Question:

What are the codes for billing hourly therapy charges, and what are the documentation requirements for their use?

Answer:

The CPT® codes represent hourly charges for delivery of therapy. The charge for the initial-hour code—94644—will include set-up time, device/supplies, and medication. Documentation for billing of 94644 must demonstrate that 60 minutes of therapy time occurred. Each additional full 60 minutes of therapy is represented by CPT code +94645.

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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CPT® copyright 2024 American Medical Association (AMA). All rights reserved.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

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