|---|---|
| 43206 | Esophagoscopy with optical endomicroscopy
|
| 43252 | Esophagogastroduodenoscopy (EGD) with optical endomicroscopy |
| 88375 | OE image(s) interpretation and report |
*CPT Copyright American Medical Association. All rights reserved. CPT® is a registered trademark of the American Medical Association.
