Reimbursement Calculator
The return on investment for PFT with ComPAS2 is compelling.
At Morgan we strongly believe that you get what you pay for, which is why we don’t sell our software, we license it. For the cost of testing a few patients per year the ComPAS2 Software License guarantees that you will always have the most up to date software, customized reports and predicted sets, telephone and remote desktop support, and a partner that will listen to you. With a ComPAS2 Software License, Morgan Customers paid $0.00 for ComPAS2 Windows 10 support, ICD-10 capabilities, report & predicted set changes for clinical trials, and much more! How much did you pay?
Use the input boxes in the form below to enter the patient and test volumes for the appropriate test types to estimate the reimbursements. The rates below are representative national averages for both technical (testing) and professional (interpretation) charges.
Note: this calculator is for informational purposes only. Verify rates and rules with your carrier.
Spirometry
Reimbursement Code
Weekly Test Volume
Annual Reimbursement
CPT 94010 – $36.04
Spirometry (Pre-bronchodilator only)
$XX,XXX
CPT 94060 – $60.55
Bronchodilator Responsiveness tests (Pre & Post Bronchodilator)
$XX,XXX
CPT 94070 – $60.91
Bronchospasm Provocation Evaluation (Methacholine/Agent Challenge)
$XX,XXX
CPT 94617 – $93.12
Exercise Induced Bronchospasm
$XX,XXX
Total Annual Spirometry Reimbursement
$XX,XXX
Diffusing Capacity and Lung Volumes
Reimbursement Code
Weekly Test Volume
Annual Reimbursement
CPT 94729 – $57.38
Diffusing Capacity (DLCO)
$XX,XXX
CPT 94726 – $54.49
Plethysmograph Lung Volumes (VTG)
$XX,XXX
CPT 94727 – $44.39
Gas Dilution/Washout Lung Volumes (Helium Dilution or Nitrogen Washout FRC)
$XX,XXX
Total Annual PFT Reimbursement
$XX,XXX
Fractional Exhaled Nitric Oxide
Reimbursement Code
Weekly Test Volume
Annual Reimbursement
CPT 95012 – $24.00
Nitric oxide expired gas determination
$XX,XXX
Telemedicine with Lung Monitoring
Medicare patients enrolled in Home Lung Monitoring program
Months per year each patient will be monitored, on average
Reimbursement Code
Annual Reimbursement
CPT 99453 – $19 one time
Device education and training
$XX,XXX
CPT 99454 – $64 monthly
Device/transmission reimbursement
$XX,XXX
CPT 99457 – $51 monthly
Patient care plan management
$XX,XXX
Total Annual Telemedicine Reimbursement
$XX,XXX
Six Minute Walk with Pulse Oximetry
Reimbursement Code
Weekly Test Volume
Annual Reimbursement
CPT 94618 – $35.00
Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration
$XX,XXX
Oscillometry
Reimbursement Code
Weekly Test Volume
Annual Reimbursement
CPT 94728 – $67.20
Pulmonary Function by Oscillometry
$XX,XXX
Total Annual Reimbursement:
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