Pulmonology Coding Alert

You Be the Coder:

Can You Report Vent Management Appropriately?

Question: Our pulmonologist performed vent management on a critically ill patient. We reported 94002 and it was denied. Should we appeal? Arkansas Subscriber Answer: If your physician provides initial-day ventilation management services in the course of treating a critically ill or injured patient, you’ll report the critical care code instead of a ventilation management code, per CPT® guidelines, as long [...]
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