Our emergency physician documented initiation of bi-level positive airway pressure (BiPAP) ventilation for a patient who presented with an acute exacerbation of asthma. What is the appropriate code for reporting this service?

The initiation of BiPAP is reported with Current Procedural Terminology (CPT®) code 94600, continuous positive airway pressure (CPAP) ventilation, initiation and management. Although the code descriptor includes only CPAP, the service is described as determining the need for CPAP or BiPAP with initiation and management. International Classification of Diseases, Ninth Revision, Clinical Modification codes should reflect the acute exacerbation of asthma (493.92) or, if documented, status asthmaticus (493.91). After transition to International Classification of Diseases, 10th Revision, Clinical Modification, the clinical classification of the asthma will also be reflected in the code assignment. Codes for asthma with acute exacerbation include J45.21 (intermittent), J45.31 (mild persistent), J45.41 (moderate persistent), and J45.51 (severe...

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