Pulmonology
What they do most for Medicare patients
| Service, sort | Times billed, sort |
|---|---|
| Test for exercise-induced heart and lung stress | 5,194 |
| Exam of lung airways using an endoscope | 5,288 |
| Smoking and tobacco use intensive counseling, more than 10 minutes | 5,291 |
| Insertion of artery tube for blood sampling or infusion through skin | 5,380 |
| Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle | 5,644 |
| X-ray of chest, 1 view | 5,936 |
| Telephone medical discussion with physician, 5-10 minutes | 5,956 |
| Annual depression screening, 5 to 15 minutes | 6,017 |
| Ultrasonic guidance for blood vessel access | 6,635 |
| Electrocardiogram (ecg) 1 to 3 leads with review by physician only | 7,378 |
| Blood test, lipids (cholesterol and triglycerides) | 7,407 |
| Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) | 8,133 |
| Administration of pneumococcal vaccine | 8,150 |
| Professional service for preparation and provision of single-dose vial of allergen | 8,202 |
| Professional service for multiple injections of allergen | 8,210 |
| Hemoglobin measurement | 8,402 |
| Ultrasound scan of chest | 8,429 |
| Emergent insertion of breathing tube into windpipe using an endoscope | 8,509 |
| Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 8,842 |
| Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 3 or more lymph nodes | 8,921 |
| Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 9,061 |
| Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 9,356 |
| Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 9,374 |
| Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 10,127 |
| Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 10,391 |
| Measurement of antibody (ige) to allergic substance, crude allergen extract, each | 11,072 |
| Therapy procedure using a positive pressure ventilator | 11,090 |
| Blood test, comprehensive group of blood chemicals | 11,416 |
| Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 1-2 lymph nodes | 11,617 |
| Follow-up inpatient or observation ventilation assistance and management | 11,640 |
| Nursing facility ventilation assistance and management | 12,399 |
| Exam of lung airways with diagnostic or therapeutic procedure on growths using an endoscope and ultrasound | 12,444 |
| Advance care planning, first 30 minutes | 12,871 |
| Aspiration of fluid from chest cavity using imaging guidance | 12,972 |
| Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 13,199 |
| Blood count, hemoglobin | 13,677 |
| Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope | 13,681 |
| Hospital discharge day management, 30 minutes or less | 14,199 |
| Computer-assisted image-guided navigation of lung airways using an endoscope | 14,387 |
| Aspiration of initial secretion of lung airway using an endoscope | 14,868 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 14,950 |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 15,065 |
| Administration and interpretation of patient-focused health risk assessment | 15,065 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 15,075 |
| Insertion of non-tunneled central venous tube for infusion (5 years or older) | 15,136 |
| Telephone medical discussion with physician, 21-30 minutes | 15,238 |
| Ct scan of chest without contrast | 15,452 |
| Telephone medical discussion with physician, 11-20 minutes | 16,489 |
| Test to measure oxygen level in blood using ear or finger device continuously overnight | 16,710 |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 17,236 |
| Hospital discharge day management, more than 30 minutes | 19,724 |
| Biopsy of lobe of lung using an endoscope, 1 lobe | 20,200 |
| Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 20,808 |
| Smoking and tobacco use intensive counseling, 4-10 minutes | 23,493 |
| Established patient office or other outpatient visit, 10-19 minutes | 23,774 |
| Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 24,514 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 25,892 |
| Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 25,978 |
| Test to measure largest amount of air breathed in an out | 26,253 |
| Professional services for outpatient pulmonary rehabilitation, per session | 28,103 |
| Sleep study including heart rate, breathing, and sleep time | 28,105 |
| Inhalation treatment for airway obstruction or sputum production | 31,577 |
| Administration of influenza virus vaccine | 33,112 |
| Professional service for preparation and provision of 1 or more antigens | 36,900 |
| Sleep study including heart rate, breathing, airflow, and effort | 40,124 |
| Test to measure the level of nitric oxide gas | 40,354 |
| Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) | 44,192 |
| Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 48,449 |
| New patient office or other outpatient visit, 30-44 minutes | 51,170 |
| Irrigation and suction of lung airways to obtain cells using an endoscope | 52,415 |
| Critical care, each additional 30 minutes | 54,817 |
| Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 55,732 |
| Insertion of needle into vein for collection of blood sample | 57,675 |
| Evaluation of use of breathing device | 59,138 |
| Injection of drug or substance under skin or into muscle | 61,099 |
| Sleep study in sleep lab (6 years or older) | 63,786 |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 66,763 |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 68,617 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 70,478 |
| Sleep study in sleep lab with continuous airway pressure (6 years or older) | 72,108 |
| X-ray of chest, 2 views | 90,102 |
| New patient office or other outpatient visit, 60-74 minutes | 103,059 |
| Test to measure rate of airflow | 112,640 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 113,919 |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 142,796 |
| Test for exercise-induced lung stress | 158,950 |
| Test to determine lung volumes using gas dilution or washout | 191,897 |
| Test for allergy using allergenic extract | 197,450 |
| New patient office or other outpatient visit, 45-59 minutes | 310,269 |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 341,885 |
| Established patient office or other outpatient visit, 40-54 minutes | 356,314 |
| Test to measure expiratory airflow and volume | 452,969 |
| Test to determine lung volumes using sensors | 476,258 |
| Test to measure expiratory airflow and volume changes before and after medication administration | 545,303 |
| Established patient office or other outpatient visit, 20-29 minutes | 720,070 |
| Test to examine how well the lungs exchange gases | 745,824 |
| Critical care, first 30-74 minutes | 1,045,835 |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 1,273,108 |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 1,401,376 |
| Established patient office or other outpatient visit, 30-39 minutes | 2,026,846 |
Sources: Medicare Care Compare (hospitals and schools; Medicare-enrolled clinicians), CMS Medicare Physician & Other Practitioners 2023 (services), Medicare Part D Prescribers 2024 (drugs).