Respiratory Question for the Week of December 29, 2025
Bryan Nordley
December 29, 2025
What are the reporting differences between new 2026 code 99445 and the 2026 revised code 99454?
What are the reporting differences between new 2026 code 99445 and the 2026 revised code 99454?
Can we charge for 78999-“Unlisted miscellaneous procedure, diagnostic nuclear medicine” to reflect the administration of the radiopharmaceutical given for diagnostic purposes?
When do we report new code 99445 in 2026?
What compliance and billing challenges can arise when multiple hospital departments perform laboratory testing, particularly with point-of-care testing (POCT)? In this regard, do you have any insight into billing modifier 91?
Can you provide any insight or coding tips for codes 76014 and 76015? Specifically, can we charge 76014 for every patient with an implanted device if we must review prior documentation to determine whether the device is MRI-compatible?
When is modifier 91 applicable for testing?
What are the new category III codes effective as of 2026?
If a patient is scheduled for a CT with and without contrast, but the patient refuses the contrast, should we bill the code for the CT without contrast, or should we bill for the exam with/without a modifier? What modifier would be appropriate to use in this scenario?
Is code 86985 billable with P9011?
What are the new category III codes effective as of 2026?
What APC is code 94200 assigned to?
When is a one-time HCV screening test covered for adults who do not meet the high risk definition?
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