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  #1  
Old 01-04-2008, 09:05 AM
DrgGrl DrgGrl is offline
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Default Nebulizer treatments and Peak Flows

In reviewing our superbills to reflect the 2008 changes in ICD-9 and CPT codes questions have been raised in regards to nebulizer treatments and peak flows. We have been told that peak flows are part of the E/M visit. We have been applying CPT 94010 to this. As for patients who receive a nebulizer treatment during their appt, we have been attaching CPT code 94664 to the service. We have been told that this is incorrect. Would CPT code 94640 be more accurate?
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  #2  
Old 01-04-2008, 09:48 AM
Barbara A. Love Barbara A. Love is offline
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Default Nebulizer treatment

The correct CPT code for a nebulizer treatment is CPT code 94640.

CPT code 94664 is when you show the patient how to use their inhaler or show the patient how to give themselves a neblizer treatment. This code should not be used as a treatment.
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  #3  
Old 01-04-2008, 09:56 AM
DrgGrl DrgGrl is offline
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Default Nebulizer treatments

Thanks Barbara!

I looked through codes in the CPT book and found this code as well. Thanks for confirming.
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  #4  
Old 06-26-2008, 11:24 AM
Lori Hartnett Lori Hartnett is offline
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Default nebulizer treatment

Can you bill for a 94640 (nebulizer tx) and and 94060 (spirometry). The cci edits show that you can append modifier 59 to 94640, but I don't think this appropriate. Any help would be appreciated.

Thanks,
Lori
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  #5  
Old 07-11-2008, 10:56 PM
billie billie is offline
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Default nebulizer

We bill for urgent care and patients get nebulizer treatment 94060 with inhaler. I have been told they bundle these services into the em code is this correct? and what modifier do you use?
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Old 07-12-2008, 11:34 AM
Lisa Bledsoe Lisa Bledsoe is offline
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We code 94060 and the apporpriate J code for albuterol. We append -25 to the e/m and have no problem with getting the nebs paid. Spiro's are inclusive to an e/m.
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Old 07-26-2008, 10:33 AM
Lorisvg Lorisvg is offline
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The original question was in regards to a peak flow meter. (plastic L shaped tube you blow into - thats all there is - not a machine) This is included in an E/M

94010 is for a spirometry, INCLUDING graphic record (a machine)

94060 is for a spirometry, pre and post nebulizer treatment,(also charge nebulizer treatment & solution)

94664 can be used for the demo of a nebulizer OR a metered dose inhaler

Hope this helps clarify whats what

Last edited by Lorisvg; 07-26-2008 at 10:45 AM. Reason: added comment
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Old 07-27-2008, 06:07 AM
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dmaec dmaec is offline
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for us: the peak flow is included in the E/M -
the Spirometry is 94010 and the E/M is appended with modifier .25
the Nebulizer is 94060 and the E/M is appended with modifier .25 - we do not charge the albuterol.
(of course, it's a given - the E/M's get the .25 only if the documentation supports all services)

oops, thanks Lorisvy -got my numbers mixed up - 94010 & 94060 spirometry
and 94640 neb - we still do not code the albuterol with it - I don't have a current HCPC's book here at home but I recall getting some info on albuterol and the codes being deleted --- that info is a work also, I'll have to check it out, I don't remember exactly what it was about.
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Last edited by dmaec; 07-29-2008 at 06:40 PM.
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  #9  
Old 07-29-2008, 05:55 PM
Lorisvg Lorisvg is offline
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Check your codes, 94060 is for spirometry (measure of lung volume)
while 94640 is for a nebulizer (aerosol inhalation treatment) You can charge the Albuterol. We use J7602 for regular insurance, and J7613 for Medicare (their requested code)
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  #10  
Old 06-17-2009, 01:18 PM
Marie00763 Marie00763 is offline
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Cool Nebulizer

Can you bill 99284-25 with 94640? I would think not.
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