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The CPT® Code 94667 refers to the procedure of manipulation of the chest wall, which includes techniques such as cupping, percussing, and vibration. This manipulation is performed to facilitate lung function, particularly in patients who may have difficulty clearing secretions from their lungs. The procedure is typically conducted by a respiratory therapist or another qualified healthcare professional who uses their hands or a hand-held oscillating device to perform the manipulation. The patient is positioned either lying down or sitting up in various ways to optimize the effectiveness of the techniques employed. The primary goal of this procedure is to break up mucus and other secretions in the lungs, thereby improving respiratory function. The manipulation involves a series of steps, including percussion, where the therapist uses cupped hands to create a rhythmic tapping against the chest wall, and vibration, where flat hands are placed on the chest to create oscillatory movements that help mobilize secretions. Following these techniques, the patient is encouraged to take deep breaths and perform forced exhalations to stimulate the cough reflex, which aids in clearing the airways. This process may be repeated in different positions to ensure that all areas of the lungs that require treatment are addressed. The code 94667 is specifically used for the initial demonstration of this procedure and/or the initial evaluation of the caregiver performing the manipulation, while subsequent evaluations and treatments are reported using CPT® Code 94668.
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The procedure associated with CPT® Code 94667 is indicated for patients who require assistance in clearing secretions from their lungs. This may include individuals with conditions that lead to excessive mucus production or impaired lung function. The following are specific indications for performing this procedure:
The procedure for CPT® Code 94667 involves several key steps aimed at facilitating lung function through manual manipulation of the chest wall. The following procedural steps are performed:
After the manipulation procedure is completed, patients may experience some temporary discomfort due to the physical nature of the techniques used. It is important for the healthcare provider to monitor the patient for any adverse reactions. Patients are typically encouraged to continue deep breathing exercises and may be advised on the importance of hydration to help thin mucus secretions. Follow-up evaluations may be necessary to assess the effectiveness of the treatment and to determine if additional sessions are required. The initial demonstration and evaluation of the caregiver performing the procedure are documented under CPT® Code 94667, while subsequent evaluations and treatments are reported using CPT® Code 94668.
| Short Descr | CHEST WALL MANIPULATION | Medium Descr | MANJ CH WALL FACILITATE LNG FUNCJ 1 DEMO&/EVAL | Long Descr | Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 5 - Incident To 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 | STV-Packaged Codes | Type of Service (TOS) | 1 - Medical Care | Berenson-Eggers TOS (BETOS) | P6C - Minor procedures - other (Medicare fee schedule) | MUE | 1 | CCS Clinical Classification | 217 - Other respiratory therapy |
| 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 25 | Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service: it may be necessary to indicate that on the day a procedure or service identified by a cpt code was performed, the patient's condition required a significant, separately identifiable e/m service above and beyond the other service provided or beyond the usual preoperative and postoperative care associated with the procedure that was performed. a significant, separately identifiable e/m service is defined or substantiated by documentation that satisfies the relevant criteria for the respective e/m service to be reported (see evaluation and management services guidelines for instructions on determining level of e/m service). the e/m service may be prompted by the symptom or condition for which the procedure and/or service was provided. as such, different diagnoses are not required for reporting of the e/m services on the same date. this circumstance may be reported by adding modifier 25 to the appropriate level of e/m service. note: this modifier is not used to report an e/m service that resulted in a decision to perform surgery. see modifier 57 for significant, separately identifiable non-e/m services, see modifier 59. | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| Pre-1990 | Added | Code added. |
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