THEN and NOW: Spirometry and Bronchospasm Provocation Evaluation (November 2012)

November 2012 page 11 THEN and NOW: Spirometry and Bronchospasm Provocation Evaluation THEN The January 1999 edition of the CPT Assistant discussed the reporting of CPT code 94070, Prolonged postexposure evaluation of bronchospasm with multiple spirometric determinations after antigen, cold air, methacholine or other chemical agent, with subsequent spirometrics. For CPT 1999, code 94070 was editorially revised by deleting the reference to "spirometry as in 94010" and replaced it with "subsequent spirometrics" to provide clarity on the intended use of the code. When code 94010 is performed as the initial spirogram, it is usually performed as a preliminary test...

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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 CPT Assistant article explains how guidance for spirometry and bronchospasm provocation evaluation evolved over time and why that matters for current reporting. It is aimed at coding professionals, respiratory therapy and pulmonary practices, and hospital-based billing staff who need a clear overview of the relevant CPT, HCPCS Level II, and modifier references discussed in the context of pulmonary function testing and inhalation challenge services.

Why This Topic Matters

Accurate understanding of this topic helps readers recognize how respiratory testing services are discussed in CPT guidance and how associated supplies and components are addressed in a billing context. The article is relevant for those reviewing pulmonary testing documentation, service components, and component reporting conventions.

Article Sections

  1. November 2012 page 11

    Article placement information and the introductory framing for the topic.

  2. THEN

    Historical discussion of earlier CPT Assistant guidance and how the topic was addressed in prior editions.

  3. NOW

    Updated discussion of the current CPT Assistant perspective on spirometry and bronchospasm provocation evaluation.

  4. Methacholine Challenge

    Overview of the challenge study context, associated supplies, and related reporting references.

  5. Modifier Reporting with Bronchospasm Provocation

    Discussion of modifier usage and component reporting in a hospital laboratory setting.

What You Will Learn

  • How the article frames the evolution of CPT Assistant guidance on pulmonary testing services.
  • Which general service categories are discussed in connection with bronchospasm provocation evaluation.
  • How the article addresses related supply and component reporting concepts.
  • What types of modifier-related issues are raised for hospital and physician reporting.

Who Should Read This

  • CPT coders
  • Pulmonary and respiratory practice staff
  • Hospital billing personnel
  • Compliance and reimbursement teams
  • Medical coding educators

Codes Discussed

Modifiers Discussed


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