Wiki J7620 vs J7613 & J7644??

Which way to bill for nebulizer treatment?

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hthompson

hthompson

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We do a lot of nebulizer treatments in our office and a question recently came up regarding the use of J7620 for DuoNebs which AMA states to be: J7620-Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, FDA-approved final product, noncompounded, administered through DME.

We used to give actual DuoNeb brand nebs which we had no problem using this code with the 94640 for the neb treatment.

The question is this: If the pt was given albuterol 2.5mg AND atrovent .5mg in the SAME nebulizer treatment, does it constitute a J7620?

The other problem is that the NDCs are different for the albuterol andatrovent vs DubNeb and I think will come back from the insurance as not matching the J7620 if I bill them separately with their own NDCs.

Does anyone have experience with this?
 
This is coming up again! This time the question is:
Can you bill a 94640 for a nebulizer done in a medical office with the J codes for the meds? If you do an Albuterol neb, then a Xopenex neb, can you bill 94640x2 since they were subsequent to each other, not concurrent?
 
Mixed drugs in a nebulizer

In Pain Management coding, when drugs are mixed to give in a pain pump, even if each drug has its own J code, the mixture is considered a new drug and is billed to Medicare as J3490. Check the LCD's for J3490 and see if any of the resoiratory drugs
 
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