Part B Coding Coach: 3 Tips Lead You to Successful Spirometry Claims

Why This Topic Matters

Spirometry claims are often affected by diagnosis specificity and payer policy variation, so coders need a clear understanding of the documentation and coding issues that can influence reimbursement and denials.

Article Sections

1. Background

   Introduces spirometry in pulmonary practice and frames the article around diagnostic coding support for the service.

2. Negate Payer Rejection With the Highest Code Specificity

   Discusses the importance of diagnosis specificity, documentation completeness, and payer review when supporting spirometry claims.

3. Ramp up Your Reports for Error-Free Billing

   Covers periodic review of code reports, encounter form updates, and maintaining current diagnosis options for physicians.

4. Last Port of Call is Local Policies

   Explains the role of payer policies and medical-necessity lists in supporting spirometry billing and documentation review.