U.S.-based pulmonology billing experts ensuring accurate CPT/ICD-10 coding, 98% clean claim rate, and full CMS compliance for PFTs, inhalation therapy, and sleep studies.
Request a Free RCM AuditExpert coding for spirometry (94010), lung volumes (94070), DLCO (94729), and bronchodilator response (94060) with correct modifier usage.
Correct billing for nebulizer treatments (94640), instruction (94664), and ventilator management (94660) with time-based documentation.
Complete billing for home (95800) and in-lab sleep studies (95810) with interpretation codes (95812–95814) and CPAP setup (94660).
Full adherence to LCDs for PFTs, inhalation therapy, and sleep studies to prevent denials and recoupments.
Monthly reports on missed PFT codes, underbilled therapy sessions, and payer underpayments to recover lost revenue.
Work with coders who understand respiratory care workflows, diagnosis specificity, and modifier rules.
Pulmonology billing requires precision in PFT coding, time-based therapy, and sleep study rules — errors lead to automatic denials.
Using 94010 without 94060 for bronchodilator response triggers bundling denials and 50–100% revenue loss.
Failure to bill daily nebulizer treatments or instruction sessions results in $30–$150 lost per patient visit.
Missing scoring or interpretation reports cause 100% denial of sleep study claims.
Charge capture delays result in missed or under-coded respiratory services.
A seamless, 5-step workflow designed for private pulmonology practices and hospital departments.
Verify benefits and medical necessity for PFTs or sleep studies before service.
Assign accurate CPT and ICD-10 codes with correct modifiers based on clinical documentation.
Submit clean claims with NCCI edit validation and payer-specific rule checks.
Appeal denials within 48 hours for coding, modifier, or documentation issues.
Deliver monthly KPIs: missed PFTs, underbilled therapy, net collection %, and payer performance.
Clean Claim Rate
Fewer Claim Denials
Recovered Therapy Revenue
Based on 21 pulmonology clients served in 2024. Results may vary.
Discover how to recover 100% of inhalation therapy revenue, avoid PFT bundling denials, and accelerate sleep study payments.
Read Article →Learn how missed modifiers, incomplete PFT documentation, and sleep study gaps cost practices thousands monthly.
Explore More →The average pulmonology practice loses 25–35% of revenue to preventable denials and coding errors.