AHA Coding Clinic® for HCPCS - 2012 Issue 1; ASK the EDITOR

Bronchospasm Provocation Evaluation

A patient presented to have a spirometry test for bronchospasm provocation evaluation performed.  However, an asthma attack was triggered due to one of the agents utilized to perform the test. An inhalation treatment was provided to reverse the effects of the test and to aid the patient in breathing more comfortably. Would it be appropriate to report CPT codes 94070, Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine), and 94640, Pressurized or nonpressurized inhalation treatment for acute airway obstruction or for sputum induction for diagnostic purposes (eg, with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing [IPPB] device), with Modifier 59, Distinct Procedural Service, appended to identify that procedure was performed during the same encounter? ...

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