Pulmonology Coding Alert
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 evaluate the effectiveness of their CPAP treatment. The patient was initially diagnosed with OSA and was administered a CPAP for treatment. At the visit, the patient explained they didn’t experience any improvement with the CPAP machine. The pulmonologist diagnosed the patient with CPAP intolerance. What code do I need to report for the patient’s condition? North Dakota Subscriber Answer: You’ll need two ICD-10-CM codes in the situation you’ve presented. One to describe the reason for the patient’s continuous positive airway pressure (CPAP) machine use and one to report the CPAP intolerance. Since the provider administered the CPAP to treat the patient’s obstructive sleep apnea (OSA) diagnosis, you’ll assign G47.33 (Obstructive sleep apnea (adult) (pediatric)) as the primary diagnosis code. CPAP intolerance means the equipment is ineffective in treating the patient. Next, you’ll assign Z78.9 (Other specified health status) as the secondary diagnosis code to report the CPAP intolerance.
Related Articles
Pulmonology Coding Alert
- E/M 2023:
Receive Advice for Office/Outpatient Consultations in 2023 (Part 2)
Will consultations receive reimbursement? Find out. Last month, Pulmonology Coding Alert introduced the revised office/outpatient [...] - 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 Medicare [...] - Lung Cancer:
Sift Through Descriptors to Bolster Your Bronchoscopy Coding Skills
Find out how many lung lobes 31628 covers. Pulmonologists and other providers use bronchoscopies to [...] - 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 patient’s chronic asthma, the [...] - Reader Questions:
Use U09.9 to Report a Long COVID Dx
Question: A patient presented to our pulmonology practice with fatigue that affects their daily life, a [...] - 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 wondering when I [...] - 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 evaluate the [...] - Reader Questions:
Report 94014-94016 Only Once Per 30 Days of Service
Question: The pulmonologist in our practice administered at-home spirometry for a patient following a lung transplant. [...]
