Respiratory System: Respiratory Procedures in the Medicine Section

Outline:

Section 1: Introduction

About This Course

Learning Objectives

Section 2: Overview

Overview of Pulmonary Medicine

Pulmonary Function Tests

Pulmonary Sleep Medicine

Documentation Elements

Review

Section 3: Format and Guidelines

CPT Pulmonary Procedures Format

CPT Pulmonary Guidelines

Sleep Medicine Testing Definitions

Other Coding Guidelines

Common Modifiers

Review

Section 4: Coding Pulmonary Procedures

Pulmonary Procedures Coding Scenarios

Section 5: Coding Application: Pulmonary Procedures

Case Study 1

Case Study 2

Case Study 3

Case Study 4

Case Study 5

Section 6: Conclusion

Course Summary

Course Contributors

Resources

References

Sarah is a Subject Matter Expert/Writer for Relias's Revenue Cycle and Coding online education. Sarah is credentialed by AHIMA as a Certified Coding Specialist (CCS) and Certified Coding Specialist Physician-based (CCS-P), as well as an approved ICD-10-CM/PCS Trainer. She is also credentialed by AAPC as a Certified Professional Coding Instructor (CPC-I), a certified coder of physician/professional (CPC) and outpatient hospital services (COC), and a Certified Risk Adjustment Coder (CRC), with specialty certification in Evaluation and Management Services (CEMC). Sarah has extensive experience in both professional and facility ICD-10-CM/PCS, CPT and HCPCS coding, auditing, and revenue cycle management and as an educator of hospital and professional medical coding curriculum. She has served as Director of Physician Billing and Reimbursement for a regional health system, Manager of Coding and Compliance for a hospital and cancer center, and Business Manager of Physician Practices at a teaching hospital, as well as a coding auditor and consultant. Sarah has also authored coding textbooks and instructional resources.

Disclosure: Sarah A. Serling, CCS, CPC, CRC, COC, CCS-P, CEMC, CPC-I, ICD-10-CM/PCS Trainer discloses the following potential conflict of interests/commercial interests: Relevant Financial Relationship with Relias LLC as a Salaried Employee All of the relationships listed for this individual have been mitigated.Relevant Non-Financial Relationship with No Entities Exists as a Contributor All of the relationships listed for this individual have been mitigated.

Andrei is a healthcare coding analyst in the CPT Education and Information Services Department at the American Medical Association, a staff writer for CPT Assistant, and a contributing author of the Principles of CPT Coding textbook. He has been a Registered Health Information Technician since 2009 and an active AHIMA member. He has gathered experience and developed skills by working in health insurance, at third-party payers, and in top-ranked national health care organizations. He completed an AAS in Health Information Technology from DeVry University in 2008 and a BS in Biology from Georgia Gwinnett College in 2015. In his spare time Andrei enjoys traveling, reading, playing the piano and the pipe organ.

Disclosure: Andrei Besleaga, BS, RHIT has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.

Elizabeth Lumakovska is a subject matter expert currently working for Elsevier Clinical Solutions. Her work experience includes working at the American Medical Association for 15 years in various roles (e.g., Mapping & Terminology Consultant – Medical Informatics & Healthcare Strategy; Director - CPT Editorial Research & Development), and as a Healthcare Education Developer at nThrive. Elizabeth's experience also includes working in various healthcare settings (hospital, home health, medical clinic). She has also been an adjunct instructor for Indiana University Northwest. Elizabeth has earned a Master of Public Affairs with a Health Administration concentration, and a Bachelor of Science in Health Services Management from Indiana University Northwest. She is also certified as a registered health information technician from the American Health Information Management Association, as well as an AHIMA-approved ICD-10 CM/ PCS trainer.

Disclosure: Elizabeth Lumakovska, MPA, RHIT has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.

Arletrice is a senior healthcare coding analyst in the CPT Education and Information Services Department and staff writer for CPT Assistant. She supports and assists with other department projects on an as-needed basis, and she is also a contributing author of the Principles of CPT Coding. She has been with the AMA for over 14 years. She has been an educator since 2002 in health information technology (HIT) and is currently a health care administration adjunct instructor at an online university. She earned a BS in Health Information Administration from the University of Illinois at Chicago, IL, and a Masters of Healthcare Administration from the University of Phoenix, AZ. She is also certified as a registered health information administrator from the American Health Information Management Association (AHIMA), as well as an AHIMA-approved ICD-10 CM/ PCS trainer.

Disclosure: Arletrice A. Watkins, MHA, RHIA has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.