AMA CPT® Assistant - 2010 Issue 9 (September)
Coding Communication: Manual and Mechanical Chest Wall Manipulation (Codes 94640, 94664, 94667, and 94668) (September 2010)
September 2010 page 3 Coding Communication: Manual and Mechanical Chest Wall Manipulation (Codes 94640, 94664, 94667, and 94668) We were asked to clarify the reporting of manual techniques and/or mechanical devices used in the performance of bronchial therapy techniques. Specifically, one of the issues is whether it is appropriate to use CPT code 94667, Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation, and code 94668, Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent, when a mechanical device, such as a high-frequency chest wall oscillator...
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Article Overview
This September 2010 CPT Assistant coding communication addresses reporting considerations for bronchial therapy-related services involving manual chest wall manipulation, mechanical chest wall devices, airway oscillating devices, and intrapulmonary percussive ventilation. It is relevant to coding professionals and clinicians who document respiratory therapy services and want to understand the scope of the guidance, the types of devices discussed, and the settings and clinical contexts in which these services may appear.
Why This Topic Matters
Respiratory therapy services can be documented and billed in different ways depending on whether care involves hands-on manipulation, device-based treatment, or demonstration and evaluation. This article helps readers understand the general framework used to distinguish those service categories.
Article Sections
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September 2010 page 3
Introductory publication information and the main topic of the coding communication.
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Manual Chest Wall Compression (Codes 94667 and 94668)
Discussion of manual chest wall manipulation, related clinical contexts, and the broad settings and provider types mentioned in the article.
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Coding Tip
A focused note on reporting considerations related to initial and subsequent services, along with discussion of certain device-based scenarios and supply reporting references.
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Airway Oscillating Devices (Code 94664)
Overview of airway oscillating device-related demonstration and evaluation topics and the general type of equipment referenced.
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Intrapulmonary Percussive Ventilation (Code 94640)
Discussion of intrapulmonary percussive ventilation as a respiratory therapy modality and the general treatment context described.
What You Will Learn
- The general categories of bronchial therapy techniques discussed in the article
- How the article frames manual versus device-based respiratory therapy services
- Which clinical and care-setting contexts are mentioned in connection with these services
- What types of coding communication topics are addressed for respiratory therapy documentation
Who Should Read This
- Medical coders
- Coding auditors
- Respiratory therapists
- Billing staff
- Physician office staff
Codes Discussed
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