tci ED Coding & Reimbursement Alert - 2009 Issue 6
READER QUESTIONS: Bypassing CPAP Code a Mistake on BiPAPs
Question: The ED physician responds to a call to see a hospital inpatient suffering from pulmolithiasis. The notes indicate that the physician instituted -BiPAP- to assist the patient's breathing. Should I report this ventilation service with 94002? Minnesota SubscriberAnswer: If the physician performs BiPAP or continuous positive airway pressure (CPAP) ventilation, report the service with 94660 (Continuous positive airway pressure ventilation [CPAP], initiation and management). The 94002 (Ventilation assist and management,initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day) code does not accurately describe the service your physician provided. On the...
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