tci Part B Insider - 2011 Issue 35

Part B Coding Coach: 4 Tips Help Streamline Your Pulmonary Rehab Reimbursement

G0424 requires monitored exercise, and an hour's therapy of up to two sessions per day per patient. You can bill a pulmonary rehabilitation (PR) program with an all-inclusive G code, but did you know it must include monitored exercise? Without the necessary essentials, the whole PR coding process will not be an easy task. Check out these related scenarios, and apply four tips to your solutions. Scenario 1: A patient diagnosed with COPD (491.20, Obstructive chronic bronchitis without exacerbation) presents to your office for PR evaluation and planning. The patient receives -- from the pulmonologist -- an initial...

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