Pulmonology Coding Alert

Anthrax Exposure:
From Onset to Critical Care
With the ongoing reports of biological terrorism saturating the media, many pulmonologi... Read more
Pursue Payment for At-Home Asthma Monitoring
Computer-enabled devices capable of telephonic spirometry have been used for lung-tran... Read more
Primer on Anthrax
Anthrax is a bacterial disease caused by Bacillus anthracis, a rod-shaped Gram-negative b... Read more
Reader Question:
Inhalant Administration
Question: How should I code differences between administration of an aerosol inhalant and... Read more
Reader Question:
Advance Beneficiary Notice
Question: We've heard about new rules for the advance beneficiary notice (ABN) under Medi... Read more
Reader Question:
Multiple Procedures With Bronchoscopy
Question: How should I code for multiple procedures performed during a single bronchoscopy... Read more
Reader Question:
Extensive Counseling
Question: An office visit involved 30 minutes of extensive counseling (addressing emotion... Read more
You Be the Coder:
Annual ECG and Chest X-Ray
Test your coding knowledge.  Determine how you would code this situation before look... Read more
CPT Update:
2002 Brings New and Revised Codes for Pulmonology
The CPT 2002 manual will be available in November 2001. An early release of new and ... Read more
Asthma Codes Affected by ICD-9 Changes for 2002
Pulmonologists diagnosing asthma will find 10 changes in the 2002 edition of the ICD-9 ma... Read more
News Brief:
New CCI Edits Do Not Affect Pulmonologists
The Correct Coding Initiative (CCI) version 7.3, which took effect Oct. 1, does not affe... Read more
Reader Question:
Exercise Oximetry Bundled
Question: Can an exercise oximetry code be billed with a physical therapy code?Oklahoma S... Read more
Reader Question:
Ventilation/Perfusion Imaging
Question: Our physician performed pulmonary ventilation/perfusion imaging with aerosol v... Read more
Reader Question:
Telephone Codes
Question: A doctor interprets sleep studies in a hospital outpatient center. If he calls ... Read more
Reader Question:
Critical Care by Two Physicians
Question: A nephrologist admits a patient with acute renal failure to the intensive care ... Read more
You Be the Coder:
Bronchoscopy Without Incision
Test your coding knowledge.  Determine how you would code this situation before look... Read more
Take a Deep Breath When Seeking Reimbursement for Pediatric Asthma
Pediatric asthma is being treated more frequently by pulmonologists as well as allergist... Read more
Established Patient Visits:
Dont Miss Out on Money
Similar to coding for new patient visits (see September 2001 Pulmonology Coding Alert), co... Read more
News Brief:
CMS Clarifies Allergy Policies
In August 2001, CMS clarified two important policies for the diagnosis and treatment of al... Read more
Reader Question:
Coding for Vaccines
Question: Flu and pneumonia shots are becoming more common. Can they be coded as an E/M s... Read more
Reader Question:
Inhalation Therapy
Question: Im confused about inhalation therapies. Which codes specifically apply to which ... Read more
Reader Question:
Breathing Capacity
Question: According to the Correct Coding Initiative (CCI), 94200 cannot be used with 9406... Read more
Reader Question:
Allergen Immunotherapy
Question: How can we get paid for two or more allergy injections (different medications) ... Read more
You Be the Coder:
Tube Insertion
Test your coding knowledge.  Determine how you would code this situation before look... Read more
Optimize Reimbursement for Sleep Apnea Treatment With Careful Code Selection
Pulmonologists frequently see patients suffering from sleep disorders such as sleep apne... Read more
Choose the Right E/M Level for Proper Payments on New Patients
Pulmonology coders should be familiar with the five levels of new patient office or outpat... Read more
News Brief:
Draft E/M Guidelines Scrapped
Testifying before the House Ways and Means Committee on July 19, 2001, Tommy Thompson, sec... Read more
Reader Question:
Bronchoscopy Codes
Question: Can a bronchoscopy with washings, brushings and alveolar lavage and biopsy be b... Read more
Reader Question:
Pleural Biopsy
Question: When a patient frequently has a large pleural effusion, and a pleural biopsy is ... Read more
Reader Question:
Transbronchial Lung Biopsy
Question: If I start with transbronchial lung biopsy to avoid false positives and then per... Read more
Reader Question:
MDI Instruction During Office Visit
Question: When a nurse instructs a patient how to use a metered-dose inhaler (MDI) during ... Read more
Reader Question:
Separate Biopsy Sites
Question: A doctor performed a bronchoscopy with biopsies and brushing in the right-middle... Read more
Reader Question:
Modifier -25 With Allergy Immunotherapy
Question: When can I use modifier -25 for coding allergy immunotherapy? Wisconsin Subscrib... Read more
Reader Question:
Critical Care Codes
Question: Can 99291-99292 be used twice in the same day, provided the critical states are ... Read more
You Be the Coder:
Pulse Oximetry at Home
Test your coding knowledge.  Determine how you would code this situation before look... Read more
Multiple Codes Describe Asthma Diagnosis and Treatment:
Know Which To Use and When
Pulmonologists treating patients for asthma may assign codes from several sections of C... Read more
New Guidelines for Clinical Trial Reimbursement
Clinical trials are important in the development of new treatments and medications for as... Read more
Reader Question:
Using Modifier -25
Question: When can I bill multiple procedures without modifier -25? Colorado Subscriber &... Read more
Reader Question:
Critical-Care Coding
Question: A patient goes into respiratory arrest during a routine exam for emphysema and m... Read more
Reader Question:
Coding for Consult and Bronchoscopy
Question: While under anesthesia, a patient admitted for a thoracotomy was administered a ... Read more
You Be the Coder:
Stress Testing
Question: Pulmonary stress testing may be billed with 94620 and 94621. If a patient exhi... Read more
Coding for Chronic Conditions Necessitates Use of V Codes for Proper Payment
Pulmonologists frequently see patients suffering from chronic lung conditions that ca... Read more
Dont Stress When Seeking Payment for Tests
Last year, Medicare split code 94620 (pulmonary stress testing, simple and complex) int... Read more
Reader Question:
Coding for Therapeutic Bronchoscopies
Question: What is the appropriate code to use for a therapeutic bronchoscopy? Texas Subsc... Read more
Reader Question:
COPD
Question: Are multiple codes applicable for chronic obstructive pulmonary disease (COPD),... Read more
Reader Question:
Respiratory Failure
Question: Do different codes exist for patients admitted to the hospital with respiratory ... Read more
Reader Question:
Pulse Oximeter
Question: Many times the only way we can help a patient or qualify him or her for oxygen ... Read more
Reader Question:
Peak Flow Meter
Question: What is the HCPCS code for a peak flow meter? What is the proper way to bill a ... Read more
You Be the Coder:
Endoscopic Procedures
Question: During a bronchoscopy, a patient was administered a biopsy, but underwent no ... Read more
Know the Difference Between CPO Codes to Ensure Payment for Pulmonology Services
Pulmonologists may be responsible for the care plan oversight (CPO) of patients with lung ... Read more
Breathe Easy With New Physician Supervision Levels for Testing
In Program Memorandum B-01-28 dated April 19, 2001, Medicare announced a revision of its ... Read more
Reader Question:
Incomplete Procedure
Question: During the treatment of a patient, a CVP line could not be successfully placed. ... Read more
Reader Question:
Coding for Procedure and Office Visit
Question: Can I bill for a peak flow (94150) when an office visit is also billed?New Hamps... Read more
Reader Question:
Spirometry Guidelines
Question: Does Medicare have guidelines for frequency of spirometry, or does it depend on ... Read more
Reader Question:
Diagnostic Testing
Question: Are 94620 and 94621 considered diagnostic tests? What is the difference between ... Read more
Reader Question:
Coding for Pulmonary Fibrosis
Question: What is the code for pulmonary fibrosis?Colorado Subscriber Answer: ICD-9 code ... Read more
Reader Question:
Critical Care in the ED
Question: The pulmonologist saw a patient in the ED and later that day furnished critical... Read more
You Be the Coder:
Lung Re-expansion
Test your coding knowledge. Determine how you would code this situation before looking at... Read more
Tips to Avoid Common Coding Errors for Inhalation Therapy and Respiratory Treatment
Sorting out which codes to apply to specific respiratory treatments and inhalation thera... Read more
Add-on Codes Make Coding Easier for Photodynamic Therapy
Photodynamic therapy (PDT) is a nonsurgical procedure gaining acceptance with pulmonologis... Read more
Receive Proper Payment for Consultations in the ED
Pulmonologists are often called to the ED to evaluate patients. The provision of these ser... Read more
Reader Question:
Spirometry in the Office
Question: Can I bill for a spirometry when an office visit is also billed? Oregon Subscrib... Read more
Reader Question:
Bronchoscopy Coding
Question: How do I code a bronchoscopy with endobronchial biopsy, needle aspiration, brush... Read more
Reader Question:
Conscious Sedation During Bronchoscopy
Question: Can we code for the intravenous conscious sedation during a bronchoscopy if it i... Read more
Reader Question:
Ventilation and Daily Hospital Care
Question: If our pulmonologist is the primary physician for a hospitalized patient who is ... Read more
You Be the Coder:
Tracheostomy
Question: A patient arrives in the emergency room with a severe chemical burn to the thr... Read more
Dont Lose Money on Pulmonology Consults
Careful documentation and choosing proper language can mean the difference between getting... Read more
How to Match Codes Correctly to Methacholine Challenge Tests
There are two different codes 94070 and 95070 for methacholine challenge tests, (MCT) an... Read more
Reader Question:
Repeat Bronchoscopy
Question: A pulmonologist performed a bronchoscopy and then did another one with a new sco... Read more
Reader Question:
Plethysmography Denials
Question: When our physician performs a plethysmography, we code it 93720. However, lately... Read more
Reader Question:
Function Tests
Question: What codes do I use for a pulmonology function test? Georgia Subscriber Answer:... Read more
Reader Question:
Asthma Education
Question: Our physician spent two hours with a patient on asthma education. How should we ... Read more
Reader Question:
Pulmonary Stress Test
Question: What code should I use for a six-minute walk (pulmonary stress test)?Kansas Subs... Read more
Reader Question:
Lung Re-expansion
Question: If a 9-French drainage catheter is placed over a needle into the pleural space t... Read more
Reader Question:
Vaccines and Office Visits
Question: How do I get paid for flu or pneumonia shots administered on the same day as an ... Read more
Reader Question:
Preoperative Physical
Question: How do I bill a presurgical physical (99243, office consultation) to get paid fo... Read more
Reader Question:
Chest Tube Removal
Question: Is there a payable code for removal of a chest tube? New Hampshire Subscrib... Read more
Reader Question:
Pulse Oximetry
Question: Can I bill a pulse oximetry with the office visits when they are necessary? Do... Read more
You Be the Coder:
E/M Visit
Question: A patient suffered from severe shortness of breath. She was given oxygen. Duri... Read more
Case Study:
Get Paid for All Aspects of COPD Cases
Chronic obstructive pulmonary disease (COPD) includes chronic bronchitis (491.9) and emph... Read more
E/M Undercoding Adversely Affects HCFA Pulmonology Vignettes
HCFA Transmittal B-00-74 (Dec. 21, 2000) cleared the path to provide sanitized patient doc... Read more
HCFA Temporarily Suspends CCI 6.3
HCFA temporarily suspended a significant portion of the 6.3 national Correct Coding Initia... Read more
Clarification
The January Pulmonology Coding Alert cover article Avoid Fraud: Dont Confuse Lung Lavage W... Read more
Reader Question:
Tracheotomy Tube Replacement
Question: A patient is admitted to a rehabilitation hospital and develops a problem with a... Read more
Reader Question:
Bronchospasm Evaluation
Question: When should I report 94060?Tennessee Subscriber Answer: Code 94060 (bronchospasm... Read more
Reader Question:
Measuring Lung Volume
Question: We measured lung volume and now have been rejected using code 94360. Is 94240 th... Read more
Reader Question:
CPAP for Sleep Apnea
Question: I prescribe CPAP to my patients with sleep apnea. Can I bill 94660? When and ho... Read more
Reader Question:
Intubation
Question: During morning rounds, I saw a patient with respiratory failure, aspiration, pne... Read more
You Be the Coder:
Bilateral Thoracentesis
Question: If I perform a therapeutic thoracentesis (32000) on a patient, but the procedur... Read more
Get Paid for Flu and Pneumonia Vaccinations
Due to the shortage of flu vaccinations, some pulmonologists are just receiving their sup... Read more
Understanding Consultations and Referrals Is Key to Proper Reimbursement
Consultations and referrals continue to confuse many pulmonology coders. But by understand... Read more
Code With Care:
Avoid HCFA Scrutiny by Coding 99214 Properly
Between 15 percent and 25 percent of the evaluation and management (E/M) charges submitte... Read more
Reader Question:
Indirect Calorimetry/Metabolic Cart Test
Question: Our pulmonologists perform a set of procedures called indirect calorimetry or me... Read more
Reader Question:
Bronchoscopy and Critical Care
Question: We admitted a 90-year-old Medicare patient with pulmonary infiltrate (pneumoni... Read more
Reader Question:
Cold Air Challenge
Question: Our pulmonologist performed a cold air challenge, which is a type of pulmonary s... Read more
Reader Question:
Multiple Allergy Injections
Question: How can we get paid for two or more allergy injections (each different medicati... Read more
You Be the Coder:
Bronchoscopy
Question: How do you code for bronchoscopy when multiple biopsies and brushings are done... Read more
Avoid Fraud:
Dont Confuse Lung Lavage With Bronchial Alveolar Lavage
A pulmonary physician who has performed a lung lavage may write in his or her notes just ... Read more
Gain Payment for E/M Services With Modifier -25
Many common pulmonology procedures are considered to have evaluation and management (E/M) ... Read more
Medicare Announces Fee Increase for Pulmonologists
In a news release dated Nov. 1, 2000, HCFA announced a fee increase effective at the begin... Read more
Reader Question:
Nebulizer Instruction
Question: Is there a code for instructing a patient on using a nebulizer? Ohio Subscriber ... Read more
Reader Question:
Coding Central Lines
Question: What code can I use to bill for central lines when IV usage is not an option for... Read more
Reader Question:
Thrombosis Embolic Disease
Question: What would be an appropriate code for the diagnosis of thrombosis embolic diseas... Read more
Reader Question:
Coding Asphyxia
Question: What code do I use for hypoxemia, subnormal oxygenation of arterial blood (PO2 ... Read more
Reader Question:
Spirometry
Question: When a patient comes in for an office visit, how can we bill for spirometry, pre... Read more
Reader Question:
ABG Interpretation
Question: Would it be appropriate for a physician to interpret arterial blood gases (ABGs)... Read more
Reader Question:
Billing Two E/M Services
Question: Can a patient be billed twice on the same day? The nurse practitioner in our pra... Read more
Reader Question:
Prolonged Services
Question: Does CPT code 99359 for prolonged service need to be listed separately for each ... Read more
You Be the Coder:
Pulmonary Hyalinizing Granuloma
Question: How can I find the right code for pulmonary hyalinizing granuloma? For example, ... Read more
Available Years:  2001  2000