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August 23, 2018

Billing Reminders for Secondary Ventilators

CGS has seen a recent upsurge in the number of ventilator (E0465 and E0466) claims with incorrect, invalid, or unnecessary notes. Please take a few moments to review these billing reminders…

Here is an example how a claim with two billed ventilators should look (notes are necessary for the secondary ventilator only):

Line From To Procedure Submitted $$ NOS (No. of Services)
Line 1 080118 080118 E0466RR 1000.00 001
Line 2 080118 080118 E0466RR 1000.00 001
NTE Note for Line 2: Secondary vent on wheelchair for use during the day–life sustaning

If you have questions about coverage and coding for a ventilator, please refer to our "Correct Coding for Ventilators" article on the CGS website.

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