Advanced Search

Pulmonology Coding Alert

You Be the Coder:

Observe When to Bill for Asthma Education

Published on Sun Feb 26, 2012

Question: Our pulmonologist spends about 10-15 minutes for asthma education for some patients. Can we bill these services under 98960-98962 or any other appropriate code?Minnesota SubscriberAnswer: No, you cannot bill these services under 98960 (Education and training for patient self-management by a qualified, nonphysician health care professional using a standardized curriculum, face-to-face with the patient [could include caregiver/family] each 30 minutes; individual patient), 98961 (Education and training for patient self-management by a qualified, nonphysician health care professional using a standardized curriculum, face-to-face with the patient [could include caregiver/family] each 30 minutes; 2-4 patients) or 98962 (Education and training for patient self-management by a qualified, nonphysician health care professional using a standardized curriculum, face-to-face with the patient [could include caregiver/family] each 30 minutes; 5-8 patients) since these codes comprise a structured educational curriculum provided by a nonphysician. Non-physician health care professionals will include a nurse practitioner or a physician assistant and [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Pulmonology Coding Alert

View All