Respiratory Question for the Week of February 24, 2025
Can we unbundle the charges for a split study and report 94660 separately?
Can we unbundle the charges for a split study and report 94660 separately?
The patient presents with sternoclavicular (SC) joint pain, and a CT of the thorax (chest) with contrast is ordered. The radiology report describes the SC joint in its entirety, but no other surrounding structures. Should I code this to 71260 or 71260-52, as only the SC joint was studied?
What is the correct code for percutaneous transluminal coronary lithotripsy, and how should it be reported in conjunction with the primary procedure?
I’m coding for a patient who underwent CAR-T therapy, and I’m a bit confused about how to report the different steps. I understand that 0537T is for collection and handling, and 0540T is for administration, but I want to clarify a few things. Can we report 0537T more than once per day? Also, if the hospital is facilitating the process but not actually performing the collection or preparation, should the hospital still report any of these codes, or are they strictly for the specialty lab or manufacturer?
A physician performs a medically necessary pulmonary artery angiogram in conjunction with a non-congenital heart catheterization service before pulmonary artery stenting. Which code(s) should be reported for the angiogram?
When performing an MRI on a patient with an implanted cardiac device or neurostimulator, how should code 76018 be reported if the same provider conducting the device evaluation or neurostimulator analysis-programming also prepares the device for MR safe mode?
When billing Medicare for smoking and tobacco-use cessation counseling, how should providers track the 12-month limit of eight sessions to ensure compliance?
What are the key changes introduced in the 2025 ICD-10-CM code update regarding specificity and claim processing?
When performing flow cytometry for cell enumeration, should CPT® codes 88184 or 88185 ever be reported separately, or are these inherently bundled? Additionally, if a pathologist provides a distinct interpretation of the flow cytometry results, is there any scenario where CPT codes 88187-88189 could be reported separately, or is the interpretation always included in the procedure?
A respiratory therapist provides a brief smoking cessation counseling session lasting two minutes during a patient’s outpatient visit. The provider also bills an evaluation and management (E/M) service for the encounter. How should the counseling service be reported, and is it separately billable under codes 99406–99407?
When performing an MRI on a patient with an implanted cardiac device or neurostimulator, how should code 76018 be reported if the same provider conducting the device evaluation or neurostimulator analysis programming also prepares the device for MR safe mode? Would this scenario still qualify for separate reporting of 76018, or must a different provider perform the additional preparation for it to be billed?
When coding for intravenous infusions that begin outside the observation unit and continue upon the patient’s arrival, what specific documentation elements must be present to ensure compliance and avoid audit risks?
CPT® copyright 2024 American Medical Association (AMA). All rights reserved.
Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
CPT is a registered trademark of the American Medical Association.
Subscribe to receive our News, Insights, and Compliance Question of the Week delivered right to your inbox.
Address: 5874 Blackshire Path, #13, Inver Grove Heights, MN 55076
Phone: (800) 252-1578
Email: support@medlearnmedia.com
Hours: 9am – 5pm CT
Copyright © 2025 MedLearn Publishing. Powered by MedLearn Media.
CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24