Asthma Inhalers

gcohen

Guru
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134
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Upland
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Has any had success in reimbursement for billing inhalers, ie, albuterol, from the pcp office?
 
Messages
119
Best answers
0
Has any had success in reimbursement for billing inhalers, ie, albuterol, from the pcp office?
We have had success with billing for teaching a patient how to use an inhaler (94664) and billing for nebulizer treatments (94640)done in the office.
 

DeBillingTater

Networker
Local Chapter Officer
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25
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You can go about it one of two ways:
1. Issue prescription for patient to pick-up at pharmacy.
2. If you have a small medication outlet within your practice, offer inhalers as self-pay only. Insurance won't reimburse unless you have a full-time pharmacists dispensing medications at your practice.

Nebulizer piece is billable as a supply so you can offer those in-office. Just include the NU modifier with it and verify that your reimbursement rates are equal or higher than your supplier cost?
 

gcohen

Guru
Messages
134
Location
Upland
Best answers
0
You can go about it one of two ways:
1. Issue prescription for patient to pick-up at pharmacy.
2. If you have a small medication outlet within your practice, offer inhalers as self-pay only. Insurance won't reimburse unless you have a full-time pharmacists dispensing medications at your practice.

Nebulizer piece is billable as a supply so you can offer those in-office. Just include the NU modifier with it and verify that your reimbursement rates are equal or higher than your supplier cost?
thanks so much for the information
 
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