AMA CPT® Assistant - 2022 Issue 1 (January)
Reporting Outpatient Pulmonary Rehabilitation Services (January 2022)
January 2022 page 15 Reporting Outpatient Pulmonary Rehabilitation Services For the Current Procedural Terminology (CPT®) 2022 code set, two new codes have been established to report outpatient pulmonary rehabilitation without (94625) and with (94626) continuous oximetry monitoring for exercise. Prior to 2022, there were no CPT codes that described these services. An exclusionary parenthetical note has been added to restrict reporting these services in conjunction with other pulse oximetry services. In addition, the subheading was revised with the addition of the term “Rehabilitation” to accommodate the new services. This article provides an overview of these changes. Pulmonary Pulmonary...
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Article Overview
This article reviews January 2022 changes to CPT reporting for outpatient pulmonary rehabilitation. It is aimed at coding professionals and clinicians who document or report rehabilitation services, and it discusses the structure of the new CPT additions, related pulmonary therapy section placement, and the accompanying editorial note that affects how the services are presented in the code set.
Why This Topic Matters
It helps readers understand what changed in the CPT 2022 code set for outpatient pulmonary rehabilitation and how the new reporting structure is organized within the pulmonary diagnostic testing, rehabilitation, and therapies section.
Article Sections
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Reporting Outpatient Pulmonary Rehabilitation Services
Overview of the January 2022 CPT update for outpatient pulmonary rehabilitation and the context for the new reporting options. The section introduces the related editorial changes within the pulmonary services area.
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Clinical Example (94625) / Description of Procedure (94625)
Illustrative clinical scenario and procedural overview associated with one of the new outpatient pulmonary rehabilitation services. The section shows the type of documentation and session context discussed in the article.
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Clinical Example (94626) / Description of Procedure (94626)
Illustrative clinical scenario and procedural overview associated with the other new outpatient pulmonary rehabilitation service. The section presents the session context and documentation themes described in the article.
What You Will Learn
- How the January 2022 CPT update affects outpatient pulmonary rehabilitation reporting
- Where the new rehabilitation services are placed within the pulmonary section
- What general documentation themes are associated with the new services
- How the article frames the accompanying exclusionary note and editorial revisions
Who Should Read This
- Medical coders
- Coding managers
- Pulmonary rehabilitation clinicians
- Physician practices
- Billing and compliance staff
Codes Discussed
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