CPT Coding for Futrex Body Composition Analysis

Futrex Near-Infrared Body Composition Analysis is potentially reimbursable studies for most medical practices. Although there is no specific code for NIR, it provides equivalent results to Plethysmography.

Definition:
Body composition: a measurement that involves calculating the percentage of various parts that make up the body, including fat mass, non-fat mass, and total body water.

CPT Codes 93720, 93721, and 93722, which describe Total Body Plethysmography, can be used with the necessary Diagnostic ICD-9 Codes. CPT Code 97550 can also be used.

The procedures must be in the scope of the practice, physician or facility making the submission. Billing submission should be detailed and comprehensive - the more detailed the diagnostic coding, the greater potential for payment.

The diagnosis must be complete and must make appropriate use of the results of the Futrex analysis. The key to effective billing and payment must include an accurate and in depth illustration of the BIA analysis. In addition, the ICD-9 diagnostic code should be as specific as possible.

The reimbursement amount also will depend on the insurance carrier of the patient. Suggested CPT billing codes Diagnostics - treatment:

CPT

Case Study:

CPT Code – 97750 – Physical Performance Test or Measurement

Summary: Medical office is a cancer treatment facility. A patient’s physical performance is evaluated and monitored as part of the treatment they receive.

A Futrex, NIR Body Composition Analysis is one of the tests administered.

The accompanying ICD9 code used in the above case is 780.79 – Generalized Weakness

Typical Reimbursement: $69.00 ($30.28 Medicare)

10 Tests per Week X $69.00 per Test = $690 per week

5 Tests per Week X $30.28 = $151.40 per week

$841.40 x 52 weeks = $43,752.80 per year

ICD-9 Diagnosis