General Question for the Week of February 17, 2025

I’m coding for a patient who underwent CAR-T therapy, and I’m a bit confused about how to report the different steps. I understand that 0537T is for collection and handling, and 0540T is for administration, but I want to clarify a few things. Can we report 0537T more than once per day? Also, if the hospital is facilitating the process but not actually performing the collection or preparation, should the hospital still report any of these codes, or are they strictly for the specialty lab or manufacturer?

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Respiratory Question for the Week of February 10, 2025

 
A respiratory therapist provides a brief smoking cessation counseling session lasting two minutes during a patient’s outpatient visit. The provider also bills an evaluation and management (E/M) service for the encounter. How should the counseling service be reported, and is it separately billable under codes 99406–99407?

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Cardiology Question for the Week of February 10, 2025

For coding a coronary intravascular lithotripsy (IVL) procedure performed in an outpatient hospital setting, which HCPCS Level II supply code should be reported to ensure eligibility for the OPPS transitional pass-through payment, and how long is this payment expected to be available

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Cardiology Question for the Week of February 3, 2025

A cardiologist performs a medically necessary pulmonary artery angiogram in conjunction with a non-congenital heart catheterization procedure. This angiogram is conducted prior to the placement of a pulmonary artery stent. Which add-on code(s) should be reported to accurately capture this service?

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