Mismanaged claims, inaccurate documentation, and poor coordination with payers are common causes of denials in pulmonology billing. Dastify Solutions delivers end-to-end pulmonology billing, ensuring accurate claim handling and secure management of PHI (protecting patient health information). From detailed CPAP coding to complex bronchoscopic procedure billing, we take care of everything for you.
Track every KPI that matters to your respiratory care practice.
Bank-level security for all patient data to avoid penalties.
Services rendered today are billed instantly.
AAPC, CPC, CCS, and respiratory-specialty certified coders
Revenue Optimization
Your respiratory practice deserves maximum reimbursement, and that’s precisely what our pulmonology billing company for you! An average pulmonary practice loses 15-25% of potential revenue to billing errors, denials, and missed charges.
Our AI-powered claim scrubbers and billing technology catch coding errors before submission. This means cleaner claims, fewer denials, faster reimbursements, and full capture of high-value services.
Performance Metrics
Collection Ratio
Reduction in AR
Clean Claims Rate
Revenue Increase
Lowest Denial Rate
Turnaround Time
Our Services
Our end-to-end revenue cycle management solution is designed explicitly for respiratory medicine workflows. From the first step of pulmonology billing services to the last step of payment posting, we stay with you.
Our pulmonology billing and coding experts provide end-to-end coding support for respiratory care. Our certified coders are experts in CPT codes 94010–94799, 31622–31645, 95810–95811, ICD-10 codes J00–J99, and HCPCS codes E0601, E0470, E1390.
Our specialty-focused pulmonology medical billing is designed to enhance reimbursements. From spirometry to complex respiratory procedures, everything is accurately captured and reimbursed, ensuring no detail is overlooked.
Our AAPC-certified billers ensure every claim is submitted on time. Our claim scrubbing process eliminates coding errors, missing modifiers, and payer-specific mismatches before submission, helping your practice achieve a high pass rate.
We simplify approvals with proactive prior authorization management. From CPAP/BiPAP devices to payer-specific authorizations for advanced respiratory services, our team eliminates delays and accelerates access to patient care.
Our specialists verify patient eligibility and benefits coverage for respiratory treatments, sleep studies, and equipment to ensure accurate billing. Moreover, we guide patients about their copays, deductibles, and out-of-pocket costs to avoid any confusion.
Our denial management for pulmonary rehab claims helps recover money that you thought you had lost. We utilize denial analytics to identify recurring issues, correct them, and resubmit promptly.
With years of expertise, we specialize in the complexities of allergy & asthma billing services. Pulmonology billing requires meticulous compliance with payer and CMS rules.
Why Outsource
2026-Ready Compliance
Choose Your Plan
Transparent Pricing with no hidden Cost
Starter
For Solo & Small Practices
of collections
Most Popular
Growth
For Group Practices & Clinics
of collections
Enterprise
Hospitals & Large Systems
Volume-based pricing
Our Expertise
50+ EHR/EMR/PMS
Risk Resolution
| Pulmonology Billing Challenge | Common Denial Code | Our Resolution |
|---|---|---|
| Spirometry denied due to lack of medical necessity documentation | CO-50 | LCD/NCD-aligned documentation templates to support medical necessity |
| CPAP/BiPAP claims denied due to missing compliance data | CO-16 | 90-day compliance tracking and complete DME documentation workflow |
| Bronchoscopy procedures denied due to bundling errors | CO-97 | Pre-submission NCCI edit validation to prevent unbundling issues |
| Incorrect coding between spirometry types (94060 vs 94070) | CO-4 | Pulmonology-specific coding rules with AI-driven claim scrubbing |
| Sleep study claims denied due to missing prior evaluation | CO-50 | Pre-authorization and clinical documentation review before submission |
| Pulmonary rehab denied for exceeding session limits | CO-119 | Real-time session tracking with payer-specific limit alerts |
Revenue Optimization
Most pulmonology payment issues aren’t random; they come from bundled billing errors. When services are incorrectly bundled, modifiers are misapplied, or timing rules are missed, payers either deny the claim or quietly underpay it. Dastify Solutions fixes these issues at the claim level, before submission.
Code Reference
| Service Area | Code | Description |
|---|---|---|
| Spirometry / PFTs | 94010 | Spirometry |
| 94060 | Spirometry with bronchodilator | |
| 94729 | Diffusing capacity (DLCO) | |
| Pulmonary Testing | 94618 | 6-minute walk test |
| Respiratory Treatment | 94640 | Inhalation treatment |
| Bronchoscopy | 31622 | Diagnostic bronchoscopy |
| 31624 | Bronchoscopy with lavage | |
| Sleep Studies | 95810 | Diagnostic sleep study |
| 95811 | Sleep study with CPAP | |
| DME (HCPCS) | E0601 | CPAP device |
| E0470 | BiPAP device | |
| Common Diagnoses | J44.9 | COPD |
| G47.33 | Sleep apnea |
Common Questions
Pulmonology billing is one of the most complex specialties due to the use of bundled services, frequent modifier usage, and strict payer compliance rules. Denials often occur because of:
Outsourcing to pulmonology billing and coding experts helps prevent these denials before they happen.
Schedule a consultation with our pulmonology billing experts. We’ll audit your current revenue cycle and show you exactly where revenue is being left behind.
