Coding for pulmonary services

by  Codapedia
July 29th, 2016

This is an overview of billing for services provided by Pulmonologists.  Medicare recognizes Pulmonary Disease as a specialty.  The resources section of this article contains the E/M Frequency data from CMS for the latest year available, and the fifty most commonly billed CPT® codes.

What are the most common procedures: 

  • E/M services, including hospital visits and consults
  • Bronchoscopies
  • Critical care
  • Pulmonary function tests
  • Sleep studies
  • Medications (IM drugs) given during an office visit

Important coding issues:

  • Modifier use, including use of modifier 25
  • Payment rules for multiple procedures
  • Rules for critical care services
  • Professional and technical components of PFT's

A great resource is "Coding for Chest Medicine 2009" published by http://www.chestnet.org/practice/pm/index.php

Resources: E/M profile for Pulmonary(pdf)   50 Most Commonly Billed Code (pdf) 

References:

Coding for pulmonary services. (2016, July 29). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/coding-for-pulmonary-services-28172.html

© InnoviHealth Systems Inc

Article Tags  (click on a tag to see related articles)


Publish this Article on your Website, Blog or Newsletter

This article is available for publishing on websites, blogs, and newsletters. The article must be published in its entirety - all links must be active. If you would like to publish this article, please contact us and let us know where you will be publishing it. The easiest way to get the text of the article is to highlight and copy. Or use your browser's "View Source" option to capture the HTML formatted code.

If you would like a specific article written on a medical coding and billing topic, please Contact Us.


contact

innoviHealth Systems, Inc.
62 East 300 North
Spanish Fork, UT 84660
Phone: 801-770-4203 (9-5 Mountain)
Email:
free demo
request yours today
pricing
for any budget
sign IN
welcome back!

Thank you for choosing Find-A-Code, please Sign In to remove ads.