CPT^® 94726, Under Pulmonary Diagnostic Testing and Therapies

The Current Procedural Terminology (CPT^®) code 94726 as maintained by American Medical Association, is a medical procedural code under the range - Pulmonary Diagnostic Testing and Therapies.

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Summary

The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may include checking airway resistance.

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Pulmonary Coding Question

Our provider is a PCP but also specializes in Pulmonary. The doctor goes to the hospital and reads PFT's - we have been coding as follows: 94726, 94060 (with bronchodilator) or 94010 (without bronchod... [ Read More ]

Coding Pulmonary

Spirometry codes

Could anyone help me with a problem we are having about Highmark not paying for 94060 when we use it with 94729 and 94726 with modifier 26 for the interpretation of a complete PFT. They keep denying ... [ Read More ]

Spirometry Denials

I work at a Pulmonary office in Pennsylvania and we are having issues with Highmark denying 94060 when we bill it with 94726 and 94729 on the same date of service with modifier 26. They are saying max... [ Read More ]

Pulmonary function tests

I see this all the time and see no reason why 94010 would be denied unless there is a Payor specific issue. I have never seen it denied in my office so far and I see 94060 or 94010 billed all the tim... [ Read More ]

Codes that were paid on the same DOS but should not have been billed together do not report same dos

Hello, I know that the AMA CPT specifies that, 94010 Do not report it with codes 94150, 94200, 94375, or 94728. 94200 should not be reported with 94010 or 94060 94726 Do not report with 9... [ Read More ]

PFT coding help needed

Hello! I see under FVL section that it states Pre and post spirometry. That would be a 94060 (Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration). I do... [ Read More ]

Pulmonary Function Medicare Denials

[b]modifier question[/b] [QUOTE="renedepuy, post: 352350, member: 78105"]We are doing pulmonary function tests in the office. We are billing for the test on one day as follows: 94060 - TC 94726 - T... [ Read More ]

Pulmonary Function Medicare Denials

[b]Modifier Clarification[/b] We are doing pulmonary function tests in the office. We are billing for the test on one day as follows: 94060 - TC 94726 - TC 94729 - TC When the physician interprets... [ Read More ]

Modifiers on Pulmonary Function Testing

I am confused on which modifiers we should or should not use when billing for private office pfts for the following codes. Does anyone have any advice? We own the equipment and do the interp. E/M us... [ Read More ]

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