CQW Panacea-re-brand-rev3

Respiratory

For the Week of April 21, 2014

Question:

Can we bill 98960–98862 for patient education?

Answer:

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.

 

Return to Compliance Question of the Week Index

BMQ3PRT14 RT

Sign up to receive Compliance Question of the Week.

To view and archive of the Respiratory Compliance Question of the Week, click here

 

windless
windless
windless
windless