Coding Brief: Infant Pulmonary Function Testing (May 2010)

May 2010 page 7 Coding Brief: Infant Pulmonary Function Testing In the past, infant pulmonary function tests were restricted to research laboratories. Technology now exists that will allow clinicians to replicate adult-type pulmonary function tests (PFTs) in sedated infants. The raised volume rapid thoracoabdominal compression (RVRTC) technique replicates adult-type spirometry, and, when combined with body plethysmography, allows complete fractional lung volumes to be calculated in infants. RVRTC involves the placement of an inflatable vest and a mask on the infant, after which forced expiratory flow and lung volume measurements are then obtained in the usual manner. Moderate sedation must...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers infant pulmonary function testing and the CPT 2010 reporting framework surrounding it. It is aimed at coding professionals, respiratory and pediatric clinicians, and billers who need to understand the scope of the new CPT codes, related moderate sedation placement, and general reporting considerations discussed in the CPT Assistant brief.

Why This Topic Matters

Infant pulmonary function testing has specialized reporting considerations that differ from routine adult testing and from evaluation and management services. Understanding the CPT 2010 guidance helps users recognize when these services fall within the brief’s scope and how the article frames the associated coding updates.

Article Sections

  1. May 2010 page 7

    Publication and page reference information for the brief.

  2. Coding Brief: Infant Pulmonary Function Testing

    Overview of infant pulmonary function testing, including the clinical context for respiratory testing in sedated infants and the general purpose of the article.

  3. New CPT Codes (94011-94013)

    Introduction to the CPT 2010 code additions and the broad categories of infant pulmonary function testing they address.

  4. Coding Tip

    General reporting notes about how the infant pulmonary function testing codes relate to one another and to other services discussed in the brief.

  5. Coding Tip

    Additional reporting guidance addressing how one of the CPT codes may be paired with other infant pulmonary function testing services on the same day.

  6. Reference

    Citation information for the source reference supporting the article.

What You Will Learn

  • The clinical setting and purpose of infant pulmonary function testing
  • Which CPT 2010 additions are discussed in the brief
  • How the article frames reporting considerations for associated respiratory testing services
  • The role of moderate sedation and related CPT appendix context as described in the brief

Who Should Read This

  • Medical coders
  • Billing staff
  • Respiratory therapy professionals
  • Pediatric pulmonary clinicians
  • Compliance and reimbursement staff

Codes Discussed

Code Ranges Discussed


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