Pediatric Coding Alert

Did You Code the Session Correctly?

Published on Sat Feb 01, 2003

The pediatrician and nurse perform seven procedures (coding options follow each procedure):

1-2. Pulse oximetry x 2:

94760 x 2 (Noninvasive ear or pulse oximetry for oxygen saturation; single determination)

or 94760-59 (Distinct procedural service) x 2

3. Spirometry before and after bronchodilation:

94060 (Bronchospasm evaluation: spirometry as in 94010, before and after bronchodilator [aerosol or parenteral])

or 94060-59

4. Spirometry:

94010 (Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement[s], with or without maximal voluntary ventilation)

or 94010-59

5-6. Bronchodilation x 2:

94640, 94640-76 (Repeat procedure by same physician)

or 94640, 94640-51 (Multiple procedures)

or 94640 x 2

or 94640-59 x 2

7. Training:

optimal 94664; if the payer accepts 94664, bill it

or 94664-59

or an E/M (include the training in 9921x) and appeal.

And two services (applicable codes follow):

8. An established patient office visit:

9921x, probably 99214-99215

or 9921x-25.

9. An emergency service:

99058.

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