Respiratory Question for the Week of February 20, 2023

Question:

Do you have any billing tips for reporting 94010?

Answer:

All components of the description must be ordered and performed and medically necessary for appropriate payment by the federally funded programs. If you do not perform the spirometry as described, you cannot use this code. If you do everything described plus additional parameters, then bill 94010 plus the extra tests, if separately reportable. Maximal voluntary ventilation (MVV) is optional. If you perform the maximal voluntary ventilation you cannot bill code 94200 in addition to 94010. If you do not perform the MVV, payment is not reduced nor does it preclude the use of the 94010 CPT® code.

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