Pulmonary Function Tests Coding - A Complete Guide

A Professional show about the Pulmonary Function Tests.

Key Takeaways

  • Pulmonary Function Tests (PFTs) measure lung capacity, airflow, and oxygen exchange.
  • They help diagnose and monitor asthma, COPD, lung cancer, and other respiratory diseases.
  • The procedure takes 30–60 minutes, is safe, and requires minimal preparation.
  • Avoid smoking and inhaler use before testing to ensure accurate results.
  • PFTs are crucial for treatment planning, especially for patients with chronic cough or COPD.

Pulmonary Function Tests (PFTs) are essential diagnostic tools that help evaluate how well your lungs are working. They provide insight into airflow, lung volume, and gas exchange, allowing healthcare providers to detect, monitor, and manage various lung conditions. For patients experiencing breathing difficulties, chronic cough, or suspected respiratory disorders, PFTs are often the first step in getting the right treatment.

What is a Pulmonary Function Test?

A pulmonary function test (PFT test) is a group of non-invasive procedures used to measure lung performance. These tests check how efficiently your lungs move air in and out, as well as how effectively oxygen passes into the blood.

Common reasons a provider may order PFTs include:

  • Diagnosing conditions such as asthma, COPD, or lung cancer
  • Monitoring disease progression over time
  • Evaluating the effectiveness of treatments like inhalers or oxygen therapy
  • Assessing lung capacity before surgery

Types of Pulmonary Function Tests

PFTs consist of different methods depending on what your provider needs to measure:

  • Spirometry – Measures how much air you can inhale and exhale, and how quickly you can do it.
  • Lung Volumes – Determine the size and capacity of your lungs.
  • Diffusing Capacity – Evaluates how efficiently oxygen moves from the lungs to the bloodstream.
  • Plethysmography – Performed in an airtight chamber to measure lung volume more precisely.

Pulmonary Function Test Procedure

Wondering what a pulmonary function test is like? Here’s what you can expect:

  • You will sit or stand and breathe into a mouthpiece connected to a specialized machine.
  • The test may involve deep breaths, fast exhalations, or holding your breath for short periods.
  • The entire pulmonary function test procedure usually takes between 30 minutes to one hour.

Preparation before a PFT

To ensure accurate results, it’s important to follow preparation guidelines:

  • Avoid smoking for at least 6 hours before the test.
  • Do not use inhalers or bronchodilator medications for 6–8 hours before testing unless told otherwise.
  • Wear comfortable, loose-fitting clothing to avoid restricting your breathing.

If you’re wondering what not to do before a pulmonary function test, smoking and inhaler use are the most important restrictions.

How Long Does a Pulmonary Function Test Take?

A standard PFT can last between 30 minutes and 1 hour, depending on how many measurements are needed. Some patients may finish earlier if only spirometry is performed.

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Common CPT Codes for Pulmonary Function Tests

Here are the most frequently used CPT codes for PFTs:

  • 94010 – Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement.
  • 94060 – Bronchodilation responsiveness, including spirometry before and after bronchodilator.
  • 94150 – Vital capacity, total (separate procedure).
  • 94200 – Maximum breathing capacity, maximal voluntary ventilation.
  • 94375 – Respiratory flow volume loop.
  • 94726 – Plethysmography for determination of lung volumes and airway resistance.
  • 94727 – Gas dilution or washout for lung volumes.
  • 94729 – Diffusing capacity (e.g., carbon monoxide, single breath).
  • 94750 – Pulmonary compliance, lung volumes, and resistance measurements.
  • 94760 – Noninvasive oximetry, single determination of oxygen saturation.

Common ICD-10 Codes Related to Pulmonary Function Tests

PFTs are ordered to diagnose or monitor a variety of respiratory conditions. Commonly used ICD-10 codes include:

  • J44.9 – Chronic obstructive pulmonary disease, unspecified.
  • J45.909 – Unspecified asthma, uncomplicated.
  • J84.10 – Pulmonary fibrosis, unspecified.
  • J96.00 – Acute respiratory failure, unspecified, with hypoxia or hypercapnia.
  • R06.02 – Shortness of breath.
  • R06.00 – Dyspnea, unspecified.
  • R06.89 – Other abnormalities of breathing.
  • Z13.83 – Encounter for screening for respiratory disorder.
  • Z87.09 – Personal history of other diseases of the respiratory system.

Pulmonary Function Test Interpretation

Results are compared against normal values based on age, sex, height, and race. Your provider will explain whether your results fall within the expected range. Abnormal results may point to lung conditions such as:

  • Obstructive diseases (asthma, COPD)
  • Restrictive diseases (pulmonary fibrosis, scoliosis)
  • Gas exchange abnormalities (emphysema, pulmonary hypertension)

Pulmonary Function Tests for COPD and Chronic Cough

PFTs are especially valuable for individuals with COPD or chronic cough, as they help track lung decline and assess treatment effectiveness. For patients with unexplained coughs, PFTs can rule out or confirm airway obstruction.

Conclusion

Pulmonary Function Tests are a vital tool for diagnosing and monitoring lung health, especially for patients with asthma, COPD, chronic cough, or other respiratory conditions. By understanding the procedure, preparation, and results, providers can make better-informed treatment decisions and improve patient outcomes.

Cures Medical Billing understands that accurate documentation and billing for PFTs are just as important as the test itself. Our experts ensure correct CPT coding, timely claim submission, and reduced denials so providers can maximize reimbursements and focus on patient care.

Ready to streamline your pulmonary function test billing? Contact Cures Medical Billing today and let our expert team handle your coding and claims with accuracy and efficiency.

Frequently Asked Questions (FAQs)

A PFT is needed if you have breathing problems, chronic cough, or conditions like asthma or COPD. Doctors may also order it before surgery.

Do not smoke or use inhalers for several hours before testing unless instructed otherwise.

Most PFTs last about 30 minutes to 1 hour, depending on the tests performed.

Yes. PFTs are safe, non-invasive, and generally cause only mild temporary discomfort, such as shortness of breath.

PFTs can help diagnose asthma, COPD, lung fibrosis, emphysema, pulmonary hypertension, and lung cancer.

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