Wiki 94640 nebulizer

[adaniel]

I am having problems getting paid for 94640 when billed w/ regular office visit. I am billing the ofc visit w/ a 25..... Does 94640 need 59??? Please help!! Can I also bill & get paid for the albuterol J7613?

Any info is greatly appreciated!

 

[mitchellde]

What dx code do you link to the neb.

 

[adaniel]

786.05
300.01

 

[lcanady]

you may want to check your LCD. 786.05 (SOB) is not covered here in NC.

 

[cathyford]

I get paid on them when we use URI 465.9 or 466.0 490 for bronchitis related DX codes

 

[Squiabro]

Check with the carrier: Many of them will bundle payment of J7613 with nebulizer procedure.

 

[adaniel]

If you don't mind me asking......How did you find out that 786.05 SOB is not covered in NC?