Find policies, billing codes, payers, states, and providers
CPT 94070: Bronchial Provocation Test with Spirometry
CPT code 94070 designates a bronchial provocation test with serial spirometry, a diagnostic procedure that intentionally induces bronchospasm to measure airway hyperresponsiveness. This test is important nationally for diagnosing and characterizing asthma and other reactive airway disorders when baseline spirometry is inconclusive. It informs treatment decisions, severity assessment, and eligibility for certain therapies.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context for use of CPT code 94070, common settings where the procedure is performed, and the implications for billing and payer engagement. The publication outlines typical benchmarks, relevant policy considerations affecting coverage and prior authorization, and operational factors practices should consider when ordering or performing bronchial provocation testing. Where specific payer policies vary, summaries of typical coverage approaches are provided. Data not available in the input where applicable will be noted.
Customize your policy alerts
Sign up for cpt 94070 policy alerts
Get alerted when payer policies referencing 94070 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 94070 describes a bronchial provocation test with spirometry, in which the provider deliberately induces bronchospasm by controlled, measurable exposure to a specific stimulant and performs repeated spirometry to assess lung function under provoked conditions.
-
Service type: Diagnostic pulmonary function testing with bronchial challenge
-
Typical site of service: Pulmonary function laboratory or outpatient clinic setting where controlled bronchial provocation and serial spirometry can be performed safely