Results 1 to 4 of 4

94060 and 94640 on the same visit?

  1. #1
    Overland Park, KS
    Default 94060 and 94640 on the same visit?
    Exam Training Packages
    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, CRHC, AAPC Fellow

  2. #2
    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. Default
    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
    Overland Park, KS
    Thanks so much everyone!
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow

Similar Threads

  1. 94640 with office visit/ modifier 25?
    By Trendale in forum E/M
    Replies: 4
    Last Post: 09-01-2016, 02:39 PM
  2. Billing 94640 with 94060
    By Dgiannetto in forum Billing/Reimbursement
    Replies: 2
    Last Post: 04-03-2014, 08:04 AM
  3. E&M and 94010/94060
    By spencer267 in forum Modifiers
    Replies: 0
    Last Post: 07-02-2013, 10:23 AM
  4. Wiki 94060 and 94640
    By dballard2004 in forum Medical Coding General Discussion
    Replies: 5
    Last Post: 09-20-2010, 08:26 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.