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94640 - nebulizer treatment

  1. Default 94640 - nebulizer treatment
    Medical Coding Books
    We are getting denials for a nebulizer treatment. I can't find anywhere what is the modifier I should use or how I can get his paid with a regular office visit/or can I?

  2. #2
    Default
    9921x-25
    94640

    Quote Originally Posted by trishj View Post
    We are getting denials for a nebulizer treatment. I can't find anywhere what is the modifier I should use or how I can get his paid with a regular office visit/or can I?
    Rachele Porter, AS, CPC, CPC-H, CEDC
    no weapons formed against me shall prosper

  3. #3
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    Quote Originally Posted by trishj View Post
    We are getting denials for a nebulizer treatment. I can't find anywhere what is the modifier I should use or how I can get his paid with a regular office visit/or can I?
    If it's UHC, not only do you need -25 on the E/M but also -59 on 94640.
    Lisa Bledsoe, CPC, CPMA

  4. Default 94640
    At our hospital Medicare is denying all 94640 b/c of the LCD/NCD diagnosis requirement. The diagnosis's listed on LCD/NCD do not include symptons such as wheezing, asthma or bronchitis. The LCD is more geared for pulmonary rehab programs. Any thoughts?

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