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Topics in Practice Management |

Methacholine Challenge Testing*: Identifying Its Diagnostic Role, Testing, Coding, and Reimbursement

Sam Birnbaum, BBA, CMPE; Timothy J. Barreiro, DO, FCCP
Author and Funding Information

*From the Division of Pulmonary and Critical Care Medicine (Dr. Barreiro), Northeastern Ohio Universities College of Medicine, Ohio University College of Osteopathic Medicine, St. Elizabeth Health Center, Youngstown, OH; and Medical Practice Management (Mr. Birnbaum), Hilton Head Island, SC.

Correspondence to: Sam Birnbaum, BBA, CMPE, 4 Coquina Rd, Hilton Head Island, SC 29928; e-mail: sam@mypracticeconsultant.com



Chest. 2007;131(6):1932-1935. doi:10.1378/chest.06-1385
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Methacholine challenge testing (MCT), also sometimes described as bronchoprovocation testing, is widely performed for both research and diagnostic purposes. MCT is clinically useful when the patient presents with a history of symptoms suggesting asthma, but spirometry findings are normal. Typically, MCT is performed in a pulmonary function laboratory, a clinic, or a physician’s office. MCT requires time, effort, and understanding. Two standard testing regimes are identified along with proper coding and reimbursement methodologies.


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  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543