How many times can you bill 94640?
CPT code 94640 should be reported only once during an episode of care, regardless of the number of separate inhalation treatments that are administered.
Can you Bill 94640 twice?
94640 twice (some carriers allow billing for multiple aerosol treatments without a modifier). Or, if the carrier follows NCCI, you may report 94060 only, and not 94640.
Does Medicare pay for CPT 94640?
When providing inhalation treatment for acute airway obstruction, Medicare will not pay for both 94640 and 94644 or 94645 if they are billed on the same day for the same patient. This includes Emergency Room patients who are not admitted to the hospital.
What is the Mue for 94640?
However, the current MUE value for code 94640 is listed as 1 if billed on a hospital claim, which contradicts language in both the CPT Manual and the NCCI Policy Manual. This MUE indicates that it would be inappropriate for a hospital to bill for more than one episode of care per date of service.
Can 94640 and 94664 be billed together?
CPT codes 94640 and 94664 can be reported together.
Does 94640 need a modifier?
The AMA guidance for CPT code 94640 (pressurized or non-pressurized inhalation treatment for acute airway obstruction…) states: “For more than one inhalation treatment performed on the same date, append modifier 76”.
Can CPT code 94664 and 94640 be billed together?
What does CPT code 94640 mean?
CPT code 94640 describes treatment of acute airway obstruction with inhaled medication and/or the use of an inhalation treatment to induce sputum for diagnostic purposes.
What is a 76 modifier?
Modifier 76 Used to indicate a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service.
What is the difference between modifier 25 and 59?
Modifier 25 may be appended only to a code found in the E/M section of the CPT manual. Modifier 59 is used to indicate a distinct procedural service.
What is a 25 modifier code?
Evaluation and Management
The Current Procedural Terminology (CPT) definition of Modifier 25 is as follows: Modifier 25 – this Modifier is used to report an Evaluation and Management (E/M) service on a day when another service was provided to the patient by the same physician or other qualified health care professional.
What Revenue Code is billed with procedure 94640?
This is not the case with outpatient hospital nebulizer inhalation treatment. Therefore, report the appropriate procedure code, 94640. There is no appropriate HCPCS code for the Albuterol Albuterol is used to treat wheezing and shortness of breath caused by breathing problems. , therefore, report it as a packaged drug using revenue code 250. Note that some FIs have specific policies for this service.
What is medical code 94640?
The Current Procedural Terminology (CPT) code 94640 as maintained by American Medical Association, is a medical procedural code under the range – Pulmonary Diagnostic Testing and Therapies.
What is CPT 94640?
CPT 94640, Under Pulmonary Diagnostic Testing and Therapies. The Current Procedural Terminology (CPT) code 94640 as maintained by American Medical Association, is a medical procedural code under the range – Pulmonary Diagnostic Testing and Therapies.
