CPT Code Description Approximate Reimbursement Information
- The following suggested use of CPT codes is only provided as a suggestion and is in no way an official recommendation or guideline. Charges vary widely across the nation.*
- The following list is a range of CPT codes with reimbursement fees from published information from the Medicare allowables Unadjusted 2002. **
- * Most commonly used CPT codes for spirometry. Additional Codes may be found in the current issue of “Current Procedural Terminology” (CPT) Manual, Published by the American Medical Association. All Spirometers may not perform all procedures identified or listed with CPT Codes.
- ** Actual Medicare and Medicaid allowables vary by geographic region. Contact your regional provider for specific coverage and allowables
Reimbursement Codes
Conveniently listed for quick reference.
| Code | Description | Rate |
| 94010 | Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation (MVV). | $ 35.00 |
| 94060 | Spirometry, often referred to as pre/post spirometry, before and after bronchodilator (aerosol) for the purpose of bronchospasm evaluation. This procedure is the same as 94010 with the addition of nebulizer treatment delivering a bronchodilator and subsequent repeat of spirometry to measure efficacy of treatment. Post spirometry should be performed at least 10 minutes after nebulizer treatment is completed to give bronchodilator time to reach maximum effectiveness. | $ 65.00 |
| 94375 | Respiratory Flow Volume Loop, includes expiratory and inspiratory portion of loop. | $ 35.00 |
| A4614 | Peak Flow Meters, Private and Medicaid: S8096, Physician Service: S8110 | $ 21.95 |
| A4614 | Airzone Peak Flow Meter, Private and Medicaid: S8096, Physician Service: S8110 | $ 21.95 |
| A4614 | Mini-Wright Standard or AFS Peak Flow Meters, Private and Medicaid: S8096, Physician Service: S8110 |
$ 21.95 |
| A4627 | Valve Holding Chambers, Private and Medicaid, S8100 – Chamber no mask, S8101 – Chamber with mask |
|
| 94620 | Simple Pulmonary Stress Test, often referred to as the 6 minute walk. Measurements of blood pressure, respiratory rate, heart rate, oxygen saturation level (%), exertion scale measurement and the distance performed before and after walking the patient for 6 minutes. | $ 120.00 |
| 94660 | CPAP, Continuous Positive Airway Pressure, initiation and management. | $ 52.00 |
| 94664 | Training | $ 18.00 |
| 94760 | Oximetry, single determination, often referred to as a spot check is performed with patient in a sitting position. | $ 9.00 |
| 94761 | Oximetry, multiple determination, for the purpose of evaluating the patient while sitting, standing, and during exercise or exertion. | $ 24.00 |
| 94762 | Oximetry, continuous overnight monitoring, for the purpose of determining oxygen saturation levels and heart rate patterns during the hours of sleep. | $ 40.00 |
| 94770 | Carbon dioxide, expired gas determination by infrared analyzer | $ 24.00 |
| 95012 | Exhaled Nitric Oxide | $ 19.48 |
NHRIC/NDC#
These numbers are the product numbers to use when filing for insurance reimbursements as well as a reference when looking for product reimbursement codes.
| Reorder # | Description | Quantity | NHRIC/NDC# |
| Peak Flow Meters | |||
| 3130045 | Airzone Peak Flow Meter (universal 60-720LPM) | each | 3 8462130045 0 |
| 3130045 | Airzone Peak Flow Meter (universal 60-720LPM) | 10/case | 10 38462130045 7 |
| 3103104 | Mini-Wright Peak Flow Meter (standard, ATS, 60-800) | each | 3 8462103104 0 |
| 3103104 | Mini-Wright Peak Flow Meter (standard, ATS, 60-800) | 10/case | 10 38462103104 7 |
| 3104001 | Mini-Wright Peak Flow Meter (low range, ATS, 30-400) | each | 3 8462104001 1 |
| 3104001 | Mini-Wright Peak Flow Meter (low range, ATS, 30-400) | 10/case | 10 38462104001 8 |
| Peak Flow Meter Accessories | |||
| 3122015 | Windmill Trainer | 5/bag | |
| 3122064 | One-Way Valve EXP Mouthpieces | 200/box | 3 8462122064 2 |
| 3122200 | Adult Disposable Paper Mouthpiece | 100/bag | 3 8462122200 4 |
| 3123200 | Pediatric Disposable Paper Mouthpiece | 100/bag | 3 8462123200 3 |
| 3103014 | Mini-Wright Standard replacement pointer | 100/bag | 3 8462103014 2 |
| 3104028 | Airzone &Mini-Wright AFS replacement pointer | 100/bag | 3 8462104028 8 |
| Inspiratory Training Instruments | |||
| 3109912 | In-Check Dial w/info scale | each | 3 8462109912 5 |
| 3109750 | In-Check Oral | each | 3 8462109750 3 |
| 3109751 | In-Check Nasal w/mask | each | 3 8462109751 0 |
| Inspiratory Training Accessories | |||
| 3122069 | One-Way Valve INSP Mouthpieces | 200/box | 3 8462122069 7 |
| 2005100 | Pillow Mask - Adult | each | 3 8462005100 1 |
| 2004100 | Pillow Mask - Pediatric | each | 3 8462004100 2 |
| 285100 | Filtered Mouthpiece attachment (ICD & MW) | each | 3 8462285100 5 |
| 3122120 | Pediatric/ Small Mouth disposable adaptor | 100/box | 3 8462122120 5 |
| 3122220 | Pediatric/ Small Mouth disposable adaptor | 20/bag | 3 8462122220 2 |
| Monitors | |||
| 3102010 | piCO + carbon monoxide monitor | each | 3 8462102010 5 |
| 3141006 | One-Flow Tester Screen monitoring spirometer | each | 3 8462141006 7 |
| 3141005 | One-Flow Tester Memo Kit monitoring spirometer w/software and download options |
each | 3 8462141005 0 |
| 3141007 | One- Flow FVC Screen monitoring spirometer | each | 3 8462141007 4 |
| 3141001 | One-Flow FVC Kit monitoring spirometer w/software & pc downloads | each | 3 8462141001 2 |
| Monitoring Accessories | |||
| 3102011 | CO Calibration Kit (no gas-regulator-tubing-adaptor) | each | 3 8462102011 2 |
| 3102008 | CO Monitor replacement "T" pieces | 10/box | 3 8462102008 2 |
| 3102012 | CO Chart Software & PC Cable | each | 3 8462102012 9 |
| 3141200 | One-Flow "Soft" software | each | 3 8462141200 9 |
| 3141125 | One-Flow PC USB Cable | each | 3 8462141125 5 |
| 3141086 | One-Flow Tester type mouthpiece | each | 3 8462141086 9 |
| 3102009 | Disposable paper Mouthpiece for CO Monitor – UK | 200/box | 3 8462102009 9 |
| 3102013 | Disposable paper Mouthpiece for CO Monitor – US | 100/bag | 3 8462102013 6 |