Wiki New Pulmonary Rehab codes 94625 and 94626

TiffanyK

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I have a Pulmonary provider that is the Medical Director for Pulmonary Rehab services performed by an Exercise Physiologist. He does not see the patients for the face to face evaluation. Other pulmonary providers refer the patient to the PR program, and my provider reviews and approves the treatment plan for the PR program. My provider does not actually see the patient. He wants to charge, but I do not find anything that he can charge for unless he actually sees and evaluates the patient or sees the patient for an acute problem that occurred during the treatment. I found that he can bill an E/M services when he does see the patient. Does anyone have any experience billing for a Medical Direct for Pulmonary Rehab Services? Do you have anything in writing stating what he can bill? I appreciate any and all help. Thanks.
 
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