William Ivan Posted Thu 26th of June, 2014 11:25:07 AM
CAN WE BILL FOR CODE 94644 IF DONE TWICE IN ONE VISIT AT THE PCP OFFICE? If SO WOULD THE SECOND NEBULIZER TREATMENT BE A DIFFERENT CODE AND WHAT MODIFIERS WOULD BE NEEDED, IF ANY.
SuperCoder Answered Fri 27th of June, 2014 03:42:43 AM
Yes, you may report 94644 twice. Bill the second unit with modifier 76.
Modifier 76 represents "Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional".
Make sure that documentation clearly specify that nebulizer treatment in each session is performed for minimum of 60 minutes.
Use 94640 if nebulizer treatment is performed for less than one hour.
Code 94640 represents "Pressurized or nonpressurized inhalation treatment for acute airway obstruction or for sputum induction for diagnostic purposes (eg, with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing [IPPB] device)".