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