Reimbursement Information

Reimbursement Pathway for real-time non-contact near-infrared spectroscopy of surgical flaps or wounds

There is a reimbursement pathway for the use of the MIMOSA Pro in the near-infrared spectroscopy studies of wounds and flaps. The reimbursement pathway for this procedure includes three possible CPT1 codes (Category III) outlined in the table below.

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CPTⓇ1 Code
Descriptor
0640T
Non-contact near-infrared spectroscopy studies of flap or wound (eg, for measurement of deoxyhemoglobin, oxyhemoglobin, and ratio of tissue oxygenation [StO2]; image acquisition, interpretation and report, each flap or wound.
0641T
Noncontact near-infrared spectroscopy studies of flap or wound (eg, for measurement of deoxyhemoglobin, oxyhemoglobin, and ratio of tissue oxygenation [StO2]); image acquisition only, each flap or wound.
0642T
Noncontact near-infrared spectroscopy studies of flap or wound (eg, for measurement of deoxyhemoglobin, oxyhemoglobin, and ratio of tissue oxygenation [StO2]); interpretation and report only, each flap or wound.

1 Current Procedural Terminology (CPT®) is copyright 1966, 1970, 1973, 1977, 1981, 1983-2021 by the American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association (AMA)

Do you have reimbursement questions?

Please contact the MIMOSA reimbursement team at chris@mimosadiagnostics.com, including inquiries on payment status in your MAC.

MIMOSA Web Portal Billing Tool

As a part of the MIMOSA cloud-based secure web-app, users are able to export necessary clinical documentation to accompany reimbursement submissions.

Disclaimer: Nothing on this webpage is intended to reflect or guarantee coverage or payment. The existence of a coverage determination does not guarantee payment for the service it describes. Coverage and payment policies of governmental and private payers vary from time to time and for different areas of the country. Questions regarding coverage and payment by a payer should be directed to that payer. The only person responsible for a provider’s coding and documentation is the provider. MIMOSA Diagnostics Inc., its employees, stakeholders, and consultants do not claim responsibility for any consequences or liability attributable to the use of any information, guidance, or advice contained on this webpage.