Hopefully, you received an answer already, but yes, the drug should be billed with the neb treatment. Like an injection- you bill for the drug and administration- you would bill for the use of the machine and also the drug used. Be careful if you use the Duoneb, you can only bill out as a max of 6 units. You can also bill for the demonstration of the nebulizer (or an inhaler), if done, if patient is being sent home with a nebulizer-or a script to purchase a nebulizer. See below- This is what we have given our office staff for reference. (these J codes are the only codes we use based off of the drugs we purchase. You could be using different J codes depending on what you get/give.)
Albuterol treatments
94640 – Pressurized or nonpressurized inhalation treatment for acute airway obstruction or sputum induction for diagnostic purposes (eg, with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing [IPPB] device)
J7613 – Albuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME unit dose, 1mg
(Should report 8 units when entire bottle of concentrate is used)
J7614 - Levalbuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose, 0.5mg (Xopenex)
(0.63mg/3ML – 4 units should be reported when entire bottle of concentrate is given.
1.25mg/3ML – 8 units should be reported when entire bottle of concentrate is given.)
J7620 - Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, FDA-approved final product, noncompounded, administered through DME (Duoneb)
(Should report 6 units when entire bottle of concentrate is used)
If the patient is taking a nebulizer home and is shown how to use the following code should be reported.
94664 - Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device.
(Append a 59 modifier to this code)
**When a 94010, 94060, or 94640 is billed in conjunction with the 94664, use 59 mod on 94664**