Respiratory Question for the Week of February 3, 2025
Bryan Nordley
February 3, 2025
What evidence is needed to bill for codes 94667 and 94668?
What evidence is needed to bill for codes 94667 and 94668?
A laboratory is implementing a new HPV assay that uses in vitro PCR technology to simultaneously test both high-risk pooled and individual results. As of 2025, which CPT® code should be reported for this service, and which Category III code has been deleted in conjunction with this update?
Evaluation and Management (E/M) coding has undergone significant changes in recent years, creating new challenges for medical coders, a real risk to reimbursement, and the
How should codes 94002 and 94003 be applied for hospital-based ventilation management services, and what specific components, such as ventilator setup, routine supplies, and therapist time, should be included in the charges for initial and subsequent days?
When a stop time has not been recorded for the infusion, can an IVP be coded?
How should providers document the use of the 2024 add-on code for Coronary Shockwave Lithotripsy to address payer denials citing “lack of medical necessity” or insufficient documentation, and how can they demonstrate that the procedure is not incidental but a medically necessary addition to PCI?
Our “Back to Basics” Series continues this week with a new installment. Moderate (conscious) sedation is a critical component of many medical procedures, ensuring patient
How does the introduction of new 2025 code 87626 for HPV testing differ from CPT code 87624, and what implications does the deletion of Category III code 0500T in 2025 have on reporting practices?
When do we report 37236 in 2025 as opposed to 37237?
Can we report 96523 for a routine port flush?
When reporting the add-on code +94781 in conjunction with 94780, what key documentation requirement must be met to ensure compliance, and why are fractional amounts or rounding up not permitted in this scenario
When do we report 95813 in 2025?
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