Summary & Overview
CPT 3272F: Clinical Performance Measure
CPT code 3272F is a CPT-format performance measure code for which no descriptive summary was provided in the source. As a CPT code, it is used to represent a discrete clinical or quality reporting element rather than a standalone procedure. Nationally, such codes matter for performance measurement, quality reporting, and claims processing workflows because payers and providers use them to document care delivery and track adherence to clinical standards. Key payers covered in this overview include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will learn what 3272F represents in high-level terms, the expected role of this code in billing and reporting, and where to find missing operational detail. The publication outlines typical topics of interest for stakeholders: benchmarks and reporting context for CPT performance measures, payer coverage considerations, and the clinical contexts where the code might apply. Data not available in the input is noted where descriptive or operational details were not provided.
Billing Code Overview
CPT code 3272F has no summary available in the source description. Based on the code label, this code represents a specific clinical quality or performance measure within the CPT coding framework. Service type: Data not available in the input. Typical site of service: Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult with chronic obstructive pulmonary disease (COPD) or obstructive sleep apnea who presents for routine evaluation of respiratory status and pulmonary function monitoring. The clinician orders a pulmonary function test or respiratory therapy evaluation consistent with code 3272F. The visit occurs in an outpatient pulmonary clinic, sleep center, or hospital-based pulmonary lab. Workflow: the patient checks in, completes pre-test questionnaires, and undergoes testing or evaluation by a respiratory therapist or pulmonologist. Results are reviewed by the ordering provider, findings documented in the medical record, and a follow-up plan is established, which may include adjustments to inhaled medications, referral for further testing, or ongoing monitoring. Billing is completed using 3272F to indicate the summarized measure or test status represented by the code.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
25 | Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure | When an E/M visit is performed on the same day as the procedure represented by 3272F and meets documentation requirements |
26 | Professional component | When reporting only the physician interpretation portion of a test related to 3272F |
TC | Technical component | When reporting only the technical component (equipment, technician) of a test related to 3272F |
59 | Distinct procedural service | When a distinct and separate service is provided on the same day as the service represented by 3272F |
52 | Reduced services | When the service represented by 3272F was partially reduced or not fully performed |
53 | Discontinued procedure | When the procedure represented by 3272F was started but discontinued due to extenuating circumstances |
76 | Repeat procedure by same physician | When the same test related to 3272F is repeated by the same provider during the same encounter |
77 | Repeat procedure by another physician | When the same test related to 3272F is repeated by a different provider during the same encounter |
90 | Reference (outside) laboratory | When the test or measurement associated with 3272F is performed by an outside laboratory |
95 | Synchronous telemedicine service rendered via real-time interactive audio and video | When the professional interpretation or review for 3272F is provided via real-time telemedicine |
| Taxonomy Code | Specialty | Notes |
|---|---|---|
| 207RP1000X | Pulmonary Disease | Pulmonologists commonly order and interpret pulmonary function testing and respiratory evaluations |
| 1744S0200X | Sleep Medicine | Sleep specialists manage sleep-disordered breathing and related testing that may use 3272F measures |
| 371500000X | Respiratory Therapy | Respiratory therapists perform testing and measurements in pulmonary function labs |
| 207L00000X | Allergy & Immunology | Allergists may evaluate respiratory function in patients with allergic/asthmatic disease |
| 207W00000X | Critical Care Medicine | Intensivists may document respiratory assessments in inpatient settings |
Related Diagnoses
| ICD-10 Code | Description | Clinical Relevance |
|---|---|---|
| Data not available in the input. | Data not available in the input. | Data not available in the input. |
Related CPT Codes
| CPT Code | Description | Relationship to This Procedure |
|---|---|---|
94010 | Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with graphic display, with interpretation and report | Commonly performed pulmonary function test that may precede or accompany the assessment captured by 3272F |
94060 | Bronchodilator response, spirometry as in 94010, pre- and post-bronchodilator administration | Performed when bronchodilator responsiveness is assessed alongside the evaluation represented by 3272F |
94729 | Carbon dioxide, transcutaneous monitoring (alone) | May be used in conjunction with respiratory assessments to monitor gas exchange in patients evaluated under 3272F context |
95810 | Polysomnography; unattended portable monitor for sleep staging | In sleep-disordered breathing workups, portable monitoring or full polysomnography may be performed before or after the assessment represented by 3272F |
94014 | Bronchospasm evaluation using spirometry as in 94010, with pre- and post-bronchodilator spirometry, interpretation and report | Used when bronchospasm assessment is required along with the evaluation indicated by 3272F |