tci E/M Coding Alert - 2016 Issue 6

Reader Question: Coding O2 Therapy, E/M Together Will Deflate Claim

Question: During an E/M service, our provider ordered oxygen therapy for a 65-yeear-old patient with a history of intrinsic non-allergic asthma. Can we report oxygen therapy separately from the E/M service? Florida Subscriber Answer: CPT® considers oxygen therapy part of the E/M, so you cannot code the therapy separately. You should, however, roll the work units for the oxygen therapy into the overall E/M service level. So let’s say that for the entirety of the visit, the physician performed a problem-focused history, a detailed exam and moderately complex medical decision-making. On the claim, you would report 99214 (Office...

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