What is procedure code 94010?

What is procedure code 94010?

LUNG FUNCTION TESTS CPT code 94010, “Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation,” may be separately reported when performed and documented with a six-minute walk test.

What are normal spirometry levels?

Normal Values of Pulmonary Function Tests

What is the difference between 94010 and 94375?

Spirometry (94010) is the basis for pulmonary function testing. When it is performed before and after the administration of a bronchodilator, report 94060. A flow volume loop (94375) is included in codes 94010 and 94060. Code 94010 is not included in codes 94726 and 94727; they are reported separately.

Does CPT code 94010 need a modifier?

Examples for Pulmonary Function Test CPT Codes A provider billed CPT code 94010 (Breathing capacity test) with no modifier for date of service.

Is CPT 94010 covered by Medicare?

Provision of services described by CPT codes 94011, 94012 and 94013 must be accomplished with a physician in attendance at the bedside. Medicare will not cover these services if provided by an IDTF….Pulmonary Function Testing CPT code 94010 – 94770.

How do you bill for spirometry?

Spirometry – CPT codes for Spirometry include 94010, 94011, 94012, 94060, 94070, 94150, 94200, 94375, 94726 and 94727. Routine and/or repetitive billing for unnecessary batteries of tests is not clinically reasonable. Lung Volume – CPT codes for lung volume determination are 94013, 94726, 94727 and 94728.

What do the numbers mean on a spirometer?

It simply describes the volume of air you can exhale in a one-second period. Like the FVC score, your FEV1 means little by itself. After all, your total lung capacity is only a number until it is compared to what is universally “normal.”

What testing measures lung capacity and is reported using codes 94010 94070?

Spirometry
Spirometry is reported with code 94010, which includes the measurement of vital capacity (94150), maximal breathing capacity (94200), and flow volume loop (94375), when performed.

Does spirometry need a modifier?

Office Spirometry If conducting spirometry on the same day as a scheduled office visit, Modifier 25 should be appended to the appropriate E/M code to indicate that the E/M service is a separately identifiable service from spirometry, e.g., 99213-25 plus 94010.

Does Medicare cover spirometry test?

Medicare does not cover screening tests. It also excludes studies as part of a routine exam, and studies as part of an epidemiological survey.

How Much Does Medicare pay for spirometry?

Medicare covers 80% of the fee schedule (Table 1) or the actual charge from the physician, whichever is lower. Physicians may bill the Medicare beneficiary and/or the secondary carrier for the remaining 20% of the allowed amount.