Chronic Obstructive Pulmonary Disease (COPD) is an evaluation and management report and coverage issues. It includes references and resources and is new for 2007.
Contents
Introduction
Screening
Pulmonary function tests (description, indications):
Blood gases,
Diffusion capacity, Lung compliance;
Exhaled Nitrous Oxide
Lung volumes,
Metacholine challenge,
Pulse Oximetry, Overnight home-based oximetry
- Spirometry; Transtelephonic spirometry
- Vital capacity,
- Cardiopulmonary exercise testing
- Exhaled nitric acid testing for pulmonary disorders
- References/resources for pulmonary function tests
Fiberoptic bronchoscopy
Fluorescence bronchoscopy/endoscopy
Total body plethysmography
Pilocarpine iontophoresis sweat test, quantitative
‘Virtual’ lung scans or Electron-beam computed tomography
Obstructive Sleep Apnea (OSA)
Sleep disorder studies/Polysomnography
- Sleep disorder studies/Polysomnography
- Actigraphy testing
- Multiple sleep latency test (MSLT)
Obstructive Sleep Apnea (OSA) Therapies
- CPAP for obstructive sleep apnea
- Noninvasive positive-pressure ventilation (NPPV)/Bilevel Positive Airway Pressure (BiPAP)
- Sleep Apnea, Noninvasive Positive Pressure Ventilation (NPPV)/Bi-PAP, C-PAP – References/resources
- Palatal implants for obstructive sleep apnea (OSA)
- Osteotomy (Maxillary, Mandibular) for sleep apnea
- Uvulopalatopharyngoplasty (UPPP) and palatopharyngoplasty (PPP)
- Laser Assisted Uvulopharyngoplasty (LAUP)
- Radiofrequency volumetric tissue reduction (RFVTR) Uvulopharyngoplasty
- Weight reduction for OSA
COPD - Therapies
Cryotherapy for malignant endobronchial obstruction
Electrophrenic Pacemaker/Diaphragmatic/Phrenic Nerve Stimulator
Inhaled nitric oxide (INO)
Lung volume reduction surgery (LVRS)
Noninvasive Positive-Pressure Ventilation (NPPV)
Phrenic nerve pacing/Diaphragm pacing/Phrenic nerve stimulator
Pneumonia: Admission criteria; Duration and necessity of IV antibiotics; LOS
Respiratory Therapy Services/Physiotherapy
- Postural Drainage Procedures and Pulmonary Exercises
Pulmonary Rehabilitation (PR)
- Outpatient Pulmonary Rehabilitation (PR)
- Pulmonary Rehabilitation – reference/resource list
Smoking Cessation Benefits/Coverage
Pulmonary/lung transplants - coverage
Notes
Pulmonary/Respiratory DMS/DME
Airway Clearance/High Frequency Chest Wall Oscillation Devices
Mechanical in-exsufflation/in-exsufflator devices
Intrapulmonary Percussive Ventilator (IPV), Medicare NCD
Nebulizers
Oxygen coverage guidelines, outpatient
- Portable oxygen guideline
- Oxygen for travel
- Prescribing oxygen therapy; references
Peak expiratory flow meters
Postural drainage boards/Standers, Boards and Tilt Tables
Respiratory Assist Devices
Suction pumps
Vaporizers
References/Resources
American Association of Respiratory Care: Clinical Practice Guideline – links
Reference/resource list by topic
Web resources - links
Pulmonary Notes