Wiki billing guideliness for breathing treatment

[lashonfren]

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?

 

[philipwells]

Sounds billable to me
I do recall the Albuterol not being reimbursed though

 

[lashonfren]

That is the way we have been billing it, but now we are starting to get denials. Is anyone else having this issue?

 

[puchimee@msn.com]

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.

 

[lashonfren]

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