Question:

What code should be reported for a consult performed by a respiratory therapist in either an outpatient or inpatient setting?

Answer:

Physicians commonly request respiratory therapy to provide an opinion about a patient’s condition and/or recommended treatment. Generally speaking, most insurances including Medicare do not separately reimburse for consultations or instructions (e.g., ventilator management). The consultation or instruction is included in the work of the CPT® code range 94XXX unless otherwise stated by the code.


CPT® is a registered trademark of the American Medical Association.

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CPT® copyright 2021 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.

CPT is a registered trademark of the American Medical Association.