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Laboratory Question for the Week of February 10, 2025

Bryan Nordley February 10, 2025

When performing flow cytometry for cell enumeration, should CPT® codes 88184 or 88185 ever be reported separately, or are these inherently bundled? Additionally, if a pathologist provides a distinct interpretation of the flow cytometry results, is there any scenario where CPT codes 88187-88189 could be reported separately, or is the interpretation always included in the procedure?

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Respiratory Question for the Week of February 10, 2025

Bryan Nordley 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

Bryan Nordley 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

Bryan Nordley 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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Laboratory Question for the Week of February 3, 2025

Bryan Nordley February 3, 2025

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?

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Respiratory Question for the Week of January 27, 2025

Bryan Nordley January 27, 2025

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?

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