Pulmonology Coding Alert

Lung Scans:
Secure Your VQ Study Payment With These Valuable Pointers
Avoidthe misuse of modifier 52 by reporting combination code 78582, regardless of number... Read more
Brush Up on These VQ Scan Basics
A lung ventilation/perfusion scan, or VQ scan, is a test that helps a pulmonologist meas... Read more
Audit Alert:
Adopt These Documentation Practices to Dodge Audit Wrath
Pass the four-pronged test from CERT reviewers. You don’t want to be on an audit... Read more
ICD-10 Update:
Get Ready for More Choices to Pinpoint Lung Cancer Location
Point of origin is the primary criterion to decide the correct code. Changing lifestyl... Read more
Acquaint Yourself With These Lung Cancer Basics
Any malignant growth that results from an uncontrolled and rapid growth of abnormal cell... Read more
Readers Question:
Check Carrier for Modifier Requirements Before Billing 94664
Question: During an outpatient visit, an asthmatic patient was wheezing and having ... Read more
Readers Question:
Focus on Point of Service for Coding Sleep Study Interpretations
Question: Our pulmonologist interpreted a sleep study report for Medicare patient. ... Read more
Reader Question:
Pinpoint the Substance for Coding E-Cigarette Use
Question: What is the appropriate ICD-9-CM diagnosis code for a patient who uses el... Read more
You Be the Coder:
Apply Multiple Endoscopy Rule for Bronchoscopy Procedures
Question: A new patient reported to our pulmonologist with breathing problems and f... Read more
Pulmonary Rehab:
Ratchet Up Your Reimbursement for Rendered Pulmonary Rehab Services
Recording time spent per session is crucial to avoid bounce backs.  You may think... Read more
Modifiers News:
Make Way for Modifier 59 as an Exception Instead of Rule for Repeat Procedures
Take your payers into confidence before blindly following CMS’s directive to use m... Read more
ICD-10 Update:
Buck the Trend with Simplified Reporting of Sleep Apnea
Report other associated sleep conditions with additional ICD-10 codes. When your physi... Read more
Reader Question:
Ascertain Location of Service for E/M Reporting
Question: Our pulmonologist was consulted to see a hospital patient who had Medicar... Read more
Reader Question:
Report Sleep Study Codes Based on Tested Parameters
Question: Our physician, employed by a hospital that owns the practice, is interpre... Read more
Reader Question:
Check Bundles Before Coding PFTs
Question: When done in office, can we charge for pre/post testing in addition to 6-... Read more
You Be the Coder:
31615 Covers Much More Than Simple Bronchoscopy
Question: Our physician performed a bronchoscopy on a ventilator dependent patient ... Read more
Ventilator Management:
Maximize Your Margins on Ventilation Management With These 3 Tips
Documentation determines choice between E/M or ventilation management coding You may b... Read more
Prolonged Services:
Earn Extra Bucks for E/M Services With Prolonged Services Codes
Document accurate E/M time to get maximum deserved reimbursement. Whenever your clinic... Read more
Modifier News:
Maximize Your Payment for Multiple Encounters on the Same Day
Knowing which codes qualify for -27 is your first step toward success. When your physi... Read more
ICD-10 Update:
Standby for Smooth Sinusitis Code Transition in 2015
Recurrence of disease will be a major factor in deciding the code. When ICD-9 becomes ... Read more
Readers Question:
Swine Flu Out of Pandemic Vaccine List
Question: Our practice has been receiving queries for H1N1 vaccinations. What are o... Read more
Reader Question:
It's Possible to Get Critical Care Pay for Multiple Physicians
Question: Recently, our facility admitted an established heart patient with acute r... Read more
You Be the Coder:
Rejection is Not the End of Claim
Question: My doctor saw a Medicare patient in the office, and we billed 99214. He w... Read more
Check out These Surefire Pointers to Get the Best Returns on Your Flu Shot Services
Keep track of the administration codes to pinpoint vaccine codes. More often than not ... Read more
Fee Schedule:
Your Best Path to Deserved Reimbursement Goes Through RVU Method
Look for differences in local and national rates to avoid rejection. The Medicare Phys... Read more
Modifiers:
CMS Unveils 4 New Modifiers to Offset Unwarranted Use of 59
Judicious selection and not playing safe will be the key terms for future. Popularity ... Read more
ICD-10 Update:
Ventilator Associated Pneumonia Gets a Direct Crossover
Rule out alternate diagnoses before documenting VAP.  Ventilator associated pneum... Read more
Reader Question:
Use Critical Care E/M Codes Wisely
Question: We have just come across this claim. Initial Hosp. Consultation/ High Com... Read more
Reader Question:
Exhaust All Alternate Codes Before Reporting Base Bronchoscopy
Question: We have a case where the bronchoscopy dictation states, “copious am... Read more
Reader Question:
Coding E/M for TB Test? Look Again
Question: A patient visited our provider for a PPD (TB test).Should I include an of... Read more
You Be the Coder:
Know the Difference Between Thoracostomy and Pleural Drainage
Question: Our pulmonologist performed a CT-guided right thoracostomy tube placement... Read more
PST:
These Key Terms Will Decide Whether You Report 94620 or 94621
Ignoring CCI bundles can put the brakes on all your coding efforts. Today’s fitn... Read more
E/M Coding:
Having Trouble Navigating Medical Decision Making Complexity? Do This
Assign points to each of the three MDM components that your doctor performs to determine... Read more
News You Can Use:
CMS Commits to 2015 Transition, Clarifies Testing
The agency also offers way out for the latecomers. Although the latest ICD-10 implemen... Read more
Readers Query:
Mind your Documentation Before Coding Respiratory Failure
Question: My pulmonologist is treating a patient suffering from respiratory failure... Read more
Readers Query:
"Subsequent" Consult Code is Possible Even in "Initial" Encounters
Question: Our pulmonologist was called for an emergency consultation. Can we bill f... Read more
Readers Query:
Capture Exact Cause for Final Diagnosis of Asthma
Question: We have encountered a case of mild, intermittent asthma with an exacerbat... Read more
Readers Query:
Don't Give up on Deserved Dollars for Pre-Op Clearance
Question: What CPT® code should we use for medical clearance in the hospital? W... Read more
You Be the Coder:
Number of Parameters Decides Polysomnography Coding
Question: Question: Our facility admitted a patient for sleep disorders and our pul... Read more
Embolism:
Eliminate These 4 Coding Pitfalls for a Successful Embolism Reporting
Tip: Put etiology at front for confirming diagnosis. To successfully report embolisms,... Read more
ICD-10 Update:
Use Fourth Digit to Pinpoint Variants of Occupational Hypersensitivity Pneumonitis
Coordinate history and symptoms to arrive at the right diagnosis. Heads up, coders &nd... Read more
Diagnosis Coding:
Ask Yourself These Three Questions for Perfect Pulmonary Diagnoses
Pinpoint originating cause and exacerbating factors to avoid rejections. You may as we... Read more
Documentation:
Don't Let Poor Paperwork Come In the Way of Deserved Payouts
Get ready for even more specificity in ICD-10 next year. You may be able to choose dia... Read more
Readers Question:
Look Out for Global Period Days
Question: A patient was admitted for a thoracotomy performed by the thoracic surgeo... Read more
Readers Question:
Prepare Foolproof Documentation for Getting Paid for Referrals
Question: A patient was visiting a primary care physician (PCP) for a persistent co... Read more
You Be the Coder:
Go for 94727 to Determine Lung Volume and Capacity
Question: What is the CPT® for lung volumes by nitrogen wash out? How should I ... Read more
Tracheostomy:
Follow These 5 Cardinal Rules to Stay on top of Tracheostomy Tube Changes
Take a second look at place of service before submitting 31899 and A4629. Have you jus... Read more
Endoscopy coding:
3 Tips Help You Jump Through These Multiple Endoscopy Coding Hoops
Ratchet up reimbursement with these modifiers. With the heat and humidity expected to ... Read more
Worker's Comp:
Take Your Workers' Comp Insurers in Confidence to Avoid ICD-10 Issues
Enhanced efficiency may tilt the scales toward early transition. Training your staff m... Read more
ICD-10:
Stay on Top of Your Game With the Right ICD-10 Codes for Acidosis and Alkalosis
Focus on the underlying condition for best results. You can code correctly and efficie... Read more
Readers Question:
Confirm Secondary Malignancies While Coding Lung Cancer Treatment
Question: A patient is undergoing treatment for lung cancer with prophylactic treat... Read more
Readers Question:
Don't Restrict Yourself to 162.9 for Lung Cancer Diagnosis
Question: Should we submit separate diagnoses for non-small cell lung cancer (NSCL)... Read more
You Be the Coder:
Mind the CCI Bundler While Coding Bronchodilators and IPPB Treatments
Question: Question: What should I code for intermittent positive pressure breathing... Read more
Diagnosis:
Incorporate These 3 Key Points To Help You Master Acute Chest Syndrome Coding
Include hematological findings to bolster claims for services. When pulmonologist diag... Read more
Billing:
Blast These 3 Myths To Get Maximum Mileage Out Of Your Pulmonology Claims
You could be losing deserved dollars for given services. The alleyways of Medicare cod... Read more
Modifiers:
Arm Yourself With This Modifiers 26/TC Knowledge To Ensure Top Dollar
Know when to pick a single modifier. If your pulmonologist provides diagnostic or radi... Read more
ICD-10 News:
ICD-10 Implementation and Your Pay Cuts Postponed for Next Year
Experts look for a long-term solution to the SGR formula. The Protecting Access to Med... Read more
Readers Question:
Get Ready for More Specific Reporting of Pneumothorax In ICD-10
Question: We had a patient recently who complained of a bloated feeling in his ches... Read more
Readers Question:
Pinpoint Your Dx Before Coding COPD and Pulmonary Function Tests
Question: How will I code interpretation of a pulmonary function test for a patient... Read more
Reader Question:
Heed This Advice Before Venturing Into Bronchial Biopsy Coding
Question: Our pulmonologist performed a bronchoscopy with left upper and lower lobe... Read more
You Be the Coder:
Keep CCI Bundling in Mind When Reporting Allied PFT Procedures
Question: We billed a patient who underwent PFT and inhalation test with albuterol ... Read more
Lung Function:
Check Out 5 Reasons You May Not Be Getting Paid for Lung Function Tests
Look out for incompatible code pairings to avoid denials. If you think you know everyt... Read more
Billing:
5 Sure Shot Tips To Safeguard Your Income Against Missed Appointments And Services
Weed out repeat offenders for best results. With each passing year you may find it inc... Read more
ICD-10:
Help Yourself To These New Histoplasmosis Codes
Overlooking symptoms could cost you major dollars. Histoplasmosis (B39.-) is caused by... Read more
Readers Question:
Understand the Billing Difference Between Tracheobronchoscopy and Endotracheal Tube Bronchoscopy
Question: The physician performed a bronchoscopy through an established trach (pati... Read more
Reader Question:
Skip Smoothly Over Xolair Administration Potholes
Question: I had a Xolair administration case and wanted to use 96401 after going th... Read more
You Be the Coder:
Watch Your Modifiers When Coding Discontinued Procedures
Question: Can we still bill CPT® code 95811 with modifier 52 if our pulmonologi... Read more
CCI 20.1 Update:
Get Set For Fresh Edits Bundling Allergy Immunotherapy and E/M Codes
You will also face potential problems when reporting allergy testing codes with E/M serv... Read more
News You Can Use:
Congress Votes to Halt Your Pay Cuts and Delay ICD-10
Physician associations still plan to pursue a permanent SGR formula revision.  Th... Read more
ICD-10 Update:
You Won't Have Any Hiccoughs Jumping From 786.8 to R06.6
Don’t confuse this code with “psychogenic hiccough.” A hiccough is a... Read more
Reader Question:
Here's Who Can Perform Spirometry, Oximetry
Question: Is there a valid code (accepted and PAID) for the interpretation of spirometri... Read more
Reader Question:
Avoid NP Billing Snafus With This Advice
Question:  If one of our NPs does an outpatient procedure, and the physician is pre... Read more
Reader Question:
Take Charge Of Tobacco Cessation Counseling
Question: Are asymptomatic tobacco users now eligible for coverage for tobacco cess... Read more
Reader Question:
Remove all Misnomers Regarding Thoracentesis Codes
Question: If a pulmonologist is performing a thoracentesis with imaging guidance wh... Read more
You Be the Coder:
Understand When to Spirometry and Pulmonary Stress Testing on the Same Day
Question: Is it possible to bill codes 94620 and 94010 simultaneously? Are these co... Read more
CPT® Coding Strategies:
Navigate Your Way to ENB Reporting Success With This Expert Advice
Hint: Report other procedures performed as the primary procedure. When your pulmonolog... Read more
Understand The Basics and Indications of ENB
Electromagnetic navigation bronchoscopy (ENB) is an enhancement to standard bronchoscopy... Read more
Part B Payment:
Brace YourselfFor a Permanent Fix to Medicare Payment System
Congress gets busy contemplating means to eliminate SGR. In addition to the good news ... Read more
Part B Payment:
Get a Grip onYour Medicare Payment Collections With These Useful Tips
Keep yourself up-to-date about what regulations will impact your profits in 2014. If y... Read more
ICD-10 Update:
Shift Your Focus on ABG For Apt Reporting of Acute on Chronic Respiratory Failure
Use unspecified codes when test results don’t reveal blood gas changes. When you... Read more
Find The Presence of Hypercapnia and Hypoxia From ABG Tests
As ICD-10 codes for chronic respiratory failure are based on the presence of hypoxia or ... Read more
Reader Question:
Base Allergy Immunotherapy Reporting on Number of Injections Provided
Question: If our physician provided allergy shots, what is the correct way to repor... Read more
You Be the Coder:
Trying to Report Pulse Oximetry In Addition to Other Procedures? Not So Fast
Question: My doctor sees patients with COPD, sleep apnea, emphysema, and asthma. He... Read more
CCI 20.0 Update:
Check CCI 20.0 Before Reporting PFTs With E/M Service Codes
CCI also focuses on completing the list of ME pairings for polysomnography. While you&... Read more
History How-To:
Guide Your Pulmonologist in the Right Direction With These 5 History Tips
Don’t make the mistake of counting elements more than once. When your clinician ... Read more
ICD-10 Update:
Scan ABG Analysis to Accurately Pinpoint Chronic Respiratory Failure in ICD-10
Use separate code choices for acute exacerbation of chronic respiratory failure When y... Read more
Capture Hypercapnia and Hypoxia From ABG Tests
As ICD-10 codes for chronic respiratory failure are based on the presence of hypoxia or ... Read more
Reader Question:
Check on Reporting Critical Care Services on Subsequent Days
Question: If our clinician provides critical care services to a patient and if this serv... Read more
Reader Question:
Dissipate Confusion About Reporting Two E/M Services on Same Date of Service
Question:  If a patient is seen twice by two different physicians on the same date ... Read more
You Be the Coder:
Find Out When to Use Additional Units of 94660 For Subsequent Service
Question: The descriptor to CPT® code 94660 mentions the words “initiation and... Read more
CPT® Coding Strategies:
Inoculate Your Coding Against Flu Vaccine Errors With These 4 Tips
Hint: Base reporting on vaccine brands for Medicare patients. When your pulmonologist ... Read more
News You Can Use:
Don't Let E/M Coding Blunders Eat Into Your Profits
CMS finds 14.0 percent improper E/M payment rate. Your practice could lose out on coll... Read more
ICD-10 Update:
Turn To J93.1 For Spontaneous Pneumothorax Diagnoses Reporting
Hint: Identify underlying cause with additional code for secondary spontaneous pneumotho... Read more
Reader Question:
Don't Fret Over Capturing Spirometry With Inhalation Therapy
 Question: If our pulmonologist performs spirometry to assess a patient and then de... Read more
Reader Question:
Realize When to Use Modifiers For Unbundled CPT® Codes
Question: If I cannot find my two codes paired together in the CCI edits, how do I know ... Read more
Reader Question:
Choose Appropriate Code For Same Day Admission and Discharge
Question: One of our physicians admitted a patient to the hospital at 10:30 a.m., and la... Read more
You Be the Coder:
Clear Confusion Over Reporting Thoracentesis with Diagnostic Ultrasound
Question: My physician likes to do a thoracentesis with ultrasound imaging guidance, and... Read more
Available Years:  2014  2013  2012  2011  2010  2009  2008  2007  2006  2005  2004  2003  2002  2001  2000