Respiratory Question for the Week of March 15, 2021

Respiratory Compliance Question of the Week

Question:

Is code 54250 payable when billed with PSGs codes?

Answer:

Code 54250 is listed in NCCI edits as nonpayable when billed with the codes for PSGs (95782, 95783, 95808, 95810, and 95811). The edits do not allow the use of a modifier with 54250 to justify the separate payment.


This question was answered in our Coding Essentials for RT/Pulmonary Function. For more hot topics relating to respiratory services, please visit our store or call us at 1.800.252.1578, ext. 2.

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