Pulmonology Billing That Pays What You Earn
Pulmonology billing spans pulmonary function testing, bronchoscopy procedures, sleep medicine, and critical care — all with distinct coding requirements. PFT interpretation billing, bronchoscopy add-on codes, and sleep study coding are routinely undercoded by practices without pulmonology billing specialists. 360Solutions provides certified pulmonology coders who capture the full value of diagnostic procedures, critical care time, and sleep medicine services.
Where Pulmonology Practices Lose Revenue
These are the coding and billing pitfalls that cost pulmonology practices the most — and where our specialised billers add the most value.
Pulmonary Function Testing
PFT codes (94010–94070) vary by which spirometry components are performed — pre/post bronchodilator, diffusion capacity, lung volumes. Billing only the basic spirometry when a full panel was performed leaves significant money uncaptured.
Bronchoscopy Add-On Codes
Bronchoscopy procedures (31622–31654) include numerous add-on codes for BAL, biopsy, brushing, foreign body removal, and navigation bronchoscopy. Each additional service must be coded with the correct add-on — generalist coders routinely miss them.
Sleep Study Coding
Polysomnography codes (95808–95811) depend on the number of monitored parameters and whether the study was attended. HSAT (home sleep apnea testing) uses different codes (95800–95801) with different documentation requirements.
Critical Care Time Billing
Pulmonologists in ICU settings bill critical care (99291/99292) based on time spent in direct patient management. Time must be documented separately from procedure time. Our billers track and reconcile critical care time against hospital records.
High-Risk CPT Groups
Code ranges payers audit most aggressively in Pulmonology.
Common Denial Patterns
Knowing these before submission is the difference between a 60% and a 96% first-pass rate.
PFT code does not match documented components in spirometry report
Bronchoscopy add-on code billed without required primary procedure code
Sleep study billed as attended when performed as unattended HSAT
Critical care time overlaps with separately billed procedure time
CPAP titration (95811) billed without diagnostic polysomnography on prior date
Send us your last 90 days of remittance data — we'll identify your top 3 fixable denial sources at no cost.
Request Free Audit →How 360Solutions Works for Pulmonology Practices
Free 2-Week Billing Audit
We review your last 90 days: denial breakdown by category, AR aging by payer, charge lag, collection rate, and any recurring coding issues specific to your specialty. No commitment required.
Specialty Coder Assignment
You are paired with a coder trained specifically in pulmonology coding. They learn your providers, your documentation patterns, and your payer mix before touching a claim.
Parallel Billing Transition
We run alongside your current billing for 10–14 days with zero cash flow disruption. Claims keep moving during the transition. Your account manager provides daily status updates.
Live KPI Dashboard
Real-time visibility into billed, paid, denied, AR aging, and collection rate — segmented by provider and payer. No black box, no month-end surprises.
Weekly Account Manager Call
Every week your dedicated account manager walks through last week's KPIs, denial trends, and any action items. Critical issues are escalated the same day — not at the next scheduled call.
Questions From Pulmonology Practices
Start With a Free,
No-Obligation Audit
Two weeks, no contract. A certified pulmonology billing specialist reviews your claims, denial patterns, and AR — and shows you exactly what is recoverable.