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Topics in Practice Management |

Exercise-Induced Bronchospasm: Coding and Billing for Physician Services

Carol Pohlig, BSN, RN*
Author and Funding Information

*From the Department of Medicine, University of Pennsylvania Health System, Philadelphia, PA.

Correspondence to: Carol Pohlig, BSN, RN, University of Pennsylvania Medical Center, 3400 Spruce St, 100 Centrex, Philadelphia, PA 19104; e-mail: carol.pohlig@uphs.upenn.edu

The author has no personal or financial conflicts associated with this article to disclose.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).


The author has no personal or financial conflicts associated with this article to disclose.

The author has no personal or financial conflicts associated with this article to disclose.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).


Chest. 2009;135(1):210-214. doi:10.1378/chest.08-0298
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Physician reporting of the service to insurance companies for reimbursement is multifaceted and perplexing to those who do not understand the factors to consider. Test selection should be individualized based on the patient's history and/or needs. Federal regulations concerning physician supervision of diagnostic tests mandate different levels of physician supervision based on the type and complexity of the test. Many factors play a key role in physician claim submission. These include testing location, component services, coding edits, and additional visits. Medical necessity of the service(s) must also be demonstrated for payer consideration and reimbursement. The following article reviews various tests for exercise-induced bronchospasm and focuses on issues to assist the physician in reporting the services accurately and appropriately.


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