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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 time, typically 30 days. This procedure 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 process, the patient is equipped with a spirometry device that has been tested and calibrated to ensure accurate readings. The patient receives detailed instructions on how to perform the spirometric recordings, including the timing and method of 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 analysis. The physician or qualified healthcare professional reviews and interprets the collected data, providing a written report of findings to assess the patient's lung health. Additionally, patients may need to return to the provider's office periodically for recalibration of the spirometry device to maintain its accuracy. It is essential to note that different CPT codes apply depending on the extent of the services provided, with code 94016 specifically designated for instances where only the review and interpretation of the spirometric data are performed.
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Patient-initiated spirometric recording is indicated for patients who have undergone lung transplantation or those who are at risk for respiratory complications. The following conditions may warrant the use of this procedure:
The procedure for patient-initiated spirometric recording involves several key steps to ensure accurate data collection and analysis.
After the completion of the patient-initiated spirometric recording, the patient may receive a written report detailing the findings from the spirometric analysis. This report is essential for ongoing patient management and may influence further clinical decisions. Patients are encouraged to maintain regular follow-up appointments with their healthcare provider to discuss the results and any necessary adjustments to their treatment plan. Additionally, periodic recalibration of the spirometry device is recommended to ensure its accuracy, which may require the patient to visit the provider's office. Overall, the post-procedure phase focuses on interpreting the data collected and ensuring the patient continues to receive appropriate care based on their lung function status.
| Short Descr | REVIEW PATIENT SPIROMETRY | Medium Descr | PATIENT-INITIATED SPIROMETRIC PHYS/QHP R&I ONLY | Long Descr | Patient-initiated spirometric recording per 30-day period of time; review and interpretation only 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) | 2 - Professional Component 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 | 09 - Concept does not apply. | 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 | Service Paid under Fee Schedule or Payment System other than OPPS | 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. | CR | Catastrophe/disaster related | 95 | Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system: synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified health care professional and a patient who is located at a distant site from the physician or other qualified health care professional. the totality of the communication of information exchanged between the physician or other qualified health care professional and the patient during the course of the synchronous telemedicine service must be of an amount and nature that would be sufficient to meet the key components and/or requirements of the same service when rendered via a face-to-face interaction. modifier 95 may only be appended to the services listed in appendix p. appendix p is the list of cpt codes for services that are typically performed face-to-face, but may be rendered via a real-time (synchronous) interactive audio and video telecommunications system. | GC | This service has been performed in part by a resident under the direction of a teaching physician | GP | Services delivered under an outpatient physical therapy plan of care | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | GW | Service not related to the hospice patient's terminal condition | GZ | Item or service expected to be denied as not reasonable and necessary | Q1 | Routine clinical service provided in a clinical research study that is in an approved clinical research study |
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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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