Pulm
Pulmonology
Office spirometry, pulmonary function testing, bronchoprovocation, sleep medicine. Spirometry is one of the most under-coded ancillaries in primary-care-adjacent practices because the bronchodilator add-on gets forgotten.
Top billed codes
The codes that drive revenue in this specialty. Click any code for documentation requirements, modifiers, and pitfalls.
| Code | Description | wRVU | Total RVU | Medicare $ | |
|---|---|---|---|---|---|
| 99214 | Office o/p est mod 30 min The workhorse code. Two or more chronic problems with progression/treatment changes, OR one undiagnosed new problem with uncertain prognosis, OR prescription drug management. | 1.92 | 4.06 | $136 | Details → |
| 99215 | Office o/p est hi 40 min Severe exacerbation, decompensated chronic illness, decision regarding hospitalization, or extensive comorbidity management requiring high-risk decision-making. | 2.80 | 5.76 | $192 | Details → |
| 94010 | Spirometry incl flow-volume loop Baseline office spirometry. Use 94060 if you give bronchodilator and repeat. | 0.17 | 0.69 | $23 | Details → |
| 94060 | Spirometry pre/post bronchodilator Pre- and post-bronchodilator spirometry. The 'asthma confirmation' code. | 0.22 | 1.65 | $55 | Details → |
| 94375 | Flow-volume loop Flow-volume loop testing for upper-airway obstruction evaluation. | 0.21 | 0.58 | $19 | Details → |
| 94640 | Nebulizer treatment In-office nebulized albuterol or saline induction. | 0.00 | 0.28 | $9 | Details → |
| 94660 | CPAP titration/management CPAP initiation visit or follow-up management. | 0.90 | 1.39 | $46 | Details → |
| 95810 | Polysomnography 4+ params In-lab attended polysomnography. Use 95811 if titration also performed. | 3.10 | 13.34 | $446 | Details → |
| 95806 | Sleep study, home, unattended Home sleep apnea test (unattended). | 1.05 | 5.74 | $192 | Details → |
| 94726 | Plethysmography, lung volumes Body plethysmography for TLC, RV, FRC measurement (full PFT). | 0.65 | 2.01 | $67 | Details → |
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Educational reference, not billing or legal advice. Coverage curated, not exhaustive. Verify against payer contracts.