Is physician office-based spirometry covered by Medicare?
According to the American Association of Respiratory Care (AARC), physician office-based spirometry is covered if it meets the criteria stated in the code description below, produces a tracing, and measures all the elements mentioned.
|94010||Spirometry, including graphic tracing, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation (Do not report 94010 with 94150, 94200, 94375, 94728.)|
AARC also says, “If conducting spirometry on the same day as a scheduled office visit, modifier 25 should be appended to the appropriate E/M code to indicate that the E/M service is a separately identifiable service from spirometry, e.g., 99213-25 plus 94010.”