Compliance Question of the Week – Respiratory

What code should be used for brushings or protected brushings during a bronchoscopy, and what important considerations should be taken into account when coding for inpatient versus outpatient procedures?

When coding bronchoscopy procedures, why is it recommended that all code assignments be reviewed by a coding professional from the Health Information Management (HIM) department?

For inhalation treatments, what defines an episode of care?

Is a face-to-face clinical evaluation required for a sleep study?

What are the billing requirements for pulmonary rehabilitation (PR) codes 94625 and 94626?

When should RPM codes 99453 and 99454 not be reported?

From a billing perspective, under what circumstances may code +98981 be reported in conjunction with code 98980? What specific requirements regarding the duration and type of communication must be met, and what documentation practices are necessary to support these charges?

What are the key monitoring and intervention protocols during a split study polysomnography (PSG) for patients with suspected sleep apnea?

How do you bill for intrapulmonary percussive ventilation (IPV)?

How do the NCCI procedure-to-procedure edits impact the reimbursement and billing process for services involving CPT codes 94640 and 94644/+94645 when performed on the same day?

As of 2024, what is code 94727 used to evaluate?

What is the significance of using the term “first hour” in CPT code 94644, and how does this differ from other time-based codes that use the term “up to 1 hour”?