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16.3.1 Procedure Codes
Procedure code 1-99503 is allowable for CRCP services.
The recommended frequency for procedure code 1-99503 is as follows: one visit daily for the initial seven days of home ventilation therapy; one visit every fourth day through the initial 30 days of home ventilation therapy; and one visit every four weeks thereafter.
Procedure code 1-99503 includes, but is not limited to, the following:
• Respiratory therapy services and treatments prescribed by the client's physician.
•Education of the client and/or appropriate family members/support people about the in-home respiratory care (must include the use and maintenance of required supplies, equipment, and techniques appropriate to the situation).
Procedure code 1-99503 may be reimbursed once per day, up to 24 visits per year.
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