94150 vs. 94200

ppamela2

Guest
Messages
6
Best answers
0
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

Guest
Messages
113
Best answers
0
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

Expert
NAB Member
Messages
348
Location
Mound, MN
Best answers
0
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

Guest
Messages
6
Best answers
0
Thanks

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