Respiratory Question for the Week of October 16, 2017


What code is used for home-ventilation management services?


The following CPT® code represents physician oversight and revision of the patient’s care plan based on clinical status, laboratory values or results of other studies, and the CPT code is billed once per month as a professional service only.

94005 Home ventilator management care plan oversight of a patient (patient not present) in home, domiciliary or rest home (e.g., assisted living) requiring review of status, review of laboratories and other studies and revision of orders and respiratory care plan (as appropriate), within a calendar month, 30 minutes or more

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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.