Forum - Questions & Answers
Asthma
What is the code for the following:
1. Procedure of using a peak flow meter
2. Code for asthma teaching
3. code for putting together an asthma action plan
thank You!
Peak flow
Peak-flow rate monitoring should not be billed separately because it is an inherent part of the E/M exam
Putting together an asthma action plan is part of E/M medical decision making.
* 98960 Education and training for patient self- management by a qualified, nonphysician health care professional using a standardized curriculum, face-to- face with the patient (could include caregiver/family) each 30 minutes, individual patient.
* 98961 2-4 patients
* 98962 5-8 patients
You have to verify coverage with specific payors for these codes as many do not separately reimburse. Medicare considers them bundled and not separately paid.
Asthma
[What is the code for the following:
1. Procedure of using a peak flow meter
2. Code for asthma teaching
3. code for putting together an asthma action plan
thank You!]
Code for Peak Flow is 94150 (if it it done alone and not part of other pulmonary test procedures). It IS billable with E/M IF the E/M is separately identifiable according to the section notes and CPT Assistant Jul 05:11
As for asthma teaching, exactly what kind of "teaching" are you doing ?? General info about asthma and it's symptoms, triggers and management would all be included in the E/M unless you are performing organinzed training sessions using a standardized curriculum. 94664 however, can be used when training patients how to use metered dose inhalers or home nebulizers. Again, there would have to be a separately identifiable E/M to bill both. (CPT Assistant April 00:11)