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Thread: 94060 and 94640 on the same visit?

  1. #1

    Default 94060 and 94640 on the same visit?

    AAPC: Back to School
    This relates more to pulmonology, but does anyone know if code 94060 for bronchodilation responsiveness, pre- and post bronchodilator administration can be bill on the same visit as a nebulizer treatment, code 94640? NCCI edits seem to indicate that they can with modifier 59, but I can't find any clear guidance here. Thanks.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P
    Compliance Auditor

  2. #2
    Join Date
    Apr 2007
    Greeley, Colorado


    It has been my experience that you can bill 94640-59 only if the neb is performed twice. One will be bundled with 94060. I'd like to hear from others too.
    Lisa Bledsoe, CPC, CPMA

  3. #3


    Without any specific guidance it appears that it would only be appropriate to bill 94640 if it were performed during a separate patient encounter on the same day.
    Anthony McCallum, CPC, CIRCC, CPC-I, CCS

  4. #4


    Thanks so much everyone!
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P
    Compliance Auditor

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