Can we report codes 99453 or 99454 if monitoring is fewer than 16 days?
Codes 99453, 99454 are not reported if monitoring is fewer than 16 days. Do not report 99453 and 99454 when these services are included in other codes for the duration of time of the physiologic monitoring service (e.g., 95250 for continuous glucose monitoring requires a minimum of 72 hours of monitoring).
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.