How To Use CPT Code 94667

CPT 94667 describes the manipulation of the chest wall, such as cupping, percussing, and vibration, to facilitate lung function. 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 94667?

CPT 94667 is used to describe the initial demonstration and/or evaluation of chest physical therapy techniques to mobilize lung secretions. This code encompasses manual methods such as cupping, percussing, postural drainage, and the use of a hand-held vibration device. The provider performs these techniques to help clear the bronchial airways and mobilize lung secretions, ultimately facilitating lung function.

2. Official Description

The official description of CPT code 94667 is: ‘Manipulation of the chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation.’

3. Procedure

1. The provider positions the patient and explains the chest physical therapy techniques that will be used.
2. Techniques such as cupping, percussing, postural drainage, and the use of a hand-held vibration device are demonstrated to the patient.
3. The provider performs manual manipulation of the patient’s chest and back using a cupped hand in a rhythmic manner to help clear the bronchial airways and mobilize lung secretions.
4. The initial treatment helps stabilize the patient and demonstrates proper technique for caregivers of patients who have difficulty clearing mucus from their airways.

4. Qualifying circumstances

CPT 94667 is typically performed on patients who have trouble clearing mucus from their airways. It is important to note that this code is specifically for the initial demonstration and/or evaluation of chest physical therapy techniques. Patients who require subsequent manual treatments should be reported with CPT code 94668. For mechanical chest wall oscillation, CPT code 94669 should be used.

5. When to use CPT code 94667

CPT code 94667 should be used when the provider performs the initial demonstration and/or evaluation of chest physical therapy techniques to facilitate lung function. It is important to accurately document the specific techniques used and the patient’s response to the treatment.

6. Documentation requirements

To support a claim for CPT 94667, the provider must document the following information:

• Patient’s condition and the need for chest physical therapy
• Specific techniques demonstrated and/or evaluated
• Date and duration of the session
• Patient’s response to the treatment
• Signature of the provider performing the service

7. Billing guidelines

When billing for CPT 94667, ensure that the service includes the initial demonstration and/or evaluation of chest physical therapy techniques. It is important to use the appropriate code based on the specific treatment provided. CPT code 94668 should be used for subsequent manual treatments, and CPT code 94669 should be used for mechanical chest wall oscillation. It is also important to follow any additional guidelines provided by the payer.

8. Historical information

CPT 94667 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A provider demonstrates cupping, percussing, and vibration techniques to a patient with chronic bronchitis to facilitate lung function.
2. A therapist evaluates the effectiveness of postural drainage and hand-held vibration device in mobilizing lung secretions for a patient with cystic fibrosis.
3. A caregiver observes and learns the proper technique of cupping and percussing from a provider to help clear mucus from a patient’s airways.
4. A provider demonstrates chest physical therapy techniques to a patient with pneumonia to aid in the clearance of lung secretions.
5. A therapist evaluates the patient’s response to cupping, percussing, and vibration techniques to determine the effectiveness of the treatment in improving lung function.
6. A provider demonstrates postural drainage and hand-held vibration device techniques to a patient with bronchiectasis to facilitate the mobilization of lung secretions.
7. A caregiver learns the proper technique of cupping and percussing from a provider to assist a patient with chronic obstructive pulmonary disease in clearing mucus from their airways.
8. A therapist evaluates the patient’s response to cupping, percussing, and vibration techniques to assess the effectiveness of the treatment in improving lung function for a patient with asthma.
9. A provider demonstrates chest physical therapy techniques to a patient with bronchitis to aid in the clearance of lung secretions.
10. A therapist evaluates the effectiveness of postural drainage and hand-held vibration device in mobilizing lung secretions for a patient with pneumonia.