Pulmonology Coding Alert

ICD-10-CM:
Are Your RSV Coding Skills Ready to Handle Rising Case Numbers?
Know when to code infections due to RSV. Respiratory syncytial virus (RSV) is a respirat... Read more
Reimbursement:
Use These 5 Tips to Appeal Your Claim Denials
Stay aware of the appeal window to improve your success. Winning appeals can result in a ... Read more
Vaccination Information:
Give Your 2022-2023 Flu Vaccination Coding a Boost
Don't forget to assign Z23 for a vaccination encounter. Knowing which influenza vaccine p... Read more
Reader Question:
Remember to Also Code the Infection for J44.0
Question: A patient with COPD presented to an urgent care clinic complaining of cough... Read more
Reader Question:
Are 90471 and +90472 Correct for a Flu and COVID-19 Vaccination Encounter?
Question: A 40-year-old patient visited our clinic for their annual flu vaccine. During th... Read more
Reader Question:
Code a 90-Minute Car Seat Test
Question: I have a report that indicates a pulmonologist performed a car seat test on... Read more
You Be the Coder:
Do You Recall How to Report Negative Flu Test Results?
Question: A 31-year-old patient visited our urgent care clinic complaining of a high fever... Read more
ICD-10-CM 2023:
Understand Why TAD Stands Alone in the 2023 ICD-10-CM Code Set
Hint: TAD has only one symptom. Dyspnea, also known as difficulty breathing or shortness ... Read more
News You Can Use:
Hit the Pause Button Before Billing Split/Shared Visits in 2023
Find out why Medicare proposed the delay. In the article, “Simplifying Who Can Bill S... Read more
Mythbusters:
Uncover the Facts to Bust These Asthma Coding Myths
Is severity the key to unlock a proper J45.- assignment? Find out. Knowing how to prope... Read more
Reader Questions:
Don’t Code C34.11 Without a Definitive Documented Diagnosis
Question: I enjoyed the information provided in the article “Sift Through Descriptors to... Read more
Reader Questions:
Know How to Code a Patient’s COVID-19 Vaccination Status
Question: During routine evaluation and management (E/M) visits, providers in our practice... Read more
Reader Questions:
Does a Clot in the Bronchus Count as a Pulmonary Embolism?
Question: I'm stumped as to how to code this report. The patient presented for a therapeut... Read more
You Be the Coder:
Correctly Code 105 Minutes of Continuous Inhalation Treatments
Question: I have an emergency department (ED) report for an encounter with a patient ... Read more
E/M 2023:
Receive Advice for Office/Outpatient Consultations in 2023 (Part 2)
Will consultations receive reimbursement? Find out. Last month, Pulmonology Coding Alert ... Read more
Medicare Physician Fee Schedule:
How Could Pulmonary Practices Fare if the Proposed Rule Is Finalized?
Know which telehealth services could be disconnected in 2023. The calendar year (CY) 2023... Read more
Lung Cancer:
Sift Through Descriptors to Bolster Your Bronchoscopy Coding Skills
Find out how many lung lobes 31628 covers. Pulmonologists and other providers use broncho... Read more
Reader Questions:
Use U09.9 to Report a Long COVID Dx
Question: A patient presented to our pulmonology practice with fatigue that affects t... Read more
Reader Questions:
What Is the Timeframe for Defining Chronic Conditions?
Question: I can't find any information in the ICD-10-CM Official Guidelines, and I'm ... Read more
Reader Questions:
Code the Reason for the CPAP Along With the Intolerance
Question: During a follow-up visit, a pulmonologist in our practice saw a patient to ... Read more
Reader Questions:
Report 94014-94016 Only Once Per 30 Days of Service
Question: The pulmonologist in our practice administered at-home spirometry for a pat... Read more
You Be the Coder:
Do 99408-99409 Apply to Vaping Cessation Counseling?
Question: During a follow-up evaluation and management (E/M) visit for a 19-year-old ... Read more
E/M 2023:
Receive Advice for Office/Outpatient Consultations in 2023 (Part 1)
Know how to choose between MDM and time. The evaluation and management (E/M) section of C... Read more
ICD-10-CM:
Nail Down Your Diagnosis Coding Guideline Knowledge With 3 Expert Tips
Don't forget to use additional codes to explain the reason for the visit. Pulmonology co... Read more
Documentation:
Understand 4 Types of Queries to Improve Your Clinical Documentation
Is a Yes/No query leading? Find out. A patient's medical record is a legal document tha... Read more
Reader Questions:
Review the CPT® Guidelines Regarding Surgical VATS
Question: A patient presented for a diagnostic video-assisted thoracic surgery (VATS)... Read more
Reader Questions:
Know if Severity Matters When Coding EIB
Question: I just started a new job as a pulmonology coder, and I have very minimal ex... Read more
Reader Questions:
Remember to Use Additional Tobacco Codes With COPD Dx
Question: I really enjoyed how your article “Give Your COPD Coding Know-How a Reboo... Read more
You Be the Coder:
Do You Need to Report Sinusitis Separately?
Question: I have a report diagnosing the patient with the flu and acute maxillary sin... Read more
ICD-10-CM 2023:
Expanded Endometriosis Codes Lead Pulmonology Code Updates
Learn how to code patients' noncompliance of treatment. The 2023 ICD-10-CM code set has b... Read more
Pediatric Coding Updates:
Add Specificity to Newborn Sleep Apnea Coding With 2023 Changes
Learn the difference between CSA, OSA, and mixed sleep apnea. Among the hundreds of code... Read more
Chronic Conditions:
Give Your COPD Coding Know-How a Reboot
Find out what diagnoses fall under J44.-. With guidelines, Includes, Excludes1, Excludes... Read more
Reader Questions:
Modify 94060 to Report Reading of Results
Question: I have a report that says the physician only read and interpreted the find... Read more
Reader Questions:
Review the Total Time When Choosing E/M Codes
Question: An established patient visited our practice complaining of shortness of br... Read more
Reader Questions:
Choose the Correct Number of CPT® Codes for Plethysmography
Question: I have documentation stating the pulmonologist performed plethysmography t... Read more
You Be the Coder:
Pick the Correct Pulmonary Edema Code
Question: I have documentation that lists the patient's diagnosis as pulmonary edema,... Read more
Pulmonary Stress Test:
Know When to Choose Between 94618 and 94621 for Pulmonary Exercise Tests
What services does CPET include? Find out. Pulmonologists may order exercise testing for ... Read more
ICD-10-CM:
Use the ‘With’ Guideline to Correctly Report Related Conditions
Hint: ‘With' isn't listed alphabetically in the index. The ICD-10-CM code set is full o... Read more
Billing:
Simplifying Who Can Bill Split/Shared Visits in 2023 May Cause More Headaches
Several healthcare organizations react to CMS' policy updates. The Centers for Medicare ... Read more
Reader Questions:
Remember When to Use the Professional Component Modifier
Question: A patient underwent a spirometry test while in the hospital, and the pulmon... Read more
Reader Questions:
Are Cell Washings Included in a Bronchoscopy?
Question: I have a report that states the physician used a bronchoscope to evaluate t... Read more
Reader Questions:
Learn How Autogenic Drainage Benefits CF Patients
Question: In the article, “Know How to Code Cystic Fibrosis Monitoring and Treatmen... Read more
You Be the Coder:
Find Out What Conditions Bronchitis Codes Include
Question: I have a report from a pulmonologist in our practice following an encounter... Read more
High Altitude Simulation Training:
Correctly Code HAST for Post-COVID Patients Before They Travel
Know when to choose between 99452 and 99453. With summer vacations around the corner, you... Read more
Smoking Cessation:
Kick Your Smoking Cessation Coding Confusion With These 5 FAQs
Does counseling need to be face-to-face? Find out. If you notice the phrase, “smoking c... Read more
Case Study:
Examine and Correctly Code This Stage II Emphysema Case Study
Hint: Choose your emphysema code based on the type, not severity. Correctly coding an e... Read more
Reader Questions:
Match the Number of Lobes to the Number of Transbronchial Biopsy Codes
Question: A pulmonologist in our practice performed a transbronchial biopsy on a pati... Read more
Reader Questions:
Remember to Code an Active COVID-19 Infection With Shortness of Breath Dx
Question: A patient, who tested positive for COVID-19 a few days prior, presented to ... Read more
You Be the Coder:
How Many Codes Are Needed to Report a Pediatric Pneumogram?
Question: Our provider is weaning a preterm infant from a home apnea monitor and perf... Read more
Cystic Fibrosis:
Know How to Code Cystic Fibrosis Monitoring and Treatment With This Guide
Learn the difference between manual and mechanical chest PT. Throughout the course of the... Read more
Coding Quiz:
Help Your Allergy and Asthma Coding Skills Flourish With This Quiz
Will your coding expertise bloom, or does it need some TLC? Your pulmonology practice may... Read more
CPT® Coding 101:
Learn How Bronchial Thermoplasty Benefits Patients With Severe Asthma
Count the lobes treated to find the correct code. Pulmonologists perform bronchial therm... Read more
Coding Quiz Answers:
See If Your Allergy and Asthma Coding Answers Bloom
Did you remember how to report eosinophilic asthma? Check your work to see if your answer... Read more
Reader Questions:
Can You Report 31237 Twice for a Single Encounter? Find Out
Question: A patient presented to our pulmonology practice for a nasal endoscopy on th... Read more
Reader Questions:
Modify Your Claim to Report Treatment and Demonstration Together
Question: A pulmonologist performed a nebulizer demonstration during treatment for a ... Read more
Reader Questions:
Prepare to Code a PAP Diagnosis Properly
Question: A patient presented to our pulmonology clinic with shortness of breath and a cou... Read more
You Be the Coder:
Find out How to Code a BiPAP Device Used as a Ventilator
Question: A provider used a bilevel positive airway pressure (BiPAP) device as a ventilato... Read more
Documentation:
Back Up Your Spirometry Claims With Specific Lung Disease Codes
Hint: Unspecified codes could result in rejections. Spirometry tests are the most common... Read more
Mythbusters:
Decipher Sarcoidosis Coding Misconceptions
Hint: Coding sarcoidosis diagnosis can involve several separate tests. Sarcoidosis is a ... Read more
Coding Tips:
Use These 3 Tips to Cure E/M Coding Confusion
Are EHR templates hurting more than helping? The evaluation and management (E/M) code sec... Read more
Reader Questions:
Show Necessity for Multiple Biopsies With Clinical Documentation
Question: A patient was referred to our practice for a biopsy of a lesion. The physic... Read more
Reader Questions:
Pay Attention to Attended Sleep Studies
Question: Can you please clarify the difference between “attended” and “unatten... Read more
Reader Questions:
Use an Add-On Code to Report DLCO Measurements
Question: A pulmonologist performed a pulmonary function test (PFT) involving spirome... Read more
You Be the Coder:
Will Billing Plethysmography With Spirometry Cause a Denial? Find out
Question: I read your article, “Get the Truth About These 3 Mind-Bending PFT Coding Myth... Read more
SleepStudies:
Put Your Polysomnography Coding Confusion to Bed
Hint: Polysomnography studies are always attended. Polysomnography is a sleep study your ... Read more
Modifiers 101:
Bolster Your Bilateral Procedure Claims With Correct Modifier 50 Use
Tip: Make sure to get payer guidelines in writing. Pulmonologists perform several proced... Read more
Mythbusters:
Get the Truth About These 3 Mind-Bending PFT Coding Myths
Find out if you can code demonstration and treatment together. The dizzying descriptors ... Read more
Reader Questions:
Understand Time Limits to Correctly Code a Consult
Question: We had a patient visit our pulmonology practice for a consultation. The patient ... Read more
Reader Questions:
Can Excludes1 Notes Cancel Each Other Out?
Question: A patient presented experiencing a severe cough, shortness of breath, and f... Read more
Reader Questions:
Know How to Code Acute Bronchiolitis Due to RSV
Question: Parents of an 8-month-old infant present to the hospital emergency department (E... Read more
You Be the Coder:
Can You Report Multiple Units of 95806? Find Out
Question: A patient underwent an unattended sleep study session where the pulmonologist or... Read more
Pulmonary Rehabilitation:
Learn the Tricks for Coding Post-COVID Pulmonary Rehabilitation
Which HCPCS code expired this year? Find out. Patients who have recovered from a COVID-19... Read more
Cystic Fibrosis:
Take the Fight Against Cystic Fibrosis to the Body’s Code
Researchers are concerned about causing further harm. When app developers discover a secu... Read more
Medicare:
Take Advantage of Targeted Probe & Education to Get Compliant
Learn from your MAC how to improve your billing. In August 2021, the Centers for Medicare... Read more
Reader Questions:
Double Your E/M Codes for Multiple Patients in 1 Visit
Question: A parent brought in their two children for follow-up visits of their chroni... Read more
Reader Questions:
Understand the Timeframe for an Actigraphy Test
Question: A patient with chronic obstructive pulmonary disease (COPD) visited our pul... Read more
Reader Questions:
Study up to Properly Code a Severe Asthma Case
Question: A 24-year-old patient visits an urgent care facility with an acute exacerbation ... Read more
You Be the Coder:
Remember to Code Symptoms When Reporting Adverse Effects
Question: A pulmonologist in our practice prescribed formoterol to a patient with chronic ... Read more
Fee Schedule:
Learn How CMS is Expanding COVID-19 Pulmonary Rehabilitation Coverage
Find out if PAs can bill Medicare directly. After seeing the proposed rule earlier in 202... Read more
Coding Quiz:
Test Your 2021 Pulmonology Coding Changes Memory
Can you pass our year-in-review coding quiz? This past year was full of changes, but how ... Read more
Practice Management:
Listening to Your Patients Can Improve Compliance
Learn how empathy training can protect your practice. Practicing empathy in your pulmonol... Read more
Coding Quiz Answers:
Check Your Answers to Our Year-in-Review Coding Quiz
Think you have all the answers? Find out. How well do you remember these major coding cha... Read more
Reader Questions:
Find the Codes to Report a Laryngitis Claim
Question: A 35-year-old patient came into our pulmonology practice presenting symptoms of ... Read more
Reader Questions:
Code the Symptoms for an Unconfirmed COPD Dx
Question: Our physician saw a patient who presented with a cough, shortness of breath, fat... Read more
Reader Questions:
Understand When to Apply Modifier 22 to a Procedure
Question: A patient presented to our pulmonology practice with thick and unusually large m... Read more
You Be the Coder:
Boost Your 2022 Flu Shot Coding Knowledge
Question: Physicians in our pulmonology practice have administered several flu shots this ... Read more
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