ED Coding and Reimbursement Alert
Bypassing CPAP Code a Mistake on BiPAPs
Question: The ED physician responds to a call to see a hospital inpatient suffering from pulmolithiasis. The notes indicate that the physician instituted -BiPAP- to assist the patient's breathing. Should I report this ventilation service with 94002? Minnesota Subscriber Answer: If the physician performs BiPAP or continuous positive airway pressure (CPAP) ventilation, report the service with 94660 (Continuous positive airway pressure ventilation [CPAP], initiation and management). The 94002 (Ventilation assist and management,initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day) code does not accurately describe the service your physician provided. On the claim, report 94660 for the BiPAP (also known as bilevel positive airway pressure) with 518.89 (Other diseases of lung, not elsewhere classified) appended to 94660 to represent the patient's condition.
ED Coding and Reimbursement Alert
- Simple Laceration Repair or E/M? The Answer Could Cost Hundreds
ID simple fixes, and you can code for procedure and E/M. Not recognizing a laceration [...] - Shape Time-Saving Counseling Forms Using Online Resources
Base your ED's templates on DAST, CAGE tests for alcohol/substance abuse. Use of cessation counseling [...] - You Be the Coder:
Carving Up Critical Care Claims
Question: A patient reports to the ED with critical injuries to her abdomen and chest; [...] - Count Trigger Point Targets,Not Shots, and Ensure Coding Success
This FAQ will help you become the top TPI gun in your coding department. Coders [...] - READER QUESTIONS:
Use P Mod on Non-Compliant PQRI Scenarios
Question: A 68-year-old Medicare patient reports to the ED in cardiac distress. The physician performs [...] - READER QUESTIONS:
Bypassing CPAP Code a Mistake on BiPAPs
Question: The ED physician responds to a call to see a hospital inpatient suffering from [...] - READER QUESTIONS:
'Stick' in Notes Often IDs Venipuncture
Question: Encounter notes indicate that our nonphysician practitioner (NPP) performed a -femoral stick for lab [...] - READER QUESTIONS:
Check for E/M on Most ED Procedures
Question: A patient with osteoporosis reports to the ED complaining of wrist pain. The physician [...] - READER QUESTIONS:
Use This Advice on Reporting Modifier 51
Question: I am uncertain about when I should use modifier 51. Do some carriers no [...]
