Pulmonology Coding Alert
READER QUESTION ~ Help CMS Form 1 Pulmonary Rehab Policy
Question: Does CMS have a national coverage determination on pulmonary rehabilitation? Answer: No. "Currently, CMS does not cover pulmonary rehabilitation as a single entity," according to "NCA Tracking Sheet for Pulmonary Rehabilitation: CAG-00356N." Get involved: Help CMS form an NCD by entering comments at http://www.cms.hhs.gov/mcd/viewtrackingsheet.asp?id=199.
California Subscriber
But leaving coverage up to local carriers may soon end. On Dec. 27, 2006, CMS opened a request to review the coverage of pulmonary rehabilitation. You can comment and submit evidence related to pulmonary rehabilitation including:
Pulmonology Coding Alert
- Breathe Easy When You Code EAA Workup Using These Steps
Hint: 94010, 94375 are shoe-ins for bundled status A workup for possible extrinsic allergic alveolitis [...] - Welcome 2 Changes to Allergy Test Code
Thank CMS for increased antigen payment and quantity The next time you report allergy titration [...] - E/M CODING ~ How to Make Sure Your 99214s Measure Up
Look for more detailed statements, extra elements You can't rely on the number of organ [...] - Get Your NPI Now
Implementation may take up to 120 days, CMS says Time is running out to obtain [...] - CORRECTION ~ Mark 94644, 94645 as New Continuous Inhalation Codes
Double-check that you added 94644 and 94645 on your encounter sheets as the newly created [...] - YOU BE THE CODER ~ Apply Endoscopy Rule to 31622
Question: A pulmonologist performs a fiberoptic bronchoscope and notes: "The entire transbronchial tree was inspected [...] - READER QUESTION ~ Does Incident-to Apply to Inpatients?
Question: Can a nonphysician practitioner (NPP) report a consultation that she performs on an inpatient?
Pennsylvania [...] - READER QUESTION ~ 6MWT Doesn't Require Spirometry
Question: Our pulmonologist started ordering six-minute walk tests. He doesn't do the pre- and post-spirometry. [...] - READER QUESTION ~ Roll Same-Day OV Into Direct Admit
Question: Can we charge an office visit and admit on the same day if the [...] - READER QUESTION ~ Compare 2007 to 2006 Rates With This Tool
Question: What conversion factor is in effect for 2007?
New Jersey Subscriber Answer: 37.8975. The Tax [...] - READER QUESTION ~ Help CMS Form 1 Pulmonary Rehab Policy
Question: Does CMS have a national coverage determination on pulmonary rehabilitation?
California Subscriber Answer: No. "Currently, [...] - READER QUESTION ~ No Inpatient Direct Contact = No E/M Service
Question: The January 2007 Pulmonology Coding Alert "Reader Question: Bill 99238-99239 When Face-to-Face Occurs" states, [...]
