CPT® Code 94667

Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation

The CPT® Code 94667 refers to the procedure of manipulation of the chest wall, which includes techniques such as cupping, percussing, and vibration. This manipulation is performed to facilitate lung function, particularly in patients who may have difficulty clearing secretions from their lungs. The procedure is typically conducted by a respiratory therapist or another qualified healthcare professional who uses their hands or a hand-held oscillating device to perform the manipulation. The patient is positioned either lying down or sitting up in various ways to optimize the effectiveness of the techniques employed. The primary goal of this procedure is to break up mucus and other secretions in the lungs, thereby improving respiratory function. The manipulation involves a series of steps, including percussion, where the therapist uses cupped hands to create a rhythmic tapping against the chest wall, and vibration, where flat hands are placed on the chest to create oscillatory movements that help mobilize secretions. Following these techniques, the patient is encouraged to take deep breaths and perform forced exhalations to stimulate the cough reflex, which aids in clearing the airways. This process may be repeated in different positions to ensure that all areas of the lungs that require treatment are addressed. The code 94667 is specifically used for the initial demonstration of this procedure and/or the initial evaluation of the caregiver performing the manipulation, while subsequent evaluations and treatments are reported using CPT® Code 94668.