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Pulmonology Coding Alert

ReviewThese Keys to Concurrent Care Reimbursement

Published on Thu May 28, 2009

These codes tell you when care justifies 2 specialists. Before you brace for a denial because another physician submitted his respiratory care claim in advance of your pulmonologist, take a look at this list of approved concurrent care diagnoses. Examples of respiratory conditions occurring in outpatients or inpatients which would merit concurrent care, according to a 2008 Highmark Health Insurance Company Medicare Advantage policy bulletin, include: " Acute bronchitis (466.0) and acute bronchiolitis (466.1) " Acute diseases of pharynx, larynx, and nasal sinuses (for instance, 478.21, Cellulitis of pharynx or nasopharynx; or 461.x, Acute sinusitis) " Bronchial asthma, acute (493.9x) " Chronic obstructive pulmonary (or lung) disease with (acute) exacerbation (491.21) " Congenital anomalies of the respiratory system (748.x) " Cystic fibrosis (277.02, & with pulmonary manifestations) " Hyaline membrane disease (769) " Infection and abscess of lung and pleura (such as 510.9, Empyema without mention of fistula) " Pleural [...]
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