Compliance Question of the Week – Respiratory

 When can code 36591 be reported for a Venous Access Device (VAD)?

What code do we report for venipuncture in 2025 and do you have any tips for billing?

Do you have any tips when reporting 94726 in conjunction with other codes?

What are the appropriate codes for ventilation management services provided in a skilled nursing facility, extended care/assisted living facility, and patient home, and how are these services billed?

A technologist performs an EEG study that was intended to include sleep recording. Despite multiple attempts, the patient did not achieve sleep. Which CPT code should be reported for this study?

For codes G0237 and G0238, what are the documentation requirements for their use?

What are the codes for billing hourly therapy charges, and what are the documentation requirements for their use?

Can we unbundle the charges for a split study and report 94660 separately?

When billing Medicare for smoking and tobacco-use cessation counseling, how should providers track the 12-month limit of eight sessions to ensure compliance?

 
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?

What evidence is needed to bill for codes 94667 and 94668?

How should codes 94002 and 94003 be applied for hospital-based ventilation management services, and what specific components, such as ventilator setup, routine supplies, and therapist time, should be included in the charges for initial and subsequent days?