| Test |
CPT Code |
Rule |
Description |
|
94010 |
Expiratory spirometry only |
Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), and/or maximal voluntary ventilation |
FVC |
94060 |
Pre and post spirometry, also charge for bronchodilator (see below) |
Bronchospasm evaluation: spirometry as 94010, before and after bronchodilator (aerosol or parenteral) or exercise |
|
94375 |
When flow volume loop is performed and printed (use with 94010 and 94060) |
Respiratory flow volume loop |
SVC |
94150 |
Slow Vital Capacity (can be used w/ other codes if other tests are given) |
Vital capacity, total (separate procedure) |
MVV |
94200 |
MVV when given alone w/o a standard spirometry (if given w/ a standard spirometry, it is included in 94010) |
Maximum breathing capacity, maximal voluntary ventilation |
FRC |
94240 |
Lung Volumes |
Functional residual capacity or residual volume: helium method, nitrogen open circuit method, or other method |
DLCO |
94720 |
Diffusion Study (DLCO) |
Carbon monoxide diffusing capacity, any method |
|
94070 |
Multiple challenge tests, also charge 94010 for the initial "base" spirometry stage |
Prolonged post-exposure evaluation of bronchospasm w/ multiple spirometric determinations after test dose of bronchodilator (aerosol only) or antigen, w/ spirometry as in 94010 |
Challenge |
95070 |
Administration of challenge agent |
Inhalation bronchial challenge testing (not including necessary pulmonary function tests); w/ histamine, methacholine, or similar compounds |
|
94664 |
Administration of bronchodilator |
Aerosol or vapor inhalations for sputum mobilization, bronchodilation, or sputum induction for diagnostic purposes; initial demonstration and/or evaluation |
Raw |
94360 |
Airways Resistance |
Airways resistance and specific conductance by plethysmography. |
VTG |
94260 |
Thoracic Gas Volume |
By plethysmography |
Plethsmography |
93720 |
Total body plethysmography |
Complete service (can not be billed if 94360 & 94260 used) |
The below are a sampling of amounts paid by Medicare. Please check with your local provider for up to date reimbursement fees.
All instruments are also capable of running Bronchial Challenge tests (CPT codes 95070 and 95664)
