How To Use CPT Code 89220

CPT 89220 describes the process of obtaining a sputum sample using an aerosol-induced technique as a separate procedure. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 89220?

CPT 89220 can be used to describe the procedure of collecting a sputum sample using an aerosol-induced technique. This code is specifically used when the analyst performs this service as a separate procedure, not as part of a larger procedure.

2. Official Description

The official description of CPT code 89220 is: ‘Sputum, obtaining specimen, aerosol-induced technique (separate procedure).’ This code is used when the analyst collects a sputum sample using an ultrasonic nebulizer to induce sputum production in the patient.

3. Procedure

1. An analyst collects a sputum sample from the patient using an aerosol-induced technique.
2. The analyst uses an ultrasonic nebulizer to create a mist of a salt solution.
3. The patient places a mask over their nose and mouth and inhales the mist, which helps to loosen sputum in the airways.
4. The loosened sputum is then collected in a sterile cup for further testing.

4. Qualifying circumstances

CPT 89220 is used when the analyst performs the sputum collection using an aerosol-induced technique as a separate procedure. This procedure is typically ordered by a clinician to obtain adequate sputum samples for microbiological testing, such as bacterial or fungal infections. It is important to note that this code should not be reported when the analyst performs the service as part of a larger procedure.

5. When to use CPT code 89220

CPT code 89220 should be used when the analyst performs the sputum collection using an aerosol-induced technique as a separate procedure. It is important to ensure that this service is not reported when it is performed as part of a larger procedure.

6. Documentation requirements

To support a claim for CPT 89220, the analyst must document the following information:

• Reason for the sputum collection and the need for microbiological testing
• Details of the aerosol-induced technique used, including the type of nebulizer and salt solution
• Date and time of the procedure
• Any relevant findings or observations during the procedure
• Signature of the analyst performing the procedure

7. Billing guidelines

When billing for CPT 89220, ensure that the sputum collection is performed as a separate procedure by the analyst. This code should not be reported when the service is performed as part of a larger procedure. It is important to follow the specific guidelines provided by the payer regarding the appropriate use of this code.

8. Historical information

CPT 89220 was added to the Current Procedural Terminology system on January 1, 2004. There have been no updates to the code since its addition.

9. Examples

1. An analyst collects a sputum sample using an aerosol-induced technique to test for bacterial infection in a patient with pneumonia.
2. A clinician orders a sputum collection using an aerosol-induced technique to obtain a sample for tuberculosis testing.
3. An analyst performs a separate procedure to collect a sputum sample using an aerosol-induced technique for microbiological testing in a patient with a suspected fungal infection.
4. A patient with chronic bronchitis undergoes a sputum collection using an aerosol-induced technique to test for bacterial colonization.
5. An analyst collects a sputum sample using an aerosol-induced technique to test for respiratory infections in a patient with cystic fibrosis.
6. A clinician orders a sputum collection using an aerosol-induced technique to obtain a sample for viral testing in a patient with suspected respiratory viral infection.
7. An analyst performs a separate procedure to collect a sputum sample using an aerosol-induced technique for microbiological testing in a patient with suspected pneumonia.
8. A patient with chronic obstructive pulmonary disease undergoes a sputum collection using an aerosol-induced technique to test for bacterial exacerbation.
9. An analyst collects a sputum sample using an aerosol-induced technique to test for fungal infection in a patient with immunocompromised status.
10. A clinician orders a sputum collection using an aerosol-induced technique to obtain a sample for mycobacterial testing in a patient with suspected tuberculosis.