Respiratory Therapy

Respiratory Question for the Week of April 1, 2024

How does the presence of unit of service edits and medically unlikely edits impact the billing practices for code 94375, particularly regarding the flow volume loop as an alternate method of calculating standard spirometric parameters, and what considerations should healthcare providers keep in mind to ensure proper reimbursement while adhering to CMS guidelines?

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Respiratory Question for the Week of March 25, 2024

How does the variability in normal ranges for breathing response to hypoxia impact the coding and billing process for related procedures, and what steps should healthcare facilities take to ensure proper reimbursement, particularly when dealing with Medicare or other payers?

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Respiratory Question for the Week of March 11, 2024

What are the key differences between code 94617 and the newly added code 94619, which describes exercise testing without electrocardiographic (ECG) recording, and how do these differences affect the coding and billing practices for exercise testing procedures?

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Respiratory Question for the Week of February 12, 2024

What guidance does the AMA CPT Assistant Newsletter (July 2000) provide regarding the necessity of hyperventilation and/or photic stimulation in EEG testing, specifically for codes 95816 and 95819, and how are these procedures billed in relation to the EEG service?

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Respiratory Question for the Week of February 5, 2024

A patient undergoes remote physiologic monitoring (RPM) for weight, blood pressure, pulse oximetry, and respiratory flow rates using a medical device that meets the FDA’s definition. The collected and transmitted data are digitally transmitted, and the service is ordered by a physician. The patient receives education on using the device, and the device is supplied for daily recording or programmed alert transmissions. The monitoring duration is over 30 days. Which codes should be reported in 2024 for this remote physiologic monitoring service, and are there any specific conditions or limitations associated with reporting these codes?

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