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Peak Flow or Breathing Treatment

  1. Red face Peak Flow or Breathing Treatment
    Medical Coding Books
    Is a 94150 Peak Flow or a 94640 Breathing treatment billable with an E&M code? Would you use a modifier? We are getting them both denied any time they are billed with a E&M as included in the primary procedure. Any help would be greatly appreciated.

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    Quote Originally Posted by tcarlton View Post
    Is a 94150 Peak Flow or a 94640 Breathing treatment billable with an E&M code? Would you use a modifier? We are getting them both denied any time they are billed with a E&M as included in the primary procedure. Any help would be greatly appreciated.
    OK---You have to first use a modifier 25 on your E & M code; bill the peak flow (which usually is denied by ins co), bill the breathing treament but you forgot to bill for the medicine (J code). That is why your claims are being denied. Hope this helps.
    Yolanda T. Haskins CPC, CRC, OHCC, AAPC Fellow
    Past AAPCCA Board of Directors 2014 - 2017


    Alexandria, VA Chapter

    ~ Practice Kindness ~

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