Wiki Peak Flow

[ShellZ]

Is anyone billing a 94150 when doing a Peak Flow? I'm finding conflicting information, some saying it must be included in the E/M and can't be billed separately. Others saying that in the CPT Assistant Jul 05:11 it stated that this code could be billed for a peak flow.

Does anybody happen to have this article and what are other practices doing?

Thank you

Michelle

 

[pamtienter]

Almost all carriers don't reimburse the peak flow in addition to any other service - E/M or otherwise. You could check with your payers but we don't have any that do so we don't bill it. Medicare considers it a status "B" or bundled code and I think most carriers, around here anyway, are following that and use it as the reason not to pay.

 

[angelenaanold13]

We don't bill for them either at our office since most insurances consider them bundled into the visit.

 

[ajimenez54]

we do not bill for them at our office either as they are bundled into the E/M.