Question:
Does Medicare cover codes 94014 and 94015? We seem to be running into problems when reporting these.
Answer:
Codes 94014 and 94015 are generally considered not covered by Medicare since their clinical efficacy has not been established, even though 94014 and 94015 have been assigned APCs. Many states have coverage policies for patient-initiated spirometric recording. It is recommended that you check with the Medicare payer for coverage policies relevant to your facility.
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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Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
CPT is a registered trademark of the American Medical Association.
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