I am wondering if someone could help clarify this question for me: If a patient comes into the office and they get a nebulizer treatment while they are there do you append a modifier to the office visit or can you code both together? It has been brought to my attention that some insurances will not pay for both and others require a 59 on the nebulizer, but that does not seem right to me. If someone could help me out with this question I would really appreciate it.