Don't have a TCI SuperCoder account yet? Become a Member >>

Pulmonology Coding Alert

You Be the Expert:
Scrutinize Diagnosis for At-Home Spirometry

Question: One of our patients has unstable bronchospasms due to emphysema and therefore performs at-home spirometry once a month. The data is transmitted to our pulmonologist and he evaluates her condition. This was not a problem with the patient’s previous insurer, but she recently switched to Aetna and they’ve been denying the charges for 94016 even though we never bill it [...]