Pulmonology Coding Alert

Reader Question:

Coding for Procedure and Office Visit

Question: Can I bill for a peak flow (94150) when an office visit is also billed?

New Hampshire Subscriber

Answer: Code 94150 (vital capacity, total [separate procedure]) has a B status on Medicares physician fee schedule (2001). This indicates that payment for this code is bundled into the E/M service, such as an office visit (99201-99205) reported on a particular date of service. Thus, in the situation described, you cannot bill separately for the peak flow.
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