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Spirometry CPT Codes Guidelines Spirometry Indications Dyspnea (shortness of breath) Exercise-included coughing Chest tighness Smokers over 45 years of age (NLHEP recommendation) Obesity Pre-operative testing Occupational exposure to dust and or/ chemicals Ongoing assessment of patients receiving bronchodilator treatments Determination and/or documentation of pulmonary disability Asthma diagnosis Pre-existing pulmonary dicease Frequent colds Assessment of congestive heart failure CPT Codes 94010 FVC TEST - $30.00 Spirometry (Forced Vital Capacity Maneuver) including calculation of the FVC, FEVI, and optionally ﬂow rate measurements. A graphic record as well as an interpretation must be included 94060 Bronchospasm Evaluation - $57.37 Spirometry as in 94010 above before and after administration of a bronchodilator or before and after exercise. 95070 Inhalation Challenge Testing with histamine, methacholine or similar bronchoprovocation agent 94070 Functional Residual Capacity - $85.25 Multiple spirometric determinations after bronchodilator with spirometry as in 94010 94150 Vital Capacity - $12.50 Spirometry, Slow Vital Capacity 94200 Maximum Voluntary Ventilation - $17.79 Maximum breathing capacity, maximum volume ventilation 94375 Flow Volume Loop - $33.68 Respiratory ﬂow volume loop 94664 Bronchodilator Administration - $18.98 Aerosol or vapor inhalation SEE NEXT PAGE FOR ICD-9 CODES

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Page 1: Spirometry CPT Codes Guidelines · Spirometry CPT Codes Guidelines Spirometry Indications Dyspnea (shortness of breath) Exercise-included coughing Chest tighness Smokers over 45 years

Spirometry CPT Codes GuidelinesSpirometry Indications Dyspnea (shortness of breath) Exercise-included coughing Chest tighness Smokers over 45 years of age (NLHEP recommendation) Obesity Pre-operative testing Occupational exposure to dust and or/ chemicals Ongoing assessment of patients receiving bronchodilator treatments Determination and/or documentation of pulmonary disability Asthma diagnosis Pre-existing pulmonary dicease Frequent colds Assessment of congestive heart failure

CPT Codes 94010 FVC TEST - $30.00 Spirometry (Forced Vital Capacity Maneuver) including calculation of the FVC, FEVI, and optionally �ow rate measurements. A graphic record as well as an interpretation must be included 94060 Bronchospasm Evaluation - $57.37 Spirometry as in 94010 above before and after administration of a bronchodilator or before and after exercise. 95070 Inhalation Challenge Testing with histamine, methacholine or similar bronchoprovocation agent 94070 Functional Residual Capacity - $85.25 Multiple spirometric determinations after bronchodilator with spirometry as in 94010 94150 Vital Capacity - $12.50 Spirometry, Slow Vital Capacity 94200 Maximum Voluntary Ventilation - $17.79 Maximum breathing capacity, maximum volume ventilation 94375 Flow Volume Loop - $33.68 Respiratory �ow volume loop 94664 Bronchodilator Administration - $18.98 Aerosol or vapor inhalation

SEE NEXT PAGE FOR ICD-9 CODES

Page 2: Spirometry CPT Codes Guidelines · Spirometry CPT Codes Guidelines Spirometry Indications Dyspnea (shortness of breath) Exercise-included coughing Chest tighness Smokers over 45 years

ICD-9 Codes for Spirometry

Diagnosis ICD-9-CM Code(s)

Smokers over 40

Shortness of Breath

Chronic Cough

Frequent Coughs

Allergic Rhinitis

Occupational Exposure to Dust or Chemicals

Scoliosis

Pigeon Chest

Barrel Chest

Diagnosis of Asthma

Diagnosis of Bronchitis

Diagnosis of other COPD

Pre-Operative Evaluation

Wheezing

491.0

518.82

464.4, 493.9

460 or 465, 465.0, 465.8, 465.9

477, 477.0, 477.8, 477.9

506, 506.0, 506.1, 506.2, 506.3, 506.4, 506.9

737, 737.0, 737.1, 737.10, 12, 19 737.2, 737.20, 21, 22, 29, 737.3, 737.30, 31,32, 33, 34, 39, 737.4,737.40, 41, 42, 43, 737.8, 737.9

738.3, 754.82

783.3

493, 493.0, 493.1, 493.2, 493.9

491, 491.0, 491.1, 491.2, 491.8, 491.9

496

518.5

786.09

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