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Wiki 94060 and 94640 on the same visit?

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dballard2004

dballard2004

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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.
 
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.
 
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.
 
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