Respiratory Question for the Week of August 28, 2017

Question:

Is physician office-based spirometry covered by Medicare?

Answer:

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.”

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.

Respiratory Question for the Week of August 28, 2017

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