Respiratory Question for the Week of May 6, 2024

Question:

How do the NCCI procedure-to-procedure edits impact the reimbursement and billing process for services involving CPT codes 94640 and 94644/+94645 when performed on the same day?

Answer:

NCCI procedure-to-procedure edits indicate that it is not appropriate to report CPT® codes 94640 and 94644/+94645 for therapy provided on the same date of service. Note that the code pairs have a modifier indicator of “0.”

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.

TAGS: Compliance, CPT, Respiratory Therapy

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