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. 2017 Jun;23(6):10.18553/jmcp.2017.23.6.633. doi: 10.18553/jmcp.2017.23.6.633
Code Type Codes Description
ICD-9-CM procedure 89.38 Other nonoperative respiratory measurements
93.90 Noninvasive mechanical ventilation
93.94 Respiratory medication administered by nebulizer
93.99 Other respiratory therapy
96.70 Continuous invasive mechanical ventilation of unspecified duration
96.71 Continuous invasive mechanical ventilation for less than 96 consecutive hours
96.72 Continuous invasive mechanical ventilation for 96 consecutive hours or more
ICD-9-CM diagnosis 518.81 Acute respiratory failure
518.82 Other pulmonary insufficiency, not elsewhere classified
518.83 Chronic respiratory failure
518.84 Acute and chronic respiratory failure
V46.11 Dependence on respirator, status
V46.12 Encounter for respirator dependence during power failure
V46.13 Encounter for weaning from respirator [ventilator]
V46.14 Mechanical complication of respirator [ventilator]
CPT/HCPCS 94002 Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day
94003 Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent day
94004 Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; nursing facility, per day
94005 Home ventilator management care plan oversight of a patient (patient not present) in home, domiciliary or rest home (e.g., assisted living) requiring review of status, review of laboratories and other studies and revision of orders and respiratory care plan (as appropriate), within a calendar month, 30 minutes or more
94644 Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour
94645 Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (list separately in addition to code for primary procedure)
94650 Pressure breathing (intermittent positive pressure breathing), initial
94651 Pressure breathing (intermittent positive pressure breathing), subsequent
94652 Pressure breathing (intermittent positive pressure breathing), newborn infants
94656 Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; first day
94657 Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; subsequent days
94660 Continuous positive airway pressure ventilation, initiation and management
94662 Continuous negative pressure ventilation, initiation and management
94667 Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation
94668 Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent
99504 Home visit for mechanical ventilation care
E0450 Volume control ventilator, without pressure support mode, may include pressure control mode, used with invasive interface (e.g., tracheostomy tube)
E0453 Therapeutic ventilator; suitable for use 12 hours or less per day
E0454 Pressure ventilator with pressure control
E0460 Negative pressure ventilator; portable or stationary
E0461 Volume control ventilator, without pressure support mode, may include pressure control mode, used with noninvasive interface (e.g., mask)
E0463 Pressure support ventilator with volume control mode, may include pressure control mode, used with invasive interface (e.g., tracheostomy tube)
E0464 Pressure support ventilator with volume control mode, may include pressure control mode, used with noninvasive interface (e.g., mask)
E0470 Respiratory assist device, bi-level pressure capability, without back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)
E0471 Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)
E0472 Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pressure device)
E0480 Percussor, electric or pneumatic, home model
E0481 Intrapulmonary percussive ventilation system and related accessories
E0482 Cough stimulating device, alternating positive and negative airway pressure
E0483 High frequency chest wall oscillation air-pulse generator system (includes hoses and vest), each
E0484 Oscillatory positive expiratory pressure device, nonelectric, any type, each
E0485 Oral device/appliance used to reduce upper airway collapsibility, adjustable or nonadjustable, prefabricated, includes fitting and adjustment
E0486 Oral device/appliance used to reduce upper airway collapsibility, adjustable or nonadjustable, custom fabricated, includes fitting and adjustment
E0500 Intermittent positive pressure breathing machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source
G0237 Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring)
G0238 Therapeutic procedures to improve respiratory function, other than described by G0237, one on one, face to face, per 15 minutes (includes monitoring)
G0239 Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, 2 or more individuals (includes monitoring)
G0424 Pulmonary rehabilitation, including exercise (includes monitoring), 1 hour, per session, up to 2 sessions per day
S5180 Home health respiratory therapy, initial evaluation
S5181 Home health respiratory therapy, not otherwise specified, per diem
S9473 Pulmonary rehabilitation program, nonphysician provider, per diem

CPT = Current Procedural Terminology; HCPCS = Healthcare Common Procedure Coding System; ICD-9-CM = International Classification of Diseases, Ninth Revision, Clinical Modification.