Pulmonology Coding Alert

E/M Coding Strategies:

Be Aware of When To Use Ventilator Management Codes Instead of E/M Codes

Hint: Look at services provided and patient condition to arrive at right codes.When your pulmonologist provides ventilation management services to a patient, you will need to turn to ventilation management service codes instead of an E/M code or a critical care code, as is the case usually. Let the scenarios and advice that follows point the way to accurate ventilation management coding.Look at 94002-94003 for These ConditionsYou can report 94002 (Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day) and 94003 (Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent day) for ventilation management services provided by your pulmonologist if the patient is already intubated and on the ventilator. "The provider would report the ventilator management codes (94002-94003) when managing only the ventilator settings, and not treating any [...]
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