2025 CPT code 94667

Chest wall manipulation, including cupping, percussing, and vibration, is used to improve lung function. This code covers the initial demonstration and/or evaluation.

If subsequent manual chest wall manipulation treatments are performed, use code 94668.For mechanical chest wall oscillation, use code 94669.

Modifiers may be applicable to this code. Refer to current CPT coding guidelines for appropriate modifier usage.

Medical necessity for 94667 must be supported by documentation demonstrating the patient's condition (e.g., cystic fibrosis, atelectasis, chronic bronchitis) and the need for manual chest physiotherapy to improve lung function and mobilize secretions. The documentation should clearly explain why these techniques are necessary and expected to benefit the patient.

The provider positions the patient, explains, and demonstrates manual techniques (cupping, percussing, vibration) to improve lung function and mobilize secretions.

In simple words: The healthcare provider performs chest physical therapy using manual techniques like cupping (rhythmic tapping), percussing (gentle striking), and vibration to help loosen and clear mucus from the lungs.This code represents the first session where the provider shows how these techniques are done.

Manual chest wall manipulation techniques, such as cupping, percussing, and vibration, are employed to mobilize secretions and enhance lung function. This code represents the initial demonstration and/or evaluation of these techniques.

Example 1: A patient with cystic fibrosis presents with difficulty clearing mucus from their airways. The provider performs an initial evaluation and demonstrates manual chest physiotherapy techniques, including cupping, percussing, and vibration, to the patient and/or caregiver., A postoperative patient experiences atelectasis (lung collapse). The provider performs initial chest wall manipulation to help re-expand the collapsed lung area and improve breathing., A patient with chronic bronchitis has excessive mucus buildup. The provider demonstrates manual chest physiotherapy techniques to aid in mobilizing secretions and improving airway clearance.

Documentation should include the patient's diagnosis, the specific manual techniques used (cupping, percussing, vibration), the area of the chest treated, patient tolerance, and response to the treatment.

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