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Wiki 94640 - nebulizer treatment
- Thread starter trishj
- Start date
9921x-25
94640
94640
We are getting denials for a nebulizer treatment. I can't find anywhere what is the modifier I should use or how I can get his paid with a regular office visit/or can I?
Lisa Bledsoe
True Blue
We are getting denials for a nebulizer treatment. I can't find anywhere what is the modifier I should use or how I can get his paid with a regular office visit/or can I?
If it's UHC, not only do you need -25 on the E/M but also -59 on 94640.
pattii1744
New
- Messages
- 1
- Best answers
- 0
94640
At our hospital Medicare is denying all 94640 b/c of the LCD/NCD diagnosis requirement. The diagnosis's listed on LCD/NCD do not include symptons such as wheezing, asthma or bronchitis. The LCD is more geared for pulmonary rehab programs. Any thoughts?
At our hospital Medicare is denying all 94640 b/c of the LCD/NCD diagnosis requirement. The diagnosis's listed on LCD/NCD do not include symptons such as wheezing, asthma or bronchitis. The LCD is more geared for pulmonary rehab programs. Any thoughts?