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Official Description

Patient-initiated spirometric recording per 30-day period of time; recording (includes hook-up, reinforced education, data transmission, data capture, trend analysis, and periodic recalibration)

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

Patient-initiated spirometric recordings are a vital procedure that involves the use of a spirometer and recording device over a designated 30-day period. This procedure is particularly significant for patients who have undergone lung transplants, as it aids in monitoring for potential signs of organ rejection or respiratory complications, such as infections or bronchiolitis obliterans. The process begins with the patient receiving a spirometry device, which is thoroughly tested and calibrated to ensure accurate readings. Patients are then educated on the proper techniques for performing spirometric recordings, including the timing and method for data transmission. Throughout the 30-day period, patients are expected to conduct daily spirometry at a specified time, allowing the device to capture and record essential data. This data is subsequently transmitted electronically to the healthcare provider's office at predetermined intervals for further analysis. The recorded spirometry data is trended and analyzed to assess the patient's lung function and detect any abnormalities that may indicate complications. Following the analysis, a comprehensive written report detailing the findings is generated by the physician or another qualified healthcare professional. Additionally, patients may need to return to the provider's office periodically for recalibration of the spirometry device to maintain its accuracy and reliability in monitoring lung health.

© Copyright 2026 Coding Ahead. All rights reserved.

1. Indications

The procedure of patient-initiated spirometric recording is indicated for the following conditions:

  • Lung Transplant Monitoring This procedure is performed to evaluate lung transplant recipients for signs of organ rejection.
  • Respiratory Complications It is also indicated for monitoring potential respiratory complications, such as infections or bronchiolitis obliterans, which can affect lung function.

2. Procedure

The procedure for patient-initiated spirometric recording involves several key steps that ensure accurate data collection and analysis:

  • Device Provision and Calibration Initially, the patient is provided with a spirometry device that is tested and calibrated to ensure it functions correctly. This step is crucial for obtaining reliable data throughout the recording period.
  • Patient Education The patient receives reinforced education on how to use the spirometry device effectively. This includes instructions on when to perform the recordings and how to transmit the collected data to the healthcare provider.
  • Daily Recordings The patient is required to perform daily spirometric recordings at a designated time each day. This consistency is essential for accurate trend analysis over the 30-day period.
  • Data Capture and Transmission The spirometry device captures the data during each recording session. At scheduled intervals, this data is transmitted electronically to the provider's office for review and analysis.
  • Trend Analysis Once the data is received, it undergoes trend analysis to evaluate the patient's lung function and identify any potential signs of rejection or complications.
  • Periodic Recalibration The patient may return to the provider's office periodically for recalibration of the spirometry device, ensuring that it continues to provide accurate readings throughout the monitoring period.

3. Post-Procedure

After the completion of the patient-initiated spirometric recording, the healthcare provider analyzes the transmitted data and generates a written report of the findings. This report is crucial for assessing the patient's lung function and determining if any further action is necessary. The patient may be advised to schedule follow-up appointments for ongoing monitoring or additional testing based on the results. Regular recalibration of the spirometry device is also emphasized to maintain its accuracy for future recordings.

Short Descr PATIENT RECORDED SPIROMETRY
Medium Descr PATIENT-INITIATED SPIROMETRIC RECORDING
Long Descr Patient-initiated spirometric recording per 30-day period of time; recording (includes hook-up, reinforced education, data transmission, data capture, trend analysis, and periodic recalibration)
Status Code Active Code
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 3 - Technical Component Only Code
Multiple Procedures (51) 0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50) 0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions 01 - Procedure must be performed under the general supervision of a physician.
Assistant Surgeon (80, 82) 0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62) 0 - Co-surgeons not permitted for this procedure.
Team Surgery (66) 0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator STV-Packaged Codes
Type of Service (TOS) 5 - Diagnostic Laboratory
Berenson-Eggers TOS (BETOS) T2D - Other tests - other
MUE 1
CCS Clinical Classification 38 - Other diagnostic procedures on lung and bronchus
76 Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service.
59 Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25.
Date
Action
Notes
2011-01-01 Changed Medium description changed.
1999-01-01 Added First appearance in code book in 1999.
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