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Pulmonology Coding Alert

Don't Miss These Coding Opportunities With Your Pulmonary Rehab Program

Published on Mon Jun 01, 2009

This Q&A gets you up to speed on correct coding and documentation for PR payments. Whether your pulmonologist oversees an outpatient pulmonary rehabilitation (PR) program, or aims to expand in-office PR services under the anticipated national coverage determination (NCD), your reimbursement could come up short without these coding and coverage essentials. While your local Medicare Administrative Contractor (MAC) still has the final word on PR specifics in your area, there are common threads on which Medicare is likely to base the NCD, expected on Jan. 1, 2010. Read on for the answers to common PR coding questions. Q:What Can I Report if the Pulmonologist Doesn't Deliver PR? Even if your pulmonologist is not directly involved in the provision of PR care, that doesn't mean you don't have anything to code. You can report E/M codes for periodic visits to evaluate the patient's underlying condition, any exacerbations, and response to therapy, [...]
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