tci Part B Insider - 2013 Issue 31

Reader Question: Know When Modifiers Apply to Spirometry

Question: I am new to pulmonology coding. I see there are many different codes to report for pulmonary function tests. If our pulmonologist performs a spirometry, what all tests will get included in it? What is the documentation that I need to submit for the spirometry? If he performs only an interpretation of the test, should the code that I report specify that only an interpretation was done by appending the modifier 26? Answer: Spirometry typically includes calculation of the FVC (Forced Vital Capacity), FEV1 (forced expired volume in one second), FEF (forced expiratory flow) and optionally ­flow...

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