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