Pregunta
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Relating to Pulmonary:
Bronchodilation responsiveness spirometry, pre- and post-bronchodilator
administration is reported with code
94617
94450
94060
94070

Ask by Dickson Bob. in the United States
Mar 30,2025

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These codes refer to spirometry tests done before and after using a bronchodilator to check how well the airways respond to the medication.

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Bonus Knowledge

The correct code for evaluating bronchodilation responsiveness via spirometry, comparing pre- and post-bronchodilator results, is 94060. This code specifically captures the assessment of airflow obstruction before and after administering a bronchodilator, helping healthcare providers gauge the effectiveness of treatment in a patient’s respiratory condition.
In practice, it’s important to ensure that a proper baseline is established pre-bronchodilator, with specific attention to patient technique and timing, to avoid common errors. Some practitioners may overlook the need for adequate rest periods or fail to account for factors like recent respiratory infections that could skew the results! Proper documentation can make all the difference in achieving accurate assessments and maximizing patient care.

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Maintaining a dry environment Client scenario: A 61-year-old client with a history of COPD presents to the ED with a 2-day history of increased SOB, cough, and increased sputum production. At baseline, the client has a mild cough with scant sputum production. Denies fever, hemoptysis, and night sweats. In the ED, the client is unable to walk due to SOB, speaks in 1-word sentences, and is utilizing accessory muscles for breathing. PMH: - COPD ×10 years - 40-year pack history - Hip fracture - COPD exacerbations 2x/y yar Meds: - Albuterol QID PRN - Theophylline BID - Ipratropium inhaler - HCTZ daily Focused Exam: Accessory muscle use noted, barrel-chested, bilaterally decreased breath sounds w/ expiratory wheezing, cyanosis to nail beds (without clubbing noted). Skin is cool and clammy, diaphoretic. VS: T 37.0C, HR 133, BP 165/95, RR 34, SaO2 82% on RA ABG: pH7.12,PaCO254mmHg,PaO260mmHg,HCO330mEq/L PFT:FEV1 35\% expected, VC 50\% expected 14 Multiple Choice 1 point Given the client's history and presentation, which of the following conditions do you suspect? COPD exacerbation Pulmonary embolus Asthma attack Pneumothorax 15 Multiple Choice 1 point Select the answer choice that should go in the blanks: In COPD, destruction of the alveoli causes loss preventing complete membrane; inhalation surfactant; exhalation exhalation; inhalation 16 Multiple Answer 1 point Which disorders make up chronic obstructive pulmonary disorder (COPD)? Select all that apply. Emphysema Chronic bronchitis Asthma
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