Super Bill (Word)

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Limestone Pulmonary and Sleep Associates P.C.
101 Fitness Way, Suite 2500, Athens, AL – 35611
Patient: _________________________________________________________ Date of Service: ____________________
DOB: ___________________________________________________________ Chart Number: _____________________
Referring Physician: _______________________________________________
Procedure
New Patient
Established Patient
Office Consult
Smoking Cessation
Level 1
99201
99211
99241
3-10 min 99406
Level 2
99202
99212
99242
>10 min 99407
Level 3
99203
99213
99243
Level 4
99204
99214
99244
30-74 min 99354
PRLNGD Office care
(Always Bill with other code)
Level 5
99205
99215
99245
Add 30 min 99355
Global or Interpretation only
Spiro (pre or post) or
94060
FV Loop (also spiro 94375
pre)
Global or Interpretation only Global or Interpretation only
Global or Interpretation only
Arterial Blood gas
94680 Polysomnography
95810 E-Script Generated
G8443
CPAP
polysomnography
Inhalation treatment
94540
95811 None for this encounter G8445
MVV
Lung Volume
Airways Resistance
94200
94260
94260
MDI/Neb Demo
Broncho-prov Test
DLCO
94720
Pulm Stress w/EKG
790.91 Abnormal ABG
786.7 Abnormal Chest Sounds
793.2 Abnormal Chest X-ray
786.4 Abnormal Sputum
501
Asbestosis
V15.84 Asbestosis Exposure
493.90 Asthma w/o status
493.91 Asthma w/ status
493.92 Asthma w/ exac
518.0 Atelectasis
516.8 BOOP
466.0 Bronchitis Acute
491.8 Bronchitis Chronic
491.20 Bronchitis Asthmatic
494.0 Bronchiectasis
494.1 Bronchiectasis w/ exac
327.53 Bruxism
437.90 Cerebro Vascular Dz
277.00 CF
277.02 CF w/exac
786.50 Chest Pain NOS
786.59 Chest Pressure
786.59 Cheyne-Stokes Resp
428.0 CHF
496
COPD
491.21 COPD with exac
416.9 COR Pulmonals chr
786.2 Cough
93.82 Cough variant asthma
491.00 Cough smokers
470 Deviated nasal septum
6m walk/pulm
stress/Ex
94664 MSLT
94070 Split night PSG
94620 Actigraphy
95805 Manual Script
95811
95803
94621 CPAP Init & Mgmt
94860
429.9 Diastolic Dysfunction
780.50 Disruption of Sleep
453.40 DVT
780.56 Dysfn assoc w/ sleep stg
786.09 Dyspnea
???? Eczema
492.8 Emphysema
5109 Empyema
162.9 Lung Cancer
518.89 Lung Nodule
786.6 Swelling mass inches
164.80 Mediastinal Neoplasm
785.6 Mediastinal adenopathy
786.6 Mediastinal mass
347.00 Narcolepsy
347.01 Narcolepshy w/cataplexy
327.11 Excessive Somnolence
728.87 Neuro-muscular weakness
493.81 Ex Induced bronchosp
780.60 Fever
530.81 GERD
784.0 Headache
786.3 Hemoptysis
401.9 HTN
519.8 Hyperreactive airways
780.54 Hypersomnia NOS
244.9 Hypothyroidism
786.01 Hypoventilation
799.02 Hypoxemia
250.01 DDM
278.01 Obesity, Morbid
278.00 Obesity
327.26 OHS
278.01 Overweight
112.0 Oral Candidiasis
462 Pharyngitis, Acute
416.9 PHTN, Chronic
416.0 PHTN, Primary
416.8 PHTN, Secondary
511.9 Pleural Effusion
197.2 Pleural effusion, Malig
511.0 Pleural Plaques w/o eff
511.0 Pleurisy w/o effusion
327.51 PLM
507.0 Pneumonia, Aspiration
G8446
518.4 Pulmonary Edema NOS
415.19 Pulmonary Embolism
518.3 Pulmonary Infiltrates
011.90 Pulmonary TB
714.0 Rheumatoid Arthritis
327.42 REM Behavior Disorder
518.81 Respiratory failure, acute
518.83 Respiratory failure, Chr
518.82 Respiratory insufficiency
518.89 Restrictive lung disease
477.9 Rhinitis Allergic
333.94 RLS
135 Sarcoidosis
710.1 Scleroderma
415.12 Septic embdi
461.9 Sinusitis acute NOS
473.9 Sinusitis chronic NOS
710.0 SLE
327.21 Sleep Apnea Central
327.23 Sleep Apnea, Obstructive
307.44 Insufficient Sleep Syndrome
486 Pneumonia NOS
V69.4 Sleep Deprivation
786.09 Snoring
305.1 Tobacco Dependency
474.11 Tonsilar hypertrophy
519.8 Upper Airway Obst
465.9 URTI, Acute
516.3 PF
737.30 Kypho-Scolosia, Idio
464.00 Laryngitis Acute
476.75 Laryngeal spasm
513.0 Lung abscess
V12.61 Pneumonia, Recurrent
478.34 Vocal Cord Dysfunction
512.8 Pneumothorax
786.07 Wheezing
786.05 SOB
327.12 Idiopathic Hypersomnia
515 ILD/ Pulmonary Fibrosis
487.1 Influenza w/ resp infec
327.00 Insomnia NOS
462.9 Pneumonia, Bacterial NOS
V72.82 Preop pulm evaluation
795.5 Positive PPD
784.91 Post Nasal Drip
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