ASTHMA CODING, BILLING, AND REIMBURSEMENT

NAVIGATION

Summary

Notice and Disclaimer

Glossary

Asthma Diagnosis Codes

Medications

Medicare Guidelines

Many healthcare providers are not aware that asthma education is reimbursable. However, the complexity in coding and billing can be overwhelming. This website has been developed to provide various healthcare providers a general overview of information required to bill asthma education and treatment claims at the federal, state and local levels.

The Center for Medicare and Medicaid Service (CMS) provides the regulatory guidelines for services, procedures and supplies covered under the Medicare and Medicaid programs. Although somewhat uniform for the Medicare program, CMS reimbursement regulations vary from state to state for Medicaid and may have different local or state codes to identify services, procedures or supplies. We will identify these codes as they vary from state to state. Billing methodology can vary for each provider specialty and is often contingent upon where the services are provided (e.g. physician office, hospital, clinic, patient’s home). There will be many changes to coding as the carriers implement HIPAA (Health Information Portability Accountability Act) standardized coding regulations, and this site will help disseminate this information to the provider.

Reimbursement FAQ                         Testimonials     

Information about new CPT Codes