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Why are E&M codes 99202–99205 and 99211–99215, as well as HCPCS code G0463, not billable by the facility for services provided as part of the pulmonary rehabilitation program?
The evaluation of a patient for, and re-evaluation during the provision of pulmonary rehabilitation services is the responsibility of the physician directing those services. For this reason, the E&M codes (99202–99205 and 99211–99215) or the clinic visit HCPCS code introduced in 2014 (G0463) are not billable by the facility for services provided as a part of the pulmonary rehabilitation program.
This question was answered in our Coding Essentials for RT/Pulmonary Function. For more hot topics relating to respiratory services, please visit our store or call us at 1.800.252.1578, ext. 2.
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