Respiratory Question for the Week of November 5, 2018

Question:

What billing tips can you provider for code 94200 (maximum breathing capacity, maximal voluntary ventilation [MVV]), which we often use as a preoperative procedure?

Answer:

MVV is considered a component of the following codes, so billing 94200 on the same date of service (DOS) as the following is double billing and will result in a denial. If a MVV is performed separately on the same DOS as another MVV or a spirometry, be sure to append an appropriate modiﬁer.

94010	Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation
94060	Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration
94070	Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (e.g., antigen[s], cold air, methacholine)

Also be aware that in procedure-to-procedure edits of the National Correct Coding Initiative (NCCI), code 94200 is a column 2 code when billed with the above codes and a modifier is allowed.

This question was answered in the 2018 edition of our Coding Essentials for RT/Pulmonary Function. For more hot topics relating to respiratory therapy services, please view our store, or call us at 1.800.252.1578 ext. 2.

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.

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Respiratory Question for the Week of November 5, 2018

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