Respiratory Question for the Week of May 22, 2023
What are the billing requirements for 94625 and 94626?
Inappropriate reporting of CPT®/HCPCS code groups. Incorrect billing for breathing treatments. Lack of documentation to support medical necessity. These are just a few of the myriad problem areas uncovered by our experts’ audits of respiratory therapy, pulmonary function testing, cardiopulmonary services, and sleep studies. The pandemic remains a trying time for healthcare leaving the financial health of many facilities on the brink.
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What are the billing requirements for 94625 and 94626?
Can you tell me more about the J2 modifier?
What are the CMS documentation requirements for polysomnography?
When billing for both full-night PAP titration and split-night services, what code is commonly used by providers?
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