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Otolaryngology Coding Alert

Reader Questions:

Don't Move Away From 94664 When Providing Education Service

Published on Tue Mar 08, 2011

Question: In what situation should we be reporting 94664? The Medicare fee schedule shows it pays more than the nebulizer code. Can I bill for this?Oregon SubscriberAnswer: Yes, 94664 (Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device) is a valid code if a nurse or other provider shows a patient how to use a nebulizer-type device, such as an inhaler; teaches the patient proper usage including hold and dosing; or observes the patient using the device.Important: The physician or nonphysician provider (NPP) who orders the nebulizer education should indicate the medical necessity for the service, such as incorrect handhold, new prescription, etc.The Correct Coding Initiative (CCI) edits bundle 94664 into inhalation treatment code 94640 (Pressurized or nonpressurized inhalation treatment for acute airway obstruction or for sputum induction for diagnostic purposes [e.g., with an aerosol generator, nebulizer, metered dose inhaler or intermittent [...]
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