Heed pulmonary-testing code updates to trim denials, capture reimbursement

Why This Topic Matters

Pulmonary testing claims are frequent denial targets, so understanding the coding updates and coverage-related issues discussed here can help reduce rejected claims and improve reimbursement accuracy.

Article Sections

1. Coding

   Overview of the pulmonary testing and inhalation treatment services discussed in the article, with emphasis on coding updates and denial prevention.

2. Avoid above-average denial rates

   Discussion of denial trends, coverage considerations, diagnosis coding challenges, and billing practices associated with pulmonary function testing claims.

3. Watch bundled codes with 94010

   Coverage of spirometry-related bundling concerns and related reporting considerations for respiratory testing services.

4. Be careful on your 94640 frequency

   Discussion of frequency reporting concerns, repeated encounters, and modifier use associated with inhalation treatment services.