Wiki Sniff Test


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Does anyone know which cpt codes best describes a Sniff Test (Chest Fluoroscopy). Thanks
Usually either 71023 or 71034 would be appropriate--depending upon what is done; also, be sure to append the appropriate modifier (if coding for a specific setting).

Hope this helps to narrow the field for you.
We use the CPT code - 76000 - Fluoroscopy (separate procedure), up to 1 hour physician time, other than 71030 or 71034.
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Per: Radiology Coding Alert Online:)

November, 2004

READER QUESTION: Sniff Out Reimbursement

Question: Our doctor performs a fluoroscopic "sniff" test for evaluation of the diaphragmatic motion. We bill procedure 76000 for the reports, but most insurance companies will not pay this. How should I code this for optimal reimbursement?

Georgia Subscriber

Answer: If the radiologist produced no films, you must report 76000 (Fluoroscopy [separate procedure], up to one hour physician time, other than 71023 or 71034 [e.g., cardiac fluoroscopy]), even if your insurance company won't pay.

If the procedure produced a two-view chest radiographic exam along with the fluoroscopic test, report 71023 (Radiologic examination, chest, two views, frontal and lateral; with fluoroscopy). If you have four views, report 71034 (Radiologic examination, chest, complete, minimum of four views; with fluoroscopy).

The sniff test involves fluoroscopy of the diaphragm while the patient sniffs to test for paralysis of the diaphragm. The failure of the insurance company to reimburse you may stem from the diagnosis code you pair it with. Your most likely option is ICD-9 code 519.4 (Disorders of diaphragm), so check with your payer to see if that code will yield reimbursement. But remember, you can only report the documented diagnosis.



75809 - Shuntogram for investigation of previously placed indwelling nonvascular shunt (e.g., LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation
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I agree with Radiology Coding Alert's explaination. But I am not clear how does shuntogram play a role here while the sniff test is a test at fluoroscopy for diaphragmatic function alone.
The mention of shuntograms and the like related to a statement concerning Mediport placement in the questioners follow-up. However, that statement was subsequently edited out (as per the edit note).

Therefore, my point in mentioning those appears moot...