If hypothermia is accomplished by regional infusion
techniques, chemotherapy administration CPT codes should not be
reported unless chemotherapeutic agents are also administered at
the same patient encounter.
Therapeutic phlebotomy (CPT code 99195) is not
separately reportable with autologous blood collection (CPT codes
86890, 86891), plasmapheresis, or exchange transfusion. Services
integral to performing the phlebotomy (e.g., CPT codes 36000,
36410, 96360-96376) are not separately reportable.
Physician attendance and supervision of hyperbaric
oxygen therapy (CPT code 99183) includes evaluation and
management (E&M) services related to the hyperbaric oxygen
E&M services integral to this procedure include, but
are not limited to, updating history and physical, examining the
patient, reviewing laboratory results and vital signs with
special attention to pulmonary function, blood pressure, and
blood sugar levels, clearing patient for procedure, monitoring
and/or assisting with patient positioning, evaluating and
treating the patient for barotrauma and other complications,
prescribing appropriate medications, etc.
A physician should not
report an E&M CPT code for these services.
If a physician
performs unrelated, significant, and separately identifiable E&M
services on the same date of service, the physician may report
those E&M services with modifier 25.
Evaluation and Management (E&M) Services
CPT codes for evaluation and management (E&M) services are
principally included in the CPT code range 99201-99499.
codes describe the site of service (e.g., office, hospital, home,