Pulmonology Coding Alert
Instruction Justifies Multiple 94664 Pay
Question: Do payers limit how many times we can report 94664 in a given period? For example, a patient comes to our practice, and the physician demonstrates the use of a nebulizer device. The patient returns in three months, and the physician again demonstrates nebulizer use. Can we charge for 94664 again? Answer: You may report 94664 (Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device) more than once if you must instruct the patient again on proper use during a subsequent visit. CPT instructs coders to use this code only once per day of service. Other than this, Medicare does not limit how many times you can report 94664 during a given period, as long as you actually offer medically necessary instruction on use of the device. Make sure your documentation identifies the need for the subsequent session.
New York Subscriber
Pulmonology Coding Alert
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