AMA CPT® Assistant - 2019 Issue 3 (March)

Medicine: Pulmonary (Q&A) (March 2019)

March 2019 page 11 Medicine: Pulmonary Question: If spirometry is the basic element of pulmonary function testing, what was the rationale for excluding spirometry from the descriptor of code 94618 and including spirometry in the descriptor of code 94617? Also, is it appropriate to report both codes 94617 and 94618 during the same session? Answer: Many of the tests found in the Pulmonary Diagnostic Testing and Therapies subsection (94010-94799) do not include and/or require spirometry. Code 94618, Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed, describes a pulmonary exercise...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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