Pulmonology Coding Alert

Authoritative:

5 Pulmonary Rehabilitation Tips Bring You Up-to-Date with New PR Coverage

Learn why you need to strike the 97000 series off your list.As of Jan. 1, legislation for national and local pulmonary rehabilitation (PR) coverage went into effect. Were you ready? What you don't know about PR coding may hurt your bottom line.Familiarize yourself with five PR essentials and spell the difference between denial and deserved dollars.1. Learn When to Use New G CodeCMS has published the final rule for pulmonary rehab, which uses a new HCPCS code G0424 (Pulmonary rehabilitation, including exercise [includes monitoring], one hour, per session, up to 2 sessions per day) for PR coverage. Use G0424 for all PR services provided in the physician's office and in outpatient hospital settings.Example: A patient, who's diagnosed with COPD (491.20, Obstructive chronic bronchitis without exacerbation), presents to your practice for PR and receives an initial office assessment, including aerobic exercise (sixminute walk) for one hour. A physician and respiratory therapist [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more