What is the CPT code for a stress test?
STRESS TEST. 93015. This series of CPT® codes is for the stress test performed in conjunction with the nuclear medicine myocardial perfusion study. Pick the appropriate code for the service provided. 93016.
What is a simple pulmonary stress test?
This test tells how much air moves in and out of your lungs when you exercise. During the test, you may be asked to walk on a treadmill or ride on a stationary bike. The test may show exactly where your breathing problems begin. They may begin in your lungs, your heart, or both. Your test results can also show a safe activity level for you.
What is CPT code replaced 94620?
CPT code 94620 Pulmonary stress testing; simple (eg, 6-minute walk test, prolonged exercise test for bronchospasm with pre- and post-spirometry and oximetry) has been deleted and replaced by two new codes. CPT code 94617 Exercise test for bronchospasm, including pre- and post-spirometry, electrocardiographic recording(s), and pulse oximetry
What is the diagnosis code for stress?
Stress, not elsewhere classified. 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code POA Exempt. Z73.3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z73.3 became effective on October 1, 2021.
What is the CPT code for pulmonary stress testing?
The walk test should be billed with CPT code 94618, “Pulmonary stress testing (e.g., six-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed.”
What is the CPT code for cardiopulmonary stress test?
Chapter 11, Section J of the 2020 NCCI Manual includes the following reference to cardiopulmonary and pulmonary stress testing: “Cardiopulmonary exercise testing (CPT® code 94621) is a comprehensive exercise test with a number of component tests separately defined in the CPT Manual.
What is included in CPT code 94375?
The Current Procedural Terminology (CPT®) code 94375 as maintained by American Medical Association, is a medical procedural code under the range - Pulmonary Diagnostic Testing and Therapies.
What is included in CPT code 94060?
The Current Procedural Terminology (CPT®) code 94060 as maintained by American Medical Association, is a medical procedural code under the range - Pulmonary Diagnostic Testing and Therapies.
What is the difference between 93016 and 93018?
Code 93016 alone is used to report supervision of a stress test in circumstances where another physician provides the interpretation and report. The technical component {tracing only} is described by code 93017. Use code 93018 for only the interpretation and report of an exercise stress test.”
What is the difference between CPT 93015 and 93017?
CPT code 93015 includes the test, supervision, and interpretation of the report. CPT code 93016 includes only the supervision of the test. CPT code 93017 includes performing the test only and CPT code 93018 is reported for the interpretation of a previously performed test.
What is the difference between 94010 and 94375?
Spirometry (94010) is the basis for pulmonary function testing. When it is performed before and after the administration of a bronchodilator, report 94060. A flow volume loop (94375) is included in codes 94010 and 94060. Code 94010 is not included in codes 94726 and 94727; they are reported separately.
What is the difference between 94010 and 94060?
CPT Code 94060 differs from code 94010 in that the administration of the bronchodilator is not included in code 94010. CPT code 94060 should be reported when performing base spirometry measurement prior to inhalation of a bronchodilator to determine the patient's response to the bronchodilator.
Does Medicare pay for CPT 94640?
Also remember, that under Medicare outpatient payment (OPPS), CPT code 94640 is conditionally packaged with a Status Indicator of “Q1.” These means Medicare does not provide separate payment if the code is on a claim with other outpatient services with status indicators of S (significant procedures), T (mostly surgical ...
Can CPT code 94664 and 94060 be billed together?
Claims billed with CPT codes 94010, 94150, 94200, 94375 and 94664 will be denied if code 94060 has been reimbursed previously for the same recipient and date of service. Reimbursement for code 94060 is reduced if any of these codes have previously been paid for the same recipient and date of service.
Can CPT codes 94060 and 94640 be billed together?
For payers that follow Medicare's lead and NCCI edits, you can't report 94640 with 94060. So if you perform both, bill 94060, which has a higher relative work value.
How are CPT codes 94625 and 94626 reported?
94625 & 94626 – Pulmonary rehabilitation. These new codes are for patients in an outpatient rehab program for COPD, asthma, etc. They require the physician to be immediately available during the exercise session, review systems and the patient's medical record, and a face-to-face evaluation.
Document Information
CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
CMS National Coverage Policy
Title XVIII of the Social Security Act §1862 (a) (1) (A) allows coverage and payment for only those services that are considered to be reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member. Title XVIII of the Social Security Act §1862 (a) (1) (D) indicates no payment can be made for services that are research and/or experimental. Title 42 CFR §410.32 (a) indicates that diagnostic tests may be ordered by the treating physician (or other treating practitioner acting within the scope of his or her license and Medicare requirements)..
Coverage Guidance
Exercise testing is done to evaluate functional capacity and to assess the severity and type of impairment of existing, as well as undiagnosed conditions. The pulmonary stress test will be considered medically necessary for these conditions: