Maximize Revenue in Pulmonology Billing
Care pulmonology billing encompasses critical care, in-office procedures, sleep medicine, and complex disease management. To correctly code the essential service of care, which is the most important, time must be documented very precisely (CPT 99291, 99292). In contrast, office procedures like bronchoscopies (CPT 31622, 31623), thoracentesis (CPT 32554), and pulmonary function tests (CPT 94010, 94729) have their own specific coding and bundling rules. Additional complexity is given by sleep studies and CPAP management (CPT 95810, 95811, HCPCS E0601).
Billing Care Solutions (BCS) is the answer to this complex, multifaceted specialty of a doctor's office with the correct time-based critical care coding, the proper use of procedure modifiers (‑59, -25), and the correct billing for sleep diagnostics and durable medical equipment. Such a strategy protects your practice against revenue loss while remaining compliant with the rules.
Our Expertise in Pulmonology Billing
- ✔Extensive Knowledge: Our team specializes in the nuances of pulmonology billing, ensuring accurate coding and compliance.
- ✔
Tailored Services: We customize our billing solutions to meet the unique needs of your pulmonology practice, enhancing efficiency.
- ✔Compliance Focus: We prioritize adherence to all relevant regulations, reducing audit risks and ensuring smooth billing operations.
- ✔Staff Training: We provide ongoing training to your team to enhance billing accuracy and operational efficiency.
- ✔Innovative Technology: Our advanced billing systems streamline processes and improve overall accuracy in claims submission.
Strengthen Financial Performance in Your Pulmonology Practice
< 25
Days in AR
40%
Revenue Increase
< 5%
Denial & Rejection
99%
Clean Claims Rate
100%
Client Retention
What You Need to Know About Pulmonology Billing Services
Pulmonology billing includes critical care, office procedures, sleep medicine, and complex disease management. Accurate coding for vital care services depends on proper time documentation (CPT 99291, 99292), whereas office procedures like bronchoscopies (CPT 31622, 31623), thoracentesis (CPT 32554), and pulmonary function tests (CPT 94010, 94729) are subject to detailed coding and bundling rules. Sleep studies and CPAP management (CPT 95810, 95811, HCPCS E0601) complicate the matter even more. Billing Care Solutions (BCS) is the expert who understands the intricacies of this multifaceted specialty and thus ensures the correct time-based critical care coding, the proper use of procedure modifiers ( 59, 25), and the accurate billing of sleep diagnostics and DME. Such a strategy protects your practice from the loss of revenue and, at the same time, ensures compliance.
Explore More SpecialtiesCritical Care Service Billing
Accurate, time-based coding for critical care services provided in the ICU or emergency department.
Bronchoscopy and Procedure Billing
Expert coding for diagnostic and therapeutic bronchoscopies, including biopsies and navigational procedures.
Pulmonary Function Test (PFT) Billing
Ensure full reimbursement for complex and straightforward pulmonary function testing and spirometry.
Sleep Medicine and Sleep Study Billing
Proper billing for polysomnograms, home sleep tests, and CPAP management services.
Thoracentesis and Chest Tube Billing
Accurate coding for pleural procedures performed in the office or hospital setting.
Chronic Disease Management for COPD
Help capture revenue for the ongoing management of patients with chronic respiratory diseases.
Why Choose Our Pulmonology Billing Solutions
Our pulmonology billing specialists are there to make it easier for you by taking care of complicated claims, coding, and reimbursements, thus lessening the administrative workload, enhancing efficiency, and supporting your practice in revenue maximization while you continue to focus on patient care.
Nationwide Pulmonology Billing Support
You concentrate on providing respiratory care to your patients, and we will manage the intricacies of your billing. Accurate coding, quicker reimbursements, and streamlined revenue cycles are some of the things that our team can facilitate for you, thus lessening your administrative burden and allowing your staff to have more time for patient care. With reliable billing support, your practice can expand gradually and sustain financial stability in the long run.
Why Do Healthcare Professionals Choose BCS Medical Billing Services?
24/7 Rapid Response Time
Practice Health Plan
Error Free Billing
Practice Health Audit
Constant Revenue Boost
Claims Submission Success Rate
Fast Revenue Restoration
Free Consultantion Call
Pulmonary Billing FAQ's
Initial or follow-up consultations are billed using CPT codes 99203–99205 and 94620. Accurate documentation must include patient history, physical exam, and respiratory assessment to ensure proper reimbursement.
Spirometry is billed under CPT 94010–94375 depending on the type of test performed. Claims require documentation of lung function results and medical necessity for payer compliance.
Bronchoscopy procedures use CPT codes 31622–31656 based on complexity and purpose. Proper documentation ensures smooth claims approval and reimbursement.
Yes. Sleep studies including polysomnography are billed under CPT 95806 and 95810–95811. Documentation must contain monitoring data, medical necessity, and session details for payer approval.
Lung conditions such as asthma, COPD, pneumonia, and other respiratory diseases are coded using ICD-10 range J00–J99. Correct diagnosis coding supports clean claims and proper payment.
Accurate coding, detailed documentation, and timely claim submission reduce denials and increase reimbursement, turning pulmonology billing into a strong revenue source for clinics.
Yes. We handle pre-authorizations for imaging, bronchoscopy, oxygen therapy, and more—ensuring compliance and preventing delays in patient care.
Absolutely. We track scheduled respiratory visits, tests, and therapy sessions to ensure correct coding, documentation, and maximized reimbursement while avoiding billing errors.
We apply precise CPT/ICD coding, accurate documentation, and strict adherence to payer rules. This dramatically reduces denials and increases timely revenue collection.
Outsourcing ensures coding accuracy, reduces administrative burden, minimizes denials, increases revenue, and allows pulmonologists to focus fully on patient care.
What Our Clients Say
Trusted by healthcare professionals and organizations nationwide for accurate billing and reliable results.
Jennifer Aaron
Cardiologist, HeartCare Clinic“Billing Care Solutions offers exceptional billing services with responsive and professional customer support. Their user-friendly system has streamlined our processes and reduced our workload. Any issues were resolved promptly and efficiently. Highly recommended for reliable billing solutions.”
David Lieske
Chief Strategy Officer“Billing Care Solutions LLC and Adnan Qamar have been assisting our organization with our billing services, and they have performed in a world class manner. Their collaboration with our Revenue Cycle Management Team and Clinical Management has been seamless and professional. Top notch!”
Linh Tran
Chief Finance Officer, My CHN“I have been working with Adnan and his team for more than 2 years. They are very knowledgeable in medical billing and very responsive to our needs. Adnan has good contacts with payers reps and familiar with payers’ requirements which help the works done quicker and easier ! I recommend his services to revenue cycle managers ! ”
Ashley Sahakian
Owner, Express Wellness LLC“I have experienced nothing but the best service and quick results when it come to their services. They are very friendly, and professional. They have really helped me grow my business! Thank you all so much! God bless!”
Zahid Mehmood
Manager BD, CRM“Organised and timely completion of the task. Adnan team handled the project with utmost professionalism and made the whole process seamless from gathering the requirements till completing the enrolment process along with keeping us informed through out the process.”
Melissa Renteria
CEO, Family Health Center“Excellent service and quick turn around, knowledgeable and friendly. I have worked with Adnan for years and I have enjoyed it, he is punctual on his projects and very efficient. I highly recommend using his services you won't be disappointed!”
Emily Kariuki
Owner, Home Health Agency“Great service. Professional, friendly, people who get the job done. The best”
Donna Taylor
Manager“very professional and great customer service. Would highly recommend”
Judy Kariuki
Operations Coordination Manager“So far, all expectations have been met. Billing Care Solutions work has resulted in fewer billing rejections and increased clients from the marketing efforts. The team has impressed the client with their rapid response and timely service delivery. Billing Care solutions communicates via email, messaging apps, and virtual meetings.”