• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki billing guideliness for breathing treatment

Messages
4
Location
Spring Lake, NC
Best answers
0
In a family practice setting-if a patients comes in for bronchitis and they are wheezing and we do a breathing treatment and a chest xray what is the appropriate way to bill this? Can we bill the E/M with mod. 25, and the breathing treatment w/mod. 59?
 
I usually add modifier -25 to E/M code, make sure you add the NDC to Albuterol, I don't use modifier -59 and my claims get paid.

I hope this helps.
 
Thank you........:),I just wanted to clarify, if I bill a 99213 -25, w/diagnosis asthma, bronchitis, and uri-then the breathing treatment 94640 w/ a diagnosis of wheezing. should this be billable? or can I only bill the breathing treatment? And if I can only bill the breathing treatment does the E/M visit need to be something completely unrelated to anything respiratory in order to bill both the E/M and the breathing treatment :confused:
 
Top