PFT with MIP/MEP

What CPT code(s ) do you use to report a PFT with MIP/MEP? Do you report the reading of the test separately? If so, what is the correct modifier?

Thank you!

Pft

94200 Maximum breathing capacity, maximal voluntary ventilation (MVV). If done alone.

94010 (Includes 94200) Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without MVV. CPT 94010 is typically the initial procedure--spirogram--in determining the underlying cause of a respiratory condition or disease. The procedure is used in the initial stages of the diagnosis process to differentiate between obstructive and restrictive disorders.

Bill what is documented.

PFT with MIP/MEP

Thank you nmcguire!!

Carole0403

re: PFT

Nancy-
What is your thought when 94010 is billed, with say, 31231? If insurance is denying as "incidental to the surgery or anesthesia and are denied as included in the surgical/anesthesia fee." I suppose there is no modifier needed and this is a Medicaid. Please advise

re: PFT

The nasal endoscopy should have a separate diagnosis of medical necessity. The spirometry is a pulmonary function and requires a diagnosis to support this procedure.
Both would need a separate reason for the diagnostic testing. Medicaid should be able to tell you if a modifier is needed (ex, 59).