tci E/M Coding Alert - 2024 Issue Q1

Reader Questions: Find CPAP Management Amidst E/M Bundle

Question: I’m new to pulmonology coding, and I have an encounter note for a recent evaluation and management (E/M) visit. The pulmonologist saw an established patient for continuous positive airway pressure (CPAP) management and chronic obstructive pulmonary disease (COPD) with prescription drug management. Can we bill 94660 and 99213 together? Texas Subscriber Answer: No, you’ll report only 99213 (Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter...

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