For the Week of April 21, 2014
Can we bill 98960–98862 for patient education?
Some respiratory therapy departments have attempted to utilize CPT codes 98960–98962, which represent the face-to-face time increments spent providing education and training for patient self-management by a qualified, non-physician health care professional using a standardized curriculum.
However, review of the 2014 Addendum B from the OPPS Final Rule continues to show the CPT codes 98960–98962 assigned to status indicator (SI) “E” indicating that the education service is non-covered in the hospital setting. Also in question is whether the licensed respiratory therapist qualifies, under the code definition, as a non-physician health care professional. At this time there is not an alternative for separate coding of asthma education as a component of the services provided by the hospital-based respiratory therapist.
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