Pulmonology Coding Alert
Initiate CPAP
Illinois Subscriber
Answer: No, the physician cannot bill for CPAP in this scenario. CPT code 94660 (continuous positive airway pressure ventilation [CPAP], initiation and management) requires a face-to-face encounter with the patient in order to bill the service, unlike an interpretation of a diagnostic test such as a patient-initiated spirometric recording for 30 days (CPT 94014), which has a CPT code specifically for the professional component. Professional components do not require a face-to-face encounter with the patient.
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