Medicine
Chapter 7
Section 13.1
Pulmonary
Services
Issue Date: April 19, 1983
Copyright: CPT only © 2006 American Medical
Association (or such other date of publication of CPT).
All Rights Reserved.
Revision:
1.0 CPT PROCEDURE CODEs
94002 - 94004, 94010 - 94799
2.0 DESCRIPTION
Services provided for the diagnosis
or treatment of conditions involving the lungs.
3.0 POLICY
3.1 Pulmonary
services including pulmonary services provided as part of a treatment
program on an inpatient or outpatient basis are covered.
3.2 For an indication to be covered
the efficacy of the pulmonary services must be proven.
Note: Examples of proven indications
are: cardiopulmonary or pulmonary rehabilitation for pre- and post-lung
transplant patients when preauthorized by the appropriate preauthorizing
authority as outlined in the Policy on heart-lung and lung transplantation;
effective September 13, 1999, severe Chronic Obstructive Pulmonary
Disease (COPD) on an inpatient basis; and moderate and severe COPD on
an outpatient basis.
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