tci ED Coding & Reimbursement Alert - 2000 Issue 2

Use Modifier -26 to Correctly Code for Bronchospasm

Using modifier -26 (professional component) and documenting interpretation are key to optimizing reimbursement for brochospasm evaluations.A device called a spirometer is used by the ED clinician to measure the amount of air entering and leaving the lungs. Code 94060 is for bronchospasm evaluation: spirometry as in 94010, before and after bronchodilator (aerosol or parenteral).Several groups have reported receiving denials when using 94060 because the procedure is a diagnostic test and the ED physician does not own the equipment. We dont report it among our charges, says Michelle Goatley, CPC, specialist in the coding department of Innovative Management...

To read the full article, sign in and subscribe to tci ED Coding & Reimbursement Alert.


You have ED coding questions, and we deliver money-in-the-bank answers to help you defeat your claim issues and secure optimal reimbursement.

Stay in the know and avoid federal reproach with your subscription to TCI’s ED Coding and Reimbursement Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 2100 articles
  • ALL years/issues back to 1998 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci ED Coding & Reimbursement Alert +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.