Wiki 94060 and 94640 on the same visit?

[dballard2004]

This relates more to pulmonology, but does anyone know if code 94060 for bronchodilation responsiveness, pre- and post bronchodilator administration can be bill on the same visit as a nebulizer treatment, code 94640? NCCI edits seem to indicate that they can with modifier 59, but I can't find any clear guidance here. Thanks.

 

[Lisa Bledsoe]

It has been my experience that you can bill 94640-59 only if the neb is performed twice. One will be bundled with 94060. I'd like to hear from others too.

 

[ciphermed]

Without any specific guidance it appears that it would only be appropriate to bill 94640 if it were performed during a separate patient encounter on the same day.

 

[dballard2004]

Thanks so much everyone!