Results 1 to 4 of 4

Pulmonary Function test

  1. Default Pulmonary Function test
    Medical Coding Books
    Struggling with the reading of pulmonary functions test. The main componet is either 94010 or 94060 but wondering if there are other componets that could be charged? The report reads as follows.

    The forced vital capacity was 5.25 liters or 98% predicted. FEV1 was 3.49 liters or 82% of predicted. FEF 25/75 was 1.93 lieters or 46% of predicted. Total lung capacity was 7.99 liters or 105% of predicted. The patient had a very mildly diminished residul volume at 80% of predicted. DLCO was actually high at 139% of predicted. The patient demonstrated good cooperation and effort. Flow volume loops are normal. The patient did not receive bronchodilator.

    I know that the 26 modifier has to be added because it is just the interpretation

  2. #2
    Richmond, VA
    The lung volumes (total lung capacity) and the DLCO (diffusion capacity) would also be able to be coded based on the documentation you posted.
    In 2011 -
    94720 for DLCO/Diffusion capacity
    94240 - 94260 - could have been choices for the lung volumes

    In 2012 -
    +94729 for DLCO
    For the lung volumes you would need more documentation stating whether they were done by plethysmography/body box or not, but the choices would be 94726/94727

    Hope this helps...
    Annemarie Lincoln, CPC
    Richmond, VA

  3. #3
    The way to bill this correctly would be the following way, for 2012:

    94375-26 - Flow Volume Loop
    94727-26 - Gas dilution or washout for determination of
    lung volumes and, when performed, distribution of
    ventilation and closing volumes
    +94729-26 - Diffusing capacity (eg, carbon monoxide, membrane)
    (List separately in addition to code for primary procedure)

    If your using body box replace 94727 with 94726.

    For 2011:

    94375 - FLow Volume Loop
    94240 - Lung Volumes
    94720 - Diffusing Capacity

  4. #4
    Richmond, VA

    How did you determine the lung volumes in 2012 would be 94726 without mention of being done via body box or gas washout?
    Also curious why you chose 94375 instead one of the spiro code 94010?

    Just comparing notes to make sure I understand what I was doing :-)

    Annemarie Lincoln, CPC
    Richmond, VA

Similar Threads

  1. COSMED and Pulmonary Function
    By nazcoder in forum Billing/Reimbursement
    Replies: 0
    Last Post: 01-02-2015, 04:51 PM
  2. Pulmonary Function Billing
    By in forum Internal Medicine
    Replies: 1
    Last Post: 08-19-2013, 01:21 PM
  3. PFT Pulmonary Function Test
    By Bobby A in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 06-03-2010, 01:53 PM
  4. Replies: 1
    Last Post: 05-12-2010, 08:10 AM
    By opiecpc in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 08-12-2009, 03:23 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?


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.