2025 CPT code 94668
(Active) Effective Date: N/A Revision Date: N/A Pulmonary Diagnostic Testing and Therapies - Pulmonary Procedures Medicine Services and Procedures Feed
Subsequent manual chest physical therapy to mobilize lung secretions.
Modifiers may apply depending on the circumstances of the service (e.g., 59 for distinct procedural service, 76 for repeat procedure by the same physician).
Medical necessity for subsequent chest physical therapy is established based on the patient's ongoing need for airway clearance.This is commonly indicated by the persistence of respiratory symptoms (cough, increased sputum production, shortness of breath) and/or the presence of retained lung secretions despite other treatments. Documentation should support the continued need for the therapy.
The physician or qualified healthcare professional performs manual chest physical therapy techniques to remove airway secretions and improve respiratory efficiency.This involves techniques such as cupping, percussing, postural drainage, and the use of a hand-held vibration device.
In simple words: The doctor performs a follow-up chest treatment to help clear lung mucus.This involves techniques like tapping and vibration on the chest and back.
This CPT code, 94668, represents subsequent manual chest physical therapy.The procedure involves chest wall manipulation techniques like cupping, percussing, and using a hand-held vibration device to remove airway secretions and improve respiratory function.This is used for follow-up treatments after an initial session (coded as 94667).
Example 1: A patient with cystic fibrosis receives follow-up chest physiotherapy after an initial session to help clear mucus from their airways., A patient post-thoracotomy (chest surgery) requires additional manual chest physical therapy to assist with mucus clearance and improve lung function., A patient with chronic obstructive pulmonary disease (COPD) receives repeated manual chest physical therapy sessions as part of their ongoing respiratory management plan.
* Documentation should include the date of service.* The number of sessions should be documented.* A note should be added specifying the techniques used (e.g., cupping, percussion, vibration).* The patient's response to the therapy and any observed changes in respiratory status should be documented.* Documentation should clearly indicate this is a *subsequent* treatment and reference the initial treatment (94667).
** This code is for manual chest physical therapy techniques only.Mechanical techniques (e.g., using a mechanical vest) are coded separately (94669).
- Revenue Code: P6C (MINOR PROCEDURES - OTHER)
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Pulmonology, Respiratory Therapy
- Place of Service:Office, Hospital Inpatient, Hospital Outpatient, Skilled Nursing Facility, Other