How To Use CPT Code 94014

CPT 94014 describes the patient-initiated spirometric recording per 30-day period of time, which includes reinforced education, transmission of spirometric tracing, data capture, analysis of transmitted data, periodic recalibration, and review and interpretation by a physician or other qualified healthcare professional. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 94014?

CPT 94014 is used to describe the patient-initiated spirometric recording per 30-day period of time. This procedure involves the patient performing spirometry at a predetermined time each day and recording the spirometric findings over a period of 30 days. The code includes reinforced education, transmission of spirometric tracing, data capture, analysis of transmitted data, and review and interpretation of the spirometric recordings by a physician or other qualified healthcare professional.

2. Official Description

The official description of CPT code 94014 is: ‘Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of spirometric tracing, data capture, analysis of transmitted data, periodic recalibration, and review and interpretation by a physician or other qualified healthcare professional.’

3. Procedure

1. The patient performs spirometry at a predetermined time each day over a period of 30 days.
2. The patient records the spirometric findings and transmits the data to the healthcare provider.
3. The healthcare provider captures and analyzes the transmitted data.
4. The spirometric recordings are periodically recalibrated to ensure accuracy.
5. A physician or other qualified healthcare professional reviews and interprets the spirometric recordings.

4. Qualifying circumstances

CPT 94014 is used for patients who require monitoring of their lung function through spirometry. This procedure is commonly used to identify problems such as rejection or infection following lung or heart transplant. The patient must perform spirometry at a predetermined time each day over a period of 30 days. The spirometric recordings must be reviewed and interpreted by a physician or other qualified healthcare professional.

5. When to use CPT code 94014

CPT code 94014 should be used when a patient needs to perform spirometry at home for a 30-day period to monitor their lung function. This code includes the reinforced education, transmission of spirometric tracing, data capture, analysis of transmitted data, periodic recalibration, and review and interpretation of the spirometric recordings by a physician or other qualified healthcare professional.

6. Documentation requirements

To support a claim for CPT 94014, the healthcare provider must document the following information:

• Patient’s medical history and the need for spirometric recording
• Date range of the 30-day period
• Details of the reinforced education provided to the patient
• Transmitted spirometric tracing and captured data
• Analysis of the transmitted data
• Periodic recalibration of the spirometric recordings
• Review and interpretation of the spirometric recordings by a physician or other qualified healthcare professional

7. Billing guidelines

When billing for CPT 94014, ensure that the patient has performed spirometry at home for a 30-day period and that the spirometric recordings have been reviewed and interpreted by a physician or other qualified healthcare professional. This code represents both the technical and professional components of the service, so modifiers 26 and TC should not be appended. It is important to report CPT 94014 only once a month and to indicate the correct range of dates to avoid overlap. Reporting the service at scheduled intervals helps prevent overlapping claims that could result in denials.

8. Historical information

CPT 94014 was added to the Current Procedural Terminology system on January 1, 1999. The code description was slightly revised on January 1, 2013 to include periodic recalibration and physician/provider review and interpretation of the spirometric recordings.

9. Examples

1. A patient with a history of lung transplant performs spirometry at home every day for 30 days to monitor their lung function. The spirometric recordings are transmitted to their healthcare provider for analysis and interpretation.
2. A patient who recently underwent heart transplant performs spirometry at home for a 30-day period to monitor their lung function. The spirometric recordings are periodically recalibrated and reviewed by a physician to ensure proper interpretation.
3. A patient with chronic obstructive pulmonary disease (COPD) performs spirometry at home every day for 30 days to track their lung function. The spirometric recordings are analyzed by a respiratory therapist and reviewed by a pulmonologist for interpretation.
4. A patient with asthma performs spirometry at home for a 30-day period to monitor their lung function. The spirometric recordings are transmitted to their primary care physician for analysis and interpretation.
5. A patient with cystic fibrosis performs spirometry at home every day for 30 days to monitor their lung function. The spirometric recordings are reviewed and interpreted by a pediatric pulmonologist.
6. A patient with interstitial lung disease performs spirometry at home for a 30-day period to assess their lung function. The spirometric recordings are analyzed and interpreted by a pulmonologist to guide their treatment plan.
7. A patient with bronchiectasis performs spirometry at home every day for 30 days to monitor their lung function. The spirometric recordings are periodically recalibrated and reviewed by a respiratory therapist and pulmonologist for interpretation.