Compliance Question of the Week – Respiratory

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?

When reporting the add-on code +94781 in conjunction with 94780, what key documentation requirement must be met to ensure compliance, and why are fractional amounts or rounding up not permitted in this scenario

When do we report 95813 in 2025?

Under what circumstances is it appropriate to bill code 94664 for a patient, and what documentation should be included in the medical record to support the billing?

For 2025, what is the payment rate assigned to G0237 and G0238?

Did CMS finalize its CY2025 proposed rule for long-term care (LTC) data reporting on respiratory illness?

Is there a CPT® code for the delivery of oxygen in the operating room in 2025?

When billing for pulmonary function tests, can code 94727 be reported alongside 94726, and with which other codes is it permissible to report 94727?

When billing for pulmonary function tests, can code 94727 be reported alongside 94726, and with which other codes is it permissible to report 94727?