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Pulmonology Coding Alert

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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 [...]