Using the SPY EliteTM System?
Dictate and code why!
The CPT® codes listed below have been observed when providing
services with the SPY EliteTM System. Utilize the appropriate codes
describing services provided.
15860
Intravenous injection of agent [e.g., fluorescein] to test vascular flow in flap or graft
[Surgery/Integumentary System]
76499 Unlisted diagnostic radiographic procedure
[Radiology]
93799 Unlisted cardiovascular service or procedure
[Medicine/Noninvasive Vascular Diagnostic Studies]
96379 Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion
[Medicine]
99070 Supplies and materials [except spectacles], provided by the physician over and above those
usually included with the office visit or other services rendered [list drugs, trays, supplies,
or materials provided]
[Medicine/Qualifying Circumstances for Anesthesia]
-76 Repeat procedure or service by same physician or other qualified health care professional
Potential applicable modifier
Important ICD-9-CM code for hospitals to report when the
SPY EliteTM System is utilized:
ICD-9-CM procedure code:
17.71 Non-coronary intraoperative fluorescence vascular angiography
Coding questions? Contact the LifeCell™ Reimbursement Hotline
888.543.3656 reimbursement@lifecell.com
Coding, coverage or reimbursement
questions about:
TM
SPY Elite Intraoperative Perfusion Assessment System
®
AlloDerm Regenerative Tissue Matrix
Strattice™ Reconstructive Tissue Matrix
®
®
Cymetra Micronized AlloDerm Tissue
Contact us:
LifeCellTM Reimbursement Hotline
Monday to Friday
8:00 a.m. - 8:00 p.m. ET
Tel: 888-543-3656
Fax: 866-262-6977
reimbursement@lifecell.com
References:
CPT® is a registered trademark of the American Medical Association. ©2011 American Medical Association.
Encoder Pro Expert. Version 5.7.0 © 2010 Ingenix, Inc.
Procedure Codes. Effective October 1, 2010.
www.cms.hhs.gov/ICD9ProviderDiagnosticCodes.
Accessed: September 3, 2010.
Disclaimer:
This has been prepared for providers using the SPY EliteTM System, and is intended for informational purposes only.
It does not represent a guarantee, promise or statement by LifeCell Corporation concerning levels of reimbursement,
payment or charges. It is not intended to increase or maximize reimbursement. The decision as to how to complete a
claim form, including the amounts to bill, is exclusively the responsibility of the provider. Provider should verify specific
payor requirements for use of CPT® Procedure Codes and Modifiers. Consult the LifeCell™ Reimbursement Hotline at
888.543.3656 or SPY-System-codes@lifecell.com for additional information.
For complete safety information and complete instructions for the proper use of the SPY Elite™ System, please
refer to the SPY Elite™ System Operator’s Manual and SPY Elite™ Kit Instructions for Use. The SPY Elite™ System
is intended for use as an adjunctive method of assessing tissue perfusion in plastic, reconstructive and micro and
gastrointestinal surgical procedures. The SPY Elite™ System is to be used under the direction of a physician.
LifeCell Corporation
One Millennium Way
Branchburg, NJ 08876
Tel: 908.947.1100
Fax: 908.947.1200
LifeCellTM Customer Solutions
800.288.9247
908.947.1552
www.lifecell.com
© 2012 LifeCell Corporation. All trademarks used herein are trademarks of their respective owners. MLC 2083-R2/1884/2-2012