Charging for Ventilator Management

Coding Corner

The information provided here applies to Medicare coding. Be sure to check with your Medicare Administrative Contractor (MAC) for additional information and clarification on these and other items. You should also contact your local insurance carriers to determine if private insurers follow Medicare's lead on all coding matters.

Charging for Ventilator Management
It is not permissible to bill for ventilator management and an E/M service on the same day. The 1993 Physician Fee Schedule rule stated this clearly. The latest guidance provides that ventilator management and continuous pressure airway management are exclusive of E/EM services, with the exception of critical care services. Since these services are unusual to be provided out of the critical care arena, they should not be billed together.

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