2016 ECMO CPT Codes, RVUs, and MediCare Reimbursement

Ok, so we just crashed an arrested patient onto ECMO and he is going to the cath lab. Now, how do I document the procedure again?  What was the CPT for percutanous cannulation for VA-ECMO?  Does my billing company even know?

Bookmark this page for future quick reference of the current CPT codes, RVU values and MediCare reimbursements.

REANIMATE 4 Mashup Video!

REANIMATE 4 was THE best conference event I've ever had the pleasure to be associated with!  Take a look at this short video mashup of the entire event (and thanks to Jeremy Haywood, our videographer, video editor, and video producer)

For those of you who attended, thank you for bringing your “A-Game”!  Ya'll came prepared and motivated! Your energy and devotion has completely re-energized us!  It was a little bittersweet when we all had to part ways on Friday. But welcome to the REANIMATE family!

If you couldn't make it to “R4”, now's the time to register for REANIMATE 5, which will be March 8-9, 2018 in San Diego.

REANIMATE 4 Video Mashup from Joe Bellezzo on Vimeo.

REANIMATE 5: March 8-9, 2018

REANIMATE 5 will be on March 8-9, 2018 in San Diego, California.

Registration will open on September 21, 2017. Announcements will precede!  But if you want to guarantee a spot at R5, put yourself on the Reanimate 5 Pre-Reg list.  REANIMATE sells out quickly. People are always asking how to guarantee their spot. This is the ‘ticket'!!!

ECMO, ECPR, REBOA, TEE, & Bleeding-Edge Resuscitation

Special Guest Faculty Member: Resuscitationist and interventional cardiologist Demetris Yannopoulos from the University of Minnesota. For more on Demetris' recent contributions to ECPR:

EDECMO 36 – Crushing the Nihilism of Cardiac Arrest – with Demetris Yannopoulos

Crash Episode – MicroDissection of Yannopoulos' ECMO Method

For more information on the Conference: reanimateconference.com

 

Don't forget to get your name on the Pre-Registration List for REANIMATE 5 NOW!

 

 

 

 

 

Haney Mallemat Endorses REANIMATE 4!

LEARN SOME EDUCATION!!!

-Haney Mallemat (@CriticalCareNow)

 

At Castlefest/Resusfest 2017 I caught up with Dr. Haney Mallemat and asked him to opine on our upcoming REANIMATE 4 conference on September 21-22, 2017. Haney did not disappoint! Check it out:

 

Haney Mallemat endorsing our REANIMATE 4 conference – Sept 21-22, 2017 from Joe Bellezzo on Vimeo.

EDECMO 36 – Crushing the Nihilism of Cardiac Arrest – with Demetris Yannopoulos

…all acute injury to the heart is reversible.

 

Demetris Yannapoulos
University of Minnesota

In this podcast episode, Zack interviews Demetris Yannopoulos from the University of Minnesota. Demetris has organized Minneapolis into arguably the most impressive ECPR city in the world. He has changed the mindset of out of hospital refractory ventricular fibrillation care from “stay and play”, the philosophy that medics should stay at the scene and provide care until ROSC (return of spontaneous circulation) or until the patient is pronounced dead. In Minneapolis, a patient who who arrests in  Yannopoulos’ catchment area gets three shocks. If the patient does not get ROSC then they are immediately transported to the University of Minnesota using LUCAS mechanical chest compression device. The patient bypasses the emergency department and goes directly to the cath lab. In the cath lab, Demetris, or one of his partners, cannulates and initiates ECMO with an average time of 6 minutes!!! In his first 90 patients he has had a 45% neurologically intact survivorship. Patients are getting to the cath lab on average 60 minutes after their arrest. In this cohort, you would expect a less than 1% survival. We can use Dr. Yannopoulos’ model to expand the use of ECPR in many other systems. The real question is do we have champions like Demetris who will rise to the calling!

#REANIMATE4 Tickets Go On-Sale March 2, 2017!

REANIMATE 4, the World's only Endovascular Resuscitation Conference, is happening again on September 21-22, 2017!  Guest Faculty will include Scott Weingart, Zack Shinar, Joe Bellezzo, Chris Ho, Chris Nickson and STEVEN BERNARD (Yes! STEVE Friggin' BERNARD! — 2002 Bernard Hypothermia trials, CHEER, The Alfred).

To REGISTER, go to: www.reanimateconference.com/register

This Conference sells out within weeks of promotion so don't wait.

Want a taste of REANIMATE Goodness:

Reanimate 2 Highlight Video from Joe Bellezzo on Vimeo.

The Death of Mechanical CPR (mCPR)? Hell No!

Bellezzo was a guest on R.E.B.E.L. EM's podcast episode 34.

Our friends, Salim Rezaie and Anand Swaminathan, do a bangup job of reviewing this recent article, published in December 2016, that suggests that mechanical CPR (mCPR) may be more harmful than manual chest compressions:

  1. Buckler DG et al. Association of Mechanical Cardiopulmonary Resuscitation Device Use With Cardiac Arrest Outcomes: A Population-Based Study Using the CARES Registry (Cardiac Arrest Registry to Enhance Survival). Circulation 2016; 134: 2131 – 2133. PMID: 2799402

Bellezzo showed up to kick the article in the nuts.

Check out the REBEL EM blog and podcast:

http://rebelem.com/episode-34-death-mechanical-cpr-mcpr/

EDECMO 34 – The Day After REANIMATE – with Dr. Sean Deitch

In this episode, Joe talks with Dr. Sean Deitch, a non-academic Emergency Physician practicing in San Diego, California.  Dr. Deitch attended REANIMATE 3 – which just finished 2 weeks ago…and has an amazing story to tell.  You'll have to listen to the episode…

REANIMATE 4 is September 21-22, 2017 and features guest faculty member Stephen Bernard – coming all the way from Melbourne, Australia – and best know from the original therapeutic hypothermia trials and CHEER.  R3 was amazing and R4 will be even better!!

To register for REANIMATE 4: www.reanimateconference.com/register

 

REANIMATE 4 Tickets on Sale NOW!

REANIMATE 4: the World's premier endovascular resuscitation conference, held in San Diego California, is September 21-22, 2017. Join us for the most engaging immersion into the world of Extracoporeal Life Support, Extracorporeal CPR, REBOA, and hyper-invasive endovascular resuscitation teaching.

  • Registration: www.reanimateconference.com/register

Who:

The REANIMATE Core: Weingart, Shinar, Bellezzo, Ho

R4 Guest Faculty:

Steve Bernard (from The Alfred Hospital in Melbourne Australia, the ‘Bernard' Hypothermia trials, CHEER, ECPR), Zaf Qassim (REBOA specialist), Chris Muhr (TEE + ECHO specialist from Sweden), Jim Manning (endovascular resuscitation specialist & creator of the Selective Aortic Arch Perfusion Catheter – SAAP)

WHAT:

VA-ECMO, ECPR, Code Choreography, TEE/ECHO, endovascular resuscitation, VV-ECMO, mechanical CPR, vascular cutdown, REBOA.

  • tons of hands-on, practical, training and the opportunity to join the REANIMATE resuscitationist alumni team

WHERE:

San Diego, California.  The event is held at the UCSD Medical Education and Telemedicine building on the beautiful UCSD Medical School campus.  Didactic sessions are held in a beautiful state-of-the-art auditorium and practical hands-on simulation is done in the Center for the Future of Surgery: https://goo.gl/maps/jXUNBLcTih32

WHEN:  Sept 21-22, 2017

REGISTER:  www.reanimateconference.com/register

How to Build a REBOA Cannulation Model in 1000 Easy Steps!!!

How to build a REBOA Model is 1000 Easy Steps… from Joe Bellezzo on Vimeo.

 

Here is the video on how the REBOA models are built for #REANIMATE