Results 1 to 8 of 8

Sniff Test

  1. Question Sniff Test
    Medical Coding Books
    Hello,

    Does anyone know which cpt codes best describes a Sniff Test (Chest Fluoroscopy). Thanks

  2. #2
    Location
    Louisville, KY
    Posts
    1,101
    Default
    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.

  3. Default
    We use the CPT code - 76000 - Fluoroscopy (separate procedure), up to 1 hour physician time, other than 71030 or 71034.
    Last edited by MLMiksch; 01-18-2008 at 03:46 PM.

  4. #4
    Location
    Louisville, KY
    Posts
    1,101
    Default
    Sniff test is a bit different from shunto-grams, venograms and such. Perhaps what you're doing isn't a true sniff...

  5. Default Sniff Test
    Per: Radiology Coding Alert Online

    Index
    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.


    The
    Coding
    Institute




    75809 - Shuntogram for investigation of previously placed indwelling nonvascular shunt (e.g., LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation
    Last edited by MLMiksch; 01-18-2008 at 03:51 PM.

  6. #6
    Location
    Louisville, KY
    Posts
    1,101
    Default
    I think there was a mis-communication or lack of detail in the question. I am familiar with the Rad Coding Alert.

    Thanks.

  7. Default
    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.

  8. #8
    Location
    Louisville, KY
    Posts
    1,101
    Default
    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...

Similar Threads

  1. Code for Random Dot E test or RDE test
    By jweigel in forum Pediatrics
    Replies: 0
    Last Post: 07-01-2013, 10:24 AM
  2. Insulin tolerance test, water deprivation test, glucagon testing
    By andersee in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 05-30-2013, 12:02 PM
  3. Allergy Sniff Coding
    By patrish1121 in forum ENT/Otolaryngology
    Replies: 1
    Last Post: 03-02-2010, 08:09 PM
  4. CPT code for Fluroscopy Sniff Test????
    By mmfogel in forum Orthopaedics
    Replies: 1
    Last Post: 04-24-2008, 02:10 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.