How To Use CPT Code 94619

CPT 94619 describes the procedure for an exercise test to assess exercise-induced bronchospasm and evaluate lung function. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 94619?

CPT 94619 can be used to describe the procedure for an exercise test that assesses exercise-induced bronchospasm and evaluates lung function. This code is used when a provider performs pre- and post-spirometry and pulse oximetry to diagnose certain lung disorders and determine the impact of exercise on lung volumes.

2. Official Description

The official description of CPT code 94619 is: ‘Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; without electrocardiographic recording(s).’ This procedure involves measuring physiological parameters such as oxygen saturation through pulse oximetry and assessing lung function through spirometry before and after vigorous exercise.

3. Procedure

1. The provider performs an exercise test to diagnose exercise-induced bronchospasm (EIB) by measuring lung volumes and assessing the impact of exercise on them.
2. Before the exercise, the provider performs spirometry to measure lung function and pulse oximetry to monitor oxygen saturation.
3. The patient exercises on a stationary bicycle or treadmill to induce bronchospasm.
4. After the exercise, the provider repeats spirometry and pulse oximetry measurements to evaluate any changes in lung function and oxygen saturation.

4. Qualifying circumstances

CPT 94619 is used for patients who require an exercise test to diagnose exercise-induced bronchospasm or evaluate lung function. This procedure is typically performed on individuals who experience narrowing of the airways during or after exercise. The provider must perform pre- and post-spirometry and pulse oximetry without electrocardiographic recording(s).

5. When to use CPT code 94619

CPT code 94619 should be used when a provider performs an exercise test to assess exercise-induced bronchospasm and evaluate lung function. This code is appropriate when pre- and post-spirometry and pulse oximetry are performed without electrocardiographic recording(s). It should not be used when electrocardiographic recording(s) are included in the procedure.

6. Documentation requirements

To support a claim for CPT 94619, the provider must document the following information:

• Patient’s symptoms and indication for the exercise test
• Details of the exercise test, including the type of exercise performed and duration
• Pre- and post-spirometry measurements, including lung volumes and any changes observed
• Pulse oximetry measurements, including oxygen saturation levels before and after exercise
• Any complications or adverse reactions during the procedure
• Signature of the provider performing the exercise test

7. Billing guidelines

When billing for CPT 94619, ensure that the procedure includes pre- and post-spirometry and pulse oximetry without electrocardiographic recording(s). It is important to accurately document the details of the exercise test and any relevant measurements. Report CPT code 94617 if the procedure includes electrocardiographic recording(s).

8. Historical information

CPT 94619 was added to the Current Procedural Terminology system on January 1, 2021. There have been no updates to the code since its addition.

9. Examples

1. A patient undergoes an exercise test to assess exercise-induced bronchospasm and evaluate lung function. Pre- and post-spirometry and pulse oximetry measurements are performed without electrocardiographic recording(s).
2. A provider performs an exercise test on an individual who experiences symptoms of exercise-induced bronchospasm. The procedure includes pre- and post-spirometry and pulse oximetry measurements to evaluate lung function.
3. An athlete undergoes an exercise test to assess lung function and determine the impact of exercise on their respiratory system. Pre- and post-spirometry and pulse oximetry measurements are performed without electrocardiographic recording(s).
4. A patient with suspected exercise-induced bronchospasm undergoes an exercise test to confirm the diagnosis. The procedure includes pre- and post-spirometry and pulse oximetry measurements to evaluate lung function.
5. A provider performs an exercise test on a patient with a known lung disorder to assess their lung function during exercise. Pre- and post-spirometry and pulse oximetry measurements are performed without electrocardiographic recording(s).
6. An individual undergoes an exercise test to evaluate their lung function and assess the impact of exercise on their respiratory system. Pre- and post-spirometry and pulse oximetry measurements are performed without electrocardiographic recording(s).
7. A patient with exercise-induced bronchospasm undergoes an exercise test to monitor their lung function and determine the effectiveness of their treatment. Pre- and post-spirometry and pulse oximetry measurements are performed without electrocardiographic recording(s).
8. A provider performs an exercise test on an athlete to assess their lung function and determine if they are at risk for exercise-induced bronchospasm. Pre- and post-spirometry and pulse oximetry measurements are performed without electrocardiographic recording(s).
9. A patient with a history of exercise-induced bronchospasm undergoes an exercise test to evaluate their lung function and determine the appropriate treatment plan. Pre- and post-spirometry and pulse oximetry measurements are performed without electrocardiographic recording(s).