Question:

What is the APC status indicator for 94016?

Answer:

For 2021, code 94016 has been assigned an APC status indicator of “A” and is payable to the interpreting physician or other qualified health care professional. Some payers and Medicaid plans such as Medi-Cal consider 94016 a professional fee-only code.

This question was answered in our Coding Essentials for RT/Pulmonary Function. For more hot topics relating to respiratory services, please visit our store or call us at 1.800.252.1578, ext. 2.

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