Question:
What is the correct billing structure for ventilation management services described by CPT® codes 94002 and 94003?
Answer:
Ventilation management is defined as a “per day” service based on CPT code descriptions of “initial day” and “subsequent day.” The codes 94002 and 94003 are billed as a per-day unit of service. Some payers have begun to audit billed charge amount to determine if the dollar amount represents a 24-hour value or if the dollar amount aligns with the number of hours a patient receives ventilation management.
This question was answered in our annual Respiratory Therapy Reimbursement & Compliance Update webcast. For more hot topics relating to respiratory services, please visit our store or call us at 1.800.252.1578, ext. 2.
