Summary & Overview
CPT 94014: 30-Day Remote Spirometry with Provider Review
CPT code 94014 covers a 30-day, patient-performed spirometry service that includes daily timed spirometric measurements, tracings, data transmission and analysis, and clinician review and interpretation. Nationally, this code reflects growing use of remote pulmonary function monitoring for chronic respiratory conditions, enabling longitudinal assessment outside traditional clinic visits and supporting care management and telehealth workflows. Key payers in scope include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. This publication provides benchmarks and practical policy context for billing and reimbursement, explains the clinical workflow and site-of-service considerations, and summarizes payer coverage patterns where available. Readers will find: concise description of the service captured by CPT code 94014; expected clinical settings and technology components; common modifiers and billing considerations; and implications for practice operations and documentation. Data not available in the input is noted where applicable.
Billing Code Overview
CPT code 94014 describes a monitored spirometry service in which the patient performs spirometry at a predetermined time each day over a 30-day period. The patient records spirometric findings, including tracings and data capture, which are transmitted for analysis and then reviewed and interpreted by a physician or other qualified provider. This code represents both the technical and professional components of the service.
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Service type: Remote patient monitoring and diagnostic pulmonary function testing combining data capture, transmission, and clinician interpretation over time
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Typical site of service: Ambulatory or home-based monitoring with provider review in an outpatient or clinic setting
Clinical & Coding Specifications
Clinical Context
A 62-year-old patient with a history of chronic obstructive pulmonary disease (COPD) and recent increase in exertional dyspnea is referred for home spirometry monitoring using a daily peak spirometry protocol. The patient receives a portable spirometer and training in the clinic on technique, device use, and secure data transmission. The patient performs spirometry at a predetermined time each morning for 30 consecutive days, capturing forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), and flow-volume tracings. Data are transmitted electronically to the performing facility where a respiratory therapist or trained technician performs technical review and quality checks on each tracing. The physician reviews summarized trends and individual tracings, interprets the results, documents findings, and communicates clinical recommendations to the patient via secure message or documented telephone encounter. Typical workflow includes device provisioning, patient education, daily patient-performed tests, technical data capture and quality assurance, and a physician/provider review and interpretation culminating in a signed report.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
26 | Professional component | Use when only the professional interpretation/review is reported separate from the technical device or data capture. |