If you perform sleep studies, you need to upgrade your coding style this year.
This time, CPT brought some big changes as far as pulmonology coding is concerned. Here are some codes you will have know this year. As such, if you have been using inactive or unrevised codes, you are risking denials for sure.
Two new codes for Sleep Study
The good news is home sleep studies type II had made a straight transition from Code G0398 to 95806 in last year's CPT. Now the codes for home sleep studies type III and IV now have their own category I codes for this year: 95800 and 95801.
These sleep study codes have been established for reporting unattended sleep study testing services. These codes appear with a number (#) symbol to indicate that they are out of numerical sequence.
Other new pulmonology codes on focus
For trachea and bronchi, a new code has been created to report bronchoscopy with balloon occlusion, with assessment of air leak, with the administration of occlusive substance, if performed. Other codes that have been included this year are: 90470, 0250T -, 0251T and 0252T.
CPT codes 0250T, 0251T, 0252T have not been assigned any physician work relative value units. This means that payment is only received by the facility for these services.
There are revisions to Photodynamic Therapy Guidelines and Others
CPT has also revised photodynamic therapy coding. So from January 1 this year, you need to pay attention to the documented time in case a modifier is necessary. CPT also adds various parenthetical guidelines after codes 96570 and 96571. If the pulmonologist carries out 96570 for less than 23 minutes, you should report modifier 52. For each increment after the first 30, you have to get to the eighth minute for each interval. Other CPT 2011 revised codes include 90662, 90663 , and 90670.
Evaluation and management changes offer a sneak peak.
This year, CPT has made significant revisions to the hospital observation services section, including the addition of three new resequenced codes in the subsequent hospital observation subsection. More revisions have also been made in the hospital inpatient services, pediatric critical care patient transport, and inpatient neonatal and pediatric critical care subsections.
Here are three new evaluation and management codes that can impact your pulmonology practice's coding success: 99224, 99225 and 99226.
This time, CPT brought some big changes as far as pulmonology coding is concerned. Here are some codes you will have know this year. As such, if you have been using inactive or unrevised codes, you are risking denials for sure.
Two new codes for Sleep Study
The good news is home sleep studies type II had made a straight transition from Code G0398 to 95806 in last year's CPT. Now the codes for home sleep studies type III and IV now have their own category I codes for this year: 95800 and 95801.
These sleep study codes have been established for reporting unattended sleep study testing services. These codes appear with a number (#) symbol to indicate that they are out of numerical sequence.
Other new pulmonology codes on focus
For trachea and bronchi, a new code has been created to report bronchoscopy with balloon occlusion, with assessment of air leak, with the administration of occlusive substance, if performed. Other codes that have been included this year are: 90470, 0250T -, 0251T and 0252T.
CPT codes 0250T, 0251T, 0252T have not been assigned any physician work relative value units. This means that payment is only received by the facility for these services.
There are revisions to Photodynamic Therapy Guidelines and Others
CPT has also revised photodynamic therapy coding. So from January 1 this year, you need to pay attention to the documented time in case a modifier is necessary. CPT also adds various parenthetical guidelines after codes 96570 and 96571. If the pulmonologist carries out 96570 for less than 23 minutes, you should report modifier 52. For each increment after the first 30, you have to get to the eighth minute for each interval. Other CPT 2011 revised codes include 90662, 90663 , and 90670.
Evaluation and management changes offer a sneak peak.
This year, CPT has made significant revisions to the hospital observation services section, including the addition of three new resequenced codes in the subsequent hospital observation subsection. More revisions have also been made in the hospital inpatient services, pediatric critical care patient transport, and inpatient neonatal and pediatric critical care subsections.
Here are three new evaluation and management codes that can impact your pulmonology practice's coding success: 99224, 99225 and 99226.
