tci Part B Insider - 2004 Issue 6

Pulmonary Function Tests: Unbundling Is a Constant Danger With Spirometry Claims

Pay attention to NCCI edits, common senseBilling for pulmonary function tests, also known as spirometry, can be a minefield.There are about 20 codes describing PFTs in the pulmonary section of the CPT book. "Some of these codes' descriptors make it clear that one code is distinct from others in the section, while other codes are ambiguous," says Jean Acevedo with Acevedo Consulting in Delray Beach, Fla. If you follow the CPT book and your physician's documentation in coding for a claim, you may find yourself accused of unbundling.  It's difficult to receive payment for PFTs separate...

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