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Pulmonology Coding Alert

Ventilator Management vs. E/M Codes:

This Guide Helps You Make the Call

Published on Sat Sep 26, 2009

Boost reimbursement by 70% on subsequent care days with 9400x in lieu of low-level E/M. Prolonged ventilation is on the rise, due, in part, to improved intensive care unit survival. Brush up on your ventilator management coding skills to ensure that you don't miss out on deserved reimbursement when dealing with this growing area of respiratory medicine. Time and Place Define Ventilator Management Options Start by knowing the four choices you have for reporting ventilator management and the rules governing each. Hospital care: Code ventilator management for inpatients in the hospital setting by the day using one of the following codes: • 94002 -- Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day • 94003 -- ... hospital inpatient/observation, each subsequent day. Long-term care: If the pulmonologist is providing ventilator management services in a long-term care facility, report 94004 ( ... [...]
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