tci Part B Insider - 2005 Issue 11

Part B Coding Coach: 4 Nebulizer Coding Tips Help Ensure Maximum Payment

Don't miss out on E/M, drug, and training reimbursement You may watch valuable reimbursement evaporate if you don't know when and how to apply modifiers -59, -76 and -77 to your nebulizer treatment claims. CPT provides two nebulizer codes: 94640 (Pressurized or nonpressurized inhalation treatment for acute airway obstruction or for sputum induction for diagnostic purposes [e.g., with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing [IPPB] device) for the actual service, and 94664 (Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulize, metered dose inhaler or IPPB device), for teaching the...

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