Wiki Billing for the use of rescue inhaler during Allergy appointment

[aressemann]

Hello

Wanted to get some guidance regarding inhaler use and or available on site during allergy testing. When a patient has diagnosed asthma and is prescribed a rescue inhaler and we are going to be completing allergy testing or SCIT appointments, patients are required to bring their inhaler with to the appointment in case they need it, If they do not, the patient will not be tested or treated. We have run into multiple patients that we need to reschedule because they do not remember their inhaler. Our provider is wondering if we have a rescue inhaler on site and need to use it due to a induced attack, are we able to bill for it? (possibly utilizing CPT 94640)

Thanks for your help!

 

[lfontanez]

I work for an allergist. If a patient has an allergic reaction to an allergy shot and needs rescue treatment, then we provide the nebulizer treatment, which you can bill for. We also tell our allergy shot patients to carry their Epi-Pen on the days they receive their allergy shots, but if they are in the office and having a reaction, we use our own supply then bill for it.