MEDICAL BILLING AND CODING

Wednesday, September 18, 2013

Spirometry Reimbursement Guidelines

94010 - Spirometry  including calculation of the FVC, FEVI, and
optionally ow rate measurements. A graphic record as well as an interpretation must be included


94060 Bronchospasm Evaluation - Spirometry as in 94010 above before and after administration of a bronchodilator 


95070 Inhalation Challenge Testing with histamine, methacholine or similar bronchoprovocation agent

94070 Functional Residual Capacity Multiple spirometric determinations after bronchodilator with spirometry as in 94010


94150 Vital Capacity - Spirometry, Slow Vital Capacity


94200 Maximum Voluntary Ventilation - Maximum breathing capacity, maximum volume ventilation


94375 Flow Volume Loop - Respiratory ow volume loop


94664 Bronchodilator Administration - Aerosol or vapor inhalation.



ICD-9 Codes for Spirometry

466 - 466.19     Acute bronchitis and bronchiolitis
490                 Bronchitis, not specified

491 – 491.9      Bronchitis Chronic

492 – 492.8      Emphysema

493 – 493.91    Asthma 
494                 Bronchitis


496                  Chronic airway obstruction, not elsewhere classified

508 – 508.9      Respiratory condition due to other and unspecified external agents
518.9               Other diseases of respiratory system
519.1               Bronchospasm
780.51             Insomnia with sleep apnea 
786.2               Cough
780.53              Hyperinsomnia with sleep apnea
793.1              Abnormal chest x-ray
786                 Abnormal chest sounds
277                 Cystic Fibrosis 
790.7              Chronic fatigue  
787                Heartburn 

E942.9           Other unspecified agents primarily affecting the cardiovascular system
305.1             History of tobacco abuse

V13.8             History of thyroid disorder

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