Pulmonology Coding Alert
Don't Hold Your Breath Over O2
Question: Should we bill for both oxygen administration and the oxygen? Answer: No CPT code exists for oxygen administration in the office. Therefore, you should include the service in the E/M.
South Carolina Subscriber
Although Medicare includes HCPCS codes for oxygen-related supplies, it covers these items for home use only. So, you should not charge Medicare for your physician's office use of masks or tubing. When you meet the home-use qualifications for oxygen, Medicare covers these supplies, which you would report as A4620 (Variable concentration mask), A4621 (Tracheostomy mask or collar) or A4616 (Tubing [oxygen], per foot]).
Commercial insurers, however, may reimburse for the supplies with the A codes. Some other private payers may reimburse for the supplies with 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]). Consequently, you should ask the carrier for its requirements.
Pulmonology Coding Alert
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Anaphylactic Reaction in Office
Question: On several occasions, an allergy patient has had an anaphylactic reaction in the office. [...] - Quiz:
Test Your Coding Knowledge
You can read coding articles until you're blue in the face, but if you can't [...] - Reader Question:
Don't Hold Your Breath Over O2
Question: Should we bill for both oxygen administration and the oxygen?
South Carolina Subscriber Answer: No [...] - Reader Question:
Support Your Physician's 465.9 Diagnosis
Question: Recently our pulmonologist saw a patient in the morning for upper respiratory infection. Later [...] - Reader Question:
Report 493.9x for Unlisted Condition
Question: How should I code reactive airway disease without coding asthma? I can't find a [...]
