Author Topic: WHEN YOU BILL A NEBULIZER TREATMENT IN THE OFFICE (CPT94664) DO THE MEDS USED WI  (Read 4600 times)

Michele

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Question
Question for Ask the Biller:
October 16, 2007
HELLO
WHEN YOU BILL A NEBULIZER TREATMENT IN THE OFFICE (CPT94664) DO THE MEDS USED WITH IT (ATROVENT, XOPENEX, ETC) GET BILLED SEPARATELY OR DO THEY GET BUNDLED IN THE 94664??
THANKS
TY H

Answer
Hi Ty,
I would recommend that you bill the drugs used with the Nebulizer treatment, 94664, separately using the appropriate HCPCS code. Many insurance carriers, including Medicare, will allow for them separately.
I hope that helps!
Thanks
Michele
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jns85008

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The code to bill for svn in the office is actually a 94640. 

"It is AARCís interpretation that when a respiratory therapist demonstrates or evaluates a patientís utilization of breathing treatments such as MDIs, nebulizers, or IPPBs, they should use CPT 94664. This code can only be reported one time per day of service, when physician ordered, performed and properly documented as to necessity.

All treatments performed, including the treatment performed with the initial demonstration and/or evaluation, should be billed with CPT 94640. For more than one inhalation treatment performed on the same date, attach modifier -76. It is not anticipated that these coding changes will greatly affect current reimbursement levels."

I then bill my medication separately.
 
« Last Edit: July 08, 2008, 04:12:59 AM by jns85008 »