For the Week of April 20, 2015
How are E&M services performed by respiratory therapists paid under Medicare?
The cost for patient evaluation and management (E&M) by the therapist is calculated into the charge for therapeutic or diagnostic procedures billed by the department. Respiratory therapy departments do not typically have the need for CPT codes 99201–99215 (or G0463--hospital outpatient clinic visit for assessment and management of a patient) to be included as billable items on the department chargemaster.
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