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The procedure described by CPT® Code 94668 involves the manual manipulation of the chest wall, which is performed to enhance lung function by breaking up secretions within the lungs. This technique is particularly beneficial for patients who may have difficulty clearing mucus or other secretions due to various respiratory conditions. The manipulation is executed using the hands or a hand-held oscillating device, allowing for targeted treatment of specific lung areas. During the procedure, the patient is positioned either lying down or sitting up, which facilitates the use of percussion, vibration, and gravity to effectively dislodge secretions. The respiratory therapist or qualified healthcare professional employs cupped hands to create a forceful, rhythmic percussion against the chest wall, focusing on the lung regions that require drainage. Following this, vibration is applied by placing flat hands over the targeted lung area and moving the chest musculature to create vibrations that further assist in loosening secretions. After the percussion and vibration techniques, the patient is encouraged to take deep breaths, which helps to maximize air intake into the lungs. This is often followed by a forced exhalation to stimulate the cough reflex, aiding in the clearance of the airways. If the patient finds coughing too exhausting, an alternative technique called huffing can be utilized, where the patient takes a deep breath and forcefully exhales to help clear the airways. The entire process is repeated with the patient in various positions to ensure comprehensive treatment of all lung areas that require manipulation. It is important to note that CPT® Code 94667 is used for the initial demonstration of the procedure and/or the initial evaluation of the caregiver performing the manipulation, while CPT® Code 94668 is specifically designated for evaluation and treatment on subsequent days.
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The procedure associated with CPT® Code 94668 is indicated for patients who require assistance in clearing secretions from the lungs to improve respiratory function. This may include individuals with conditions such as:
The procedure for CPT® Code 94668 involves several key steps aimed at facilitating lung function through manual manipulation of the chest wall. The following steps outline the process:
After the completion of the manipulation procedure, patients may experience temporary fatigue due to the physical exertion involved in deep breathing and coughing. It is important for healthcare professionals to monitor the patient for any signs of discomfort or respiratory distress. Patients are often advised to rest and hydrate adequately following the procedure. Additionally, they may be instructed to continue with breathing exercises at home to maintain lung function and facilitate further clearance of secretions. Follow-up evaluations may be necessary to assess the effectiveness of the treatment and determine if additional sessions are required.
| Short Descr | CHEST WALL MANIPULATION | Medium Descr | MANJ CHEST WALL FACILITATE LUNG FUNCTION SUBSQ | Long Descr | Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent | 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 | 2 | 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. | GW | Service not related to the hospice patient's terminal condition | 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). | GP | Services delivered under an outpatient physical therapy plan of care |
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| Pre-1990 | Added | Code added. |
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