Medical Billing · Nationwide
Pulmonology & Sleep Medicine Medical Billing Services
Complete pulmonary function testing (PFT), diagnostic and therapeutic sleep studies (polysomnography 95810), home sleep apnea tests (HSAT), and flexible bronchoscopy.
Aethera Healthcare Solutions provides full-service medical billing and revenue cycle management to pulmonologists, critical care physicians, and sleep diagnostic centers across the United States. We handle coding, claims, payment posting, denial management, and A/R follow-up end to end — so your team can stay focused on patient care while your revenue cycle runs cleanly.
Typical pulmonology & sleep medicine CPT range we work: 94010, 94060, 94375, 94726, 95800–95811, 31622–31629, 99202–99215.
Why pulmonology & sleep medicine billing leaks revenue
PFT component bundling: Multiple PFT codes (spirometry 94010, plethysmography 94726, DLCO 94729) unbundled or denied under restrictive commercial payer bundles
Sleep study technical component denials: Polysomnography (95810/95811) denied due to insufficient continuous recording time (<6 hours) or lack of pre-authorization
Home sleep apnea test (HSAT 95800/G0399) denials when patient fails to meet strict Epworth Sleepiness Scale or clinical comorbidity criteria
Diagnostic bronchoscopy with biopsy (31625/31628) downcoded or bundled into primary airway inspection (31622)
How Aethera fixes it
Specialty-trained coders (CPC/CCS) code to the documentation
First-pass claim scrubbing against payer and NCCI edits
Proactive denial prevention and 72-hour denial work
Relentless A/R follow-up to drive days-in-A/R down
Eligibility and prior-auth verification before service
Transparent, real-time reporting in the provider portal
Free tools for your billing team
Use these any time — no login required.
Pulmonology & Sleep Medicine billing FAQ
How do you ensure proper reimbursement for complete pulmonary function tests (PFTs)?
We bill comprehensive PFT panels using appropriate component coding (spirometry, gas dilution, and diffusion capacity) with distinct ICD-10 indications, eliminating unbundling rejections.
How do you manage sleep study pre-authorizations and compliance verification?
We capture all necessary clinical documentation—including documented snoring, witnessed apneas, and high Epworth Sleepiness Scale scores—to secure pre-authorization prior to patient sleep lab intake.