Compliance Question of the Week – Respiratory

When should code 95813 be reported during a sleep study, and what is the duration of monitoring that qualifies for this code?

What is the typical duration of a polysomnography (PSG) procedure as described by codes 95810 and 95811?

How does the presence of unit of service edits and medically unlikely edits impact the billing practices for code 94375, particularly regarding the flow volume loop as an alternate method of calculating standard spirometric parameters, and what considerations should healthcare providers keep in mind to ensure proper reimbursement while adhering to CMS guidelines?

How does the variability in normal ranges for breathing response to hypoxia impact the coding and billing process for related procedures, and what steps should healthcare facilities take to ensure proper reimbursement, particularly when dealing with Medicare or other payers?

How does the administration of a hypoxic challenge assist in the assessment and diagnosis of hypoxia, and what specific clinical scenarios warrant the use of this diagnostic approach?

What are the key differences between code 94617 and the newly added code 94619, which describes exercise testing without electrocardiographic (ECG) recording, and how do these differences affect the coding and billing practices for exercise testing procedures?

What codes do we report for extended EEG monitoring in 2024?

Can we charge 94640 for inhalation treatments provided to inpatients?

Does BiPAP have a separate code in the Current Procedural Terminology (CPT)?

What guidance does the AMA CPT Assistant Newsletter (July 2000) provide regarding the necessity of hyperventilation and/or photic stimulation in EEG testing, specifically for codes 95816 and 95819, and how are these procedures billed in relation to the EEG service?

A patient undergoes remote physiologic monitoring (RPM) for weight, blood pressure, pulse oximetry, and respiratory flow rates using a medical device that meets the FDA’s definition. The collected and transmitted data are digitally transmitted, and the service is ordered by a physician. The patient receives education on using the device, and the device is supplied for daily recording or programmed alert transmissions. The monitoring duration is over 30 days. Which codes should be reported in 2024 for this remote physiologic monitoring service, and are there any specific conditions or limitations associated with reporting these codes?

Do you have any tips for respiratory therapy rehabilitation in 2024?