How To Use CPT Code 1039F

CPT code 1039F describes the diagnosis of intermittent asthma in a patient. This article will cover the description, official definition, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 1039F?

CPT 1039F can be used to diagnose intermittent asthma in a patient. This code is used when the provider determines that the patient has experienced a few episodes of asthma symptoms that occur on and off, such as breathlessness less than two days in a week or night symptoms less than two times in a month.

2. Official Description

The official description of CPT code 1039F is: ‘Intermittent asthma (Asthma).’

3. Procedure

1. The provider verifies the diagnosis of intermittent asthma by assessing the patient’s daily recall of the previous few weeks, including the use of bronchodilators, a detailed medical history, physical exam, and spirometry or peak flow measures.

4. Qualifying circumstances

Patients eligible for a diagnosis of intermittent asthma are those who experience asthma symptoms less than two days a week or night symptoms less than two times a month, on average. The provider must document the diagnosis of intermittent asthma and the date of the visit in the patient’s record.

5. When to use CPT code 1039F

CPT code 1039F should be used when the provider diagnoses the patient with intermittent asthma based on the frequency of their symptoms. It should not be used for patients who experience asthma symptoms more often than two days a week or two nights per month, on average.

6. Documentation requirements

To support a claim for CPT code 1039F, the provider must document the following information:

• Diagnosis of intermittent asthma
• Date of the visit

7. Billing guidelines

When billing for CPT code 1039F, ensure that the provider has accurately diagnosed the patient with intermittent asthma based on the frequency of their symptoms. This code should not be reported with other codes. Review the documentation requirements to ensure all necessary information is included in the claim.

8. Historical information

CPT code 1039F was added to the Current Procedural Terminology system on January 1, 2007. There have been no updates to the code since its addition.

9. Examples

1. A patient experiences asthma symptoms less than two days a week and night symptoms less than two times in a month.
2. A provider diagnoses a patient with intermittent asthma based on their medical history and spirometry results.
3. A patient reports using bronchodilators less than two times a week for asthma symptoms.
4. A provider determines that a patient’s asthma symptoms occur on and off, with breathlessness less than two days in a week.
5. A patient experiences night symptoms less than two times in a month, indicating intermittent asthma.
6. A provider documents a diagnosis of intermittent asthma in a patient’s record based on their peak flow measurements.
7. A patient reports experiencing asthma symptoms less than two days a week and night symptoms less than two times in a month.
8. A provider diagnoses a patient with intermittent asthma after a detailed medical history and physical exam.
9. A patient’s spirometry results indicate intermittent asthma, with symptoms occurring on and off.
10. A provider determines that a patient’s asthma symptoms occur less frequently than two days a week and night symptoms less than two times in a month.