Pediatric Pulmonology EHR and AI Medical Billing Software

Pediatric pulmonologists treat breathing problems from asthma to cystic fibrosis. XEHR keeps lung function, therapies, equipment and approvals in one record.

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Chart · Office visit

Lastname, Firstname M. Sample patient · DOB 01/01/1980 · Commercial

Eligible

BP128/82

HR72

BMI26.4

Temp98.6

Progress noteAI Scribe draft

Persistent cough and wheeze, two hospital visits this year.

J45.40 Moderate persistent asthma, uncomplicated

ReviewSign note

Diagnosis carried to the claimJ45.40

THE HARD PARTS

What makes pediatric pulmonology billing hard

Lung testing in small children

Testing methods change with age, and results must be read against children’s reference values.

Home equipment documentation

Oxygen, nebulizers and airway clearance devices need detailed documentation for suppliers and payers.

Specialty drugs

Cystic fibrosis and severe asthma therapies need prior authorization and renewals.

WHERE THE WORK HAPPENS

How pediatric pulmonology care is delivered and billed

Pediatric pulmonologists work in children’s hospitals and clinics, with lung function labs, sleep labs and cystic fibrosis centers. Visits and test interpretations are billed on the professional claim; bronchoscopy happens in the hospital. Home equipment is supplied by outside companies that rely on the physician’s documentation.

What payers check on pediatric pulmonology claims

Lung function tests are billed per test with a documented interpretation.
Home oxygen requires documented qualifying measurements.
Cystic fibrosis and severe asthma drugs need prior authorization with documented results.
Cystic fibrosis is coded with its manifestations.
Sleep studies in children follow their own coverage criteria.

Common pediatric pulmonology diagnoses ICD-10-CM

J45.40	Moderate persistent asthma, uncomplicated
E84.0	Cystic fibrosis with pulmonary manifestations
P27.1	Bronchopulmonary dysplasia originating in the perinatal period
R05.3	Chronic cough
G47.33	Obstructive sleep apnea (adult) (pediatric)
J47.9	Bronchiectasis, uncomplicated

Examples only. The provider chooses the code that matches the documented diagnosis, and XEHR checks it against the note and the payer's rules before the claim goes out.

A VISIT ON XEHR

A pediatric pulmonology visit, start to payment

1
Test breathing

Lung function is tested and compared with earlier results.
2
Plan treatment

Medicines, airway clearance and action plans are documented.
3
Order equipment

Equipment orders carry the documentation suppliers need.
4
Bill and share

Visit and tests go out on a checked claim; the plan goes to the family and school.

How XEHR helps

From the pediatric pulmonology visit to the payment

Results trendedLung function results are trended across visits.
Equipment orders completeOrders include the measurements and need suppliers ask for.
Approvals trackedSpecialty drug approvals and renewals are tracked.
AI that waits for youThe AI drafts notes and prepares claims; your providers sign and your billers approve.

Claim · CMS-1500

Sample claimLastname, Firstname M. · DOS 03/04/2026

Scrub passed

Scrubbed
Submitted
Accepted
Paid

Service	Dx	Units	Charge
Office visit	E11.9	1	145.00
A1c test	E11.9	1	28.00
Total			173.00

ERA postedPayment applied, no re-keying

Agentic AI for pediatric pulmonology

AI medical billing for pediatric pulmonology practices

XEHR is an agentic EHR: AI agents do the administrative work around every pediatric pulmonology visit, and your team approves what matters. How agentic AI works

Before the claim leaves

The claim-check agent looks for

Lung function tests are billed per test with a documented interpretation.
Home oxygen requires documented qualifying measurements.
Cystic fibrosis and severe asthma drugs need prior authorization with documented results.
Cystic fibrosis is coded with its manifestations.

Around the visit

Agents run on their own

Coverage checked before each pediatric pulmonology visit
The visit note drafted for the provider to sign
Insurance payments matched and posted
Open claims tracked, denials read and appeals drafted

People decide

Your team stays in charge

Providers sign every note
Billers approve every claim and appeal
Staff submit prior authorizations
Any check can be overridden, with a reason

BUYER'S GUIDE

Questions to ask before you choose a pediatric pulmonology EHR

Ask every vendor, including us. The answers show whether a system was built for pediatric pulmonology work or only adapted to it.

Ask us on a demo

Are lung function results trended across visits?
Do equipment orders include what suppliers need?
Are specialty drug approvals tracked?
Can asthma action plans be shared with families and schools?
Can cystic fibrosis team notes be kept together?

QUESTIONS

Pediatric Pulmonology practices ask us

Does XEHR support pediatric pulmonology?

Yes. Visits, lung function, equipment and therapies are documented and billed from one record.

Can XEHR order home oxygen for children?

Yes. Orders include the documentation suppliers and payers need.

Does XEHR support cystic fibrosis care teams?

Yes. Team notes, cultures, lung function and therapies are in one chart.

Can XEHR track asthma action plans?

Yes. Action plans are documented and shared with the family.

Does XEHR support home ventilator patients?

Yes. Equipment, settings and visits are documented.

Can XEHR record airway clearance plans?

Yes. Plans are documented and shared.

Can sleep studies be ordered for children?

Yes. Studies are ordered with documentation payers need.

How much does XEHR cost for a pediatric pulmonology practice?

Pricing is published: $189 per provider per month for the Clinical plan, $449 per provider per month for the Practice Suite with billing, or 2.5% of collections for RCM as a Service. Month-to-month, with a BAA on every plan. See pricing.

How long does it take a pediatric pulmonology practice to go live?

Small practices are usually live in 2 to 4 weeks, including setup, data migration and training. We agree the plan with you before you sign.

Related specialties

See all specialties

See XEHR set up for pediatric pulmonology

A 30-minute walkthrough on a live test environment, with your specialty's templates and billing.

Book a demo See pricing