Can codes 94667 and 94668 be used for high frequency chest wall oscillation devices (i.e..vest), intermittent percussive ventilation (IPV), acapella/flutter device or continuous high frequency oscillation devices (i.e., MetaNeb) Each of these devices pro
The vest is a piece of re-usable equipment and is not billable using the codes 94667 / 94668. Typically, the IPV devices are used for patient managed bronchial hygiene therapy and do not require the expertise of the therapist for delivery of therapy. Note that the introduction and demonstration of the IPV devices are not included in CPT 94664, so this would also not be a billable service.
The CPT codes 94667 / 94668 should be reserved for billing of therapy that requires the expertise of the therapist to provide hands-on therapy. Refer to the AARC Clinical Practice Guideline for Postural Drainage Therapy, which provides definition for turning procedures, postural drainage procedures and external manipulation procedures (percussion and vibration).
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