Wiki 94150 vs. 94200

[ppamela2]

I work for Pediatricians who sometimes need to do a Peak Flow measure on children before and after medications are administered. 94150 (Vital capacity, total) is routinely being denied as included in 'another' service. Should we, perhaps, be using 94200 (Maximum breathing capacity, maximal voluntary ventilation), or should I modify 94150 somehow?

Thanks for your input!

Pamela

 

[donsqueen]

What services are you billing this with? E/M or preventive care visits probably need a modifier 25. Still no guarantee they won't be bundled though.

 

[pamtienter]

You could try the 25 modifier on the E/M but we don't have any payers that reimburse for a peak flow no matter what - modifier or not. It is considered included in the visit or other service provided that day.

 

[ppamela2]

Thanks

Thank you both for the information. We have tried using the -25 modifier, but it doesn't seem to make a difference.