tci E/M Coding Alert - 2024 Issue Q2

Reader Questions: Identify a COPD Exacerbation Dx With PFT

Question: A patient presented with chronic cough, wheezing, and difficulty breathing. The pulmonologist ordered pulmonary function testing (PFT) to evaluate the patient’s lung function and lung capacity. After interpreting the results, the physician confirmed the patient’s condition as chronic obstructive pulmonary disease (COPD) with acute exacerbation and instructed the patient on home nebulizer treatment over the next several days. How do I report this encounter? Vermont Subscriber Answer: You’ll need to consider National Correct Coding Initiative (NCCI) code pairs to report this encounter. Starting with the procedure, you’ll assign 94010 (Spirometry, including graphic record, total...

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