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Continuous negative pressure (CNP) ventilation is a therapeutic procedure that employs subatmospheric pressure applied to the thoracic surface to facilitate lung expansion and promote inhalation. This method involves creating a negative pressure environment around the thorax, which encourages the chest to expand, allowing air to flow into the lungs. Following this phase, the pressure is adjusted back to atmospheric levels or even higher, which aids in the natural recoil of the lungs and chest wall, leading to exhalation. CNP ventilation is particularly beneficial for patients experiencing stable or gradually worsening respiratory failure due to various conditions, including neuromuscular diseases, deformities of the chest wall, or central hypoventilation syndromes. The CPT® Code 94662 specifically pertains to the initiation and management of CNP ventilation, encompassing the initial setup of the CNP device and its ongoing management. This procedure is typically carried out by a durable medical equipment provider, who delivers the necessary CNP device and associated equipment to the patient's home or a residential care facility. The setup process includes programming the device according to the specifications outlined in a written prescription from a physician or qualified healthcare professional. Additionally, the patient or their caregiver receives thorough instruction on the proper use of the CNP device, and they are required to demonstrate their understanding of its operation to ensure effective and safe usage.
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Continuous negative pressure ventilation (CNP) is indicated for patients experiencing specific respiratory conditions that necessitate assistance with breathing. The following conditions are explicitly recognized as indications for the use of CNP:
The procedure for initiating and managing continuous negative pressure ventilation (CNP) involves several critical steps to ensure effective treatment. Each step is designed to facilitate the proper setup and operation of the CNP device.
Post-procedure care for patients utilizing continuous negative pressure ventilation (CNP) includes ongoing monitoring and management of the device to ensure its effectiveness. Patients should be regularly assessed for their respiratory status and any potential complications arising from the use of the CNP device. Additionally, follow-up appointments with healthcare providers are essential to evaluate the patient's progress and make any necessary adjustments to the CNP settings. Caregivers should also be encouraged to maintain open communication with healthcare professionals regarding any concerns or difficulties encountered during the use of the device. Proper maintenance of the CNP equipment and adherence to prescribed usage guidelines are critical for achieving optimal outcomes in respiratory support.
| Short Descr | NEG PRESS VENTILATION CNP | Medium Descr | CONTINUOUS NEGATIVE PRESSURE VENTJ INITIAT&MGM | Long Descr | Continuous negative pressure ventilation (CNP), initiation and management | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Codes That May Be Paid Through a Composite APC | Type of Service (TOS) | 1 - Medical Care | Berenson-Eggers TOS (BETOS) | M2C - Hospital visit - critical care | MUE | 1 | CCS Clinical Classification | 216 - Respiratory intubation and mechanical ventilation |
| 95 | Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system: synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified health care professional and a patient who is located at a distant site from the physician or other qualified health care professional. the totality of the communication of information exchanged between the physician or other qualified health care professional and the patient during the course of the synchronous telemedicine service must be of an amount and nature that would be sufficient to meet the key components and/or requirements of the same service when rendered via a face-to-face interaction. modifier 95 may only be appended to the services listed in appendix p. appendix p is the list of cpt codes for services that are typically performed face-to-face, but may be rendered via a real-time (synchronous) interactive audio and video telecommunications system. | LT | Left side (used to identify procedures performed on the left side of the body) |
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| 2013-01-01 | Changed | Medium Descriptor changed. |
| 2011-01-01 | Changed | Short description changed. |
| Pre-1990 | Added | Code added. |
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