Compliance Question of the Week – Respiratory

Can you tell me what the NCCI edits are for CPT® code 94002?

We are looking for guidelines for billing an actigraphy test as well as the code. Can you help with that?

How should a split-night study be coded? Can the diagnostic portion and titration portion of a single study be billed separately?

Our facility has assigned code 94150 (vital capacity, total) to line items described as “peak flow.” Is this appropriate under Medicare?

What code is reported for specimen collection via nasal lavage and suction?

How does Medicare reimburse ventilation management provided during an observation stay?

Our sleep clinic manager wants to create a checklist to decrease Medicare denials for polysomnography (PSG) codes 95810 and 95811. Can you provide a few examples of reasons for denial that we can include on our list?

What would be the revenue codes for respiratory therapy codes (94002–94004 94005 94640–94669)?

If a facility is submitting hourly charges for nitric oxide ventilation, should the claim submitted to Medicare include the ICD-10 procedure code 3E0F7SD?

Do any codes exist to charge for a home pulmonary rehab program?

Can 31500 (intubation, endotracheal, emergency procedure) be reported with a ventilation code?

Does CMS provide any guidelines for the documentation required for respiratory devices and other common respiratory procedures?