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Thread: Neb treatment

  1. #1

    Default Neb treatment

    AAPC: Back to School
    Can I bill CPT 94640 along with the facility E/M code for the facility side of ER? Or is it included in the E/M for the facility side? On encoder pro in the note section it states "EXCLUDES: Separate identifiable evaluation and management servive (99201-99499 [99224, 99225, 99226])" so i'm thinking I can bill it with a modifier 25. Thank you for your help.

  2. #2
    Join Date
    Apr 2007
    Bangor, Maine


    I do here at the hospital ER I work in. we always use the E/M with a -25 modifier, since the neb has an "S" status indicator. If they do 2 or more nebs that day, don;t forget to apply the -76 modifier the the additional ned code(s)

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