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Patient-initiated spirometric recording is a procedure that involves the use of a spirometer and recording device to monitor lung function over a specified period of 30 days. This process is particularly important for patients who have undergone lung transplants, as it helps in the early detection of potential complications such as organ rejection or respiratory issues, including infections or bronchiolitis obliterans. During this procedure, the patient is equipped with a spirometry device that is thoroughly tested and calibrated to ensure accurate readings. The patient receives detailed instructions on how to perform the spirometric recordings, including the timing and method for data transmission. Each day, the patient conducts spirometry at a designated time, allowing the device to record vital lung function data. This data is then transmitted electronically to the healthcare provider's office at predetermined intervals for further analysis. The recorded spirometry data is trended and analyzed to assess the patient's lung health and identify any signs of complications. A physician or qualified healthcare professional reviews the data and provides a comprehensive written report of the findings. Additionally, the patient may need to return to the provider's office periodically for recalibration of the spirometry device to maintain its accuracy. The procedure is coded as CPT® 94014 when the complete process is performed by a single provider, while CPT® 94015 is used when only the technical components are executed, and CPT® 94016 is designated for instances where only the review and written interpretation of the data are conducted.
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Patient-initiated spirometric recording is indicated for the following conditions:
The procedure for patient-initiated spirometric recording involves several key steps:
After the completion of the patient-initiated spirometric recording, the patient may receive follow-up care based on the findings reported by the physician or qualified healthcare professional. This may include additional monitoring, adjustments to treatment plans, or further diagnostic evaluations if any abnormalities are detected in the spirometry data. The patient is encouraged to maintain open communication with their healthcare provider regarding any symptoms or concerns that may arise during the monitoring period. Regular follow-up appointments may be scheduled to review the spirometry results and discuss any necessary interventions.
| Short Descr | PATIENT RECORDED SPIROMETRY | Medium Descr | PT-INITIATE SPIROMETRIC RECORDING PHYS/QHP R&I | Long Descr | Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of spirometric tracing, data capture, analysis of transmitted data, periodic recalibration and review and interpretation by a physician or other qualified health care professional | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 4 - Global Test Only Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 01 - Procedure must be performed under the general supervision of a physician. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | STV-Packaged Codes | Type of Service (TOS) | 5 - Diagnostic Laboratory | Berenson-Eggers TOS (BETOS) | T2D - Other tests - other | MUE | 1 | CCS Clinical Classification | 38 - Other diagnostic procedures on lung and bronchus |
| 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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| 2013-01-01 | Changed | Description Changed |
| 2011-01-01 | Changed | Medium description changed. |
| 1999-01-01 | Added | First appearance in code book in 1999. |
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