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2017 Coding Essentials for RT/Pulmonary Function

Coding Essentials for RT/Pulmonary Function
 
Updated for 2017, this coding and billing guide includes new codes and payment information, medical necessity requirements, clarification on PFT codes, and MUE clarification related to NCCI edits for breathing treatments.

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Ensure accurate charges & descriptions for RT/pulmonary function.

With accurate, up-to-date information, you simply won't find a more complete or trusted guide for coding and billing for respiratory therapy services and pulmonary function testing. Ensure you're charges and descriptions are exact with help from this essential resource.

What's in this guide?

  • Introduction
  • Chapter 1: Medicare Payment Methods For Respiratory Therapy Services
    • Inpatient and Outpatient
    • Evaluation and Management
  • Chapter 2: Coding & Billing for Correct Reimbursement
    • Overview of Chargemaster Billing Codes
    • National Correct Coding Imitative and Modifier Application
    • The ICD-10 Coding System
    • Chargemaster Review Methods
    • Value-Based Purchasing
  • Chapter 3: Coding & Billing Strategies*
    • Diagnostic Testing (Pulmonary Function Testing)
    • Incentive Spirometry, Peak Flow, and Bronchial Hygiene Procedures
    • Bronchospasm Evaluation
    • Pulmonary Stress Testing
    • Plethysmography
    • Pulse Oximetry
    • CO2 by Infrared Analyzer
    • Pediatric Pneumogram
    • Apnea Monitoring
    • Car Seat/Bed Testing
  • Chapter 4: Respiratory Therapy and Treatments
    • Ventilation Assist and Management
    • Intrapulmonary Surfactant Administration
    • Pressurized or Nonpressurized Inhalation Treatments
    • Continuous Inhalation Treatment
    • Continuous Positive and Negative Airway Pressure (CPAP) or (CNP)
    • Evaluation and Demonstration
    • Manipulation of Chest Wall, Manual, Initial, Subsequent, and Mechanical
  • Chapter 5: Other Services
    • Bronchoscopy Procedures
    • Arterial Blood Gases
    • Transcutaneous Procedures
    • Cardiopulmonary Resuscitation
    • Home Sleep Testing
    • Actigraphy
    • Sleep Testing
    • Breathing and Coughing Exercises
    • Specimen Collection
    • Oxygen Therapy
  • Chapter 6: Pulmonary Rehabilitation and Tobacco Counseling Services
    • Pulmonary Rehabilitation
    • Respiratory Rehabilitation
    • Smoking Cessation and Tobacco Counseling
  • Appendix A: Local Coverage Determinations
  • Appendix B: National Coverage Determinations
  • Appendix C: 2017 APC Payment Rates
  • Appendix D: Medicare Guidelines
  • Appendix E: Pulmonary Rehabilitation Toolkit
  • Appendix F: Guidelines for Managing Asthma Exacerbations
  • Appendix G: Recovery Audit Program
  • Appendix H: Office of Inspector General Report: Mechanical Ventilation
  • Appendix I: Medicare Quality Payment Programs


*Includes many other coding and billing strategies, this is an overview of some of the hot topics discussed within this specific section.

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