tci Part B Insider - 2015 Issue 27

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

Hint: Double check the “medically necessary” codes allowed by your payer. Spirometry is one of the most frequent diagnostic tests used by pulmonologists to confirm various pulmonary diseases. However, you need to remember two things while reporting the diagnostic codes to support it: specificity and medical necessity. Background: Pulmonologists use spirometry (94010, Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement[s], with or without maximal voluntary ventilation; and 94060, Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration) to measure how quickly the patient’s lungs can move air in and out...

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