Compliance Question of the Week – Respiratory

Our facility provides ventilation management services both in our skilled nursing unit and for patients at home. Can you clarify which codes we should use for each setting, and how often they can be billed?

If a physical therapist provides remote therapeutic monitoring using codes 98980 and +98981, are there any specific modifiers required when billing Medicare?

Can code 94070 be reported multiple times, especially when exposure to specific agents are included, such as antigens?

How should respiratory therapy bill for ventilation management provided in the emergency department?

What status indicator has code 90416 been assigned in 2025?

 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?