Pulmonology Coding Alert
Secure A 21 or 22 POS For PFT Interpretation Service
Question: What place of service code would you use for interpretation of an inpatient or outpatient pulmonary function test (PFT) done in hospital-based lab? Sometimes the pulmonologist is at hospital and sometimes she interprets from office computer. New York Subscriber Answer: You should use the place of service (POS) where the testing was performed in accordance with the patient's assigned site if service: 21 (Inpatient hospital) for PFTs performed and interpreted for an inpatient, and 22 (Outpatient hospital) for PFTs performed and interpreted for an outpatient. The 2007 Review of Place of Service Coding for Physician Services, published by the Office of Inspector General, states that "Physicians are required to identify the place of service on the health insurance claim forms that they submit to Medicare contractors. The correct place-of-service code ensures that Medicare does not incorrectly reimburse the physician for the overhead portion of the payment if the service was performed in a facility setting."
Pulmonology Coding Alert
- Allergy Coding:
3 Common Blunders Put Your EAA Coding Skills To The Test
Careful: 94375 is hot on bundles.Combat these three common mistakes in reporting extrinsic allergic alveolitis, [...] - ICD-10:
J67.2 Takes Over Bird-fancier's Lung Code in 2013
Mind patient's symptoms until you get a definite diagnosis.Bird-fancier's lung is a type of hypersensitivity [...] - ICD-9 Coding:
Flu, BMI, Jaw Pain Diagnosis Codes Become More Straightforward
Consider: Where do BMI codes fare in pulmonology? Efficient billing is not just about getting [...] - Modifier:
Crash 3 Myths That Block Your Understanding Of Modifier 22
Safe move: Check with payers on differing coverage policies.If you overuse modifier 22 (Increased procedural [...] - You Be the Coder:
76942 Matches Ultrasound Guidance for Thoracentesis
Question:How would you code an ultrasound guided thoracentesis?New Hampshire SubscriberAnswer:Per CPT, you would report [...] - Reader Questions:
Established Plan Of Care Ensures Incident-To Physician Claim
Question:The nurse administered a 300 mg Xolair injection to an established patient in a private [...] - Reader Questions:
Secure A 21 or 22 POS For PFT Interpretation Service
Question:What place of service code would you use for interpretation of an inpatient or outpatient [...] - Reader Questions:
Choose POS With Caution Under "Observation Status"
Question:As follow-up to the previous question, our office also gets a lot of denials for [...] - Reader Questions:
Placing Patient on O2 = Routine Service
Question:I've found out we have been charging O2 set up/installation for inpatient with the wrong [...] - Reader Questions:
Don't Be Too Hard On Your Modifier 25 Use
Question:A physician in our clinic said you do not need different diagnosis codes to use [...] - Reader Questions:
Expect To Profit Over $1k For 32652
Question:What is the CPT code for total pulmonary decortication?California SubscriberAnswer:It's 32652 (Thoracoscopy, surgical; with total [...] - Reader Questions:
Does 31627 Fit ENB Description?
Question:What CPT should I report for the electromagnetic bronchoscopy (ENB) treatment?Iowa SubscriberAnswer:You would report ENB [...] - Reader Questions:
Get Your CPT In Synch With Your Setting
Question:My doctor said he performed a diagnostic laryngoscopy with a tracheoscopy on an adult. He [...]
