Results 1 to 6 of 6

Pulmonary Function Tests

  1. #1
    Location
    Harrisburg, PA
    Posts
    38
    Question Pulmonary Function Tests
    Exam Training Packages
    Can anyone help with coding for pulmonary function tests. Prior to January 01, 2012 the pft's were billed as 94010/94060, 94240, 94720, 94260, and 94360. Starting in January three of these CPT's were deleted. The ones I am questioning are 94240, 94260 and 94360. It appears as though 94726 is replacing these codes. I tried to bill medicare using 94726 with three units. Medicare denied stating maximum number of units were exceeded.

    Any help would be appreciated.

  2. #2
    Default Pft
    We worked with our cardiology department to show them the changes and they helped decide on the new code assistnments.

    We code 94240 now to 94727
    94260 to 94727 with add on code 94729

  3. #3
    Location
    Harrisburg, PA
    Posts
    38
    Default
    are you getting paid this way?

  4. #4
    Location
    Jackson, TN
    Posts
    76
    Default
    DLCO 94720 would now be 94729. As far as 94240,94260, and 94360 the cross walk i have shows it is replaced with 94726 and 94727 however you cant bill these together per CPT. I was also wondering what to bill in replace of these codes if you find a definite answer. 94726 pays more than 94727

  5. #5
    Location
    Jackson, TN
    Posts
    76
    Default
    Oh and also the reason you are getting the denial is because you can only bill 1 unit with 94726. It has a MUE of one unit per day

  6. Default 94726 - Body Box (Body Plethsomography)
    Does anyone know if you can bill 97750 with 94726 - we have read that it can be as the 97750 is for measuring performance with an interpretation. We do the body box and interp in the office. However I can only find documentation on the 97750 as it pertains to phsysical therapy. Any help is appreciated.

Similar Threads

  1. Pulmonary Function test
    By jlb1121 in forum Internal Medicine
    Replies: 3
    Last Post: 03-01-2012, 06:23 PM
  2. Pulmonary function testing-According to CPT
    By Lana Ness in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 12-23-2009, 10:45 AM
  3. pulmonary function studies
    By cynthiaj54 in forum Internal Medicine
    Replies: 0
    Last Post: 12-03-2009, 09:47 AM
  4. PULMONARY FUNCTION TEST-Help Me.
    By opiecpc in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 08-12-2009, 04:23 PM
  5. Pulmonary function coding
    By alka in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 06-02-2008, 05:08 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.