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Vickie Posted Thu 09th of August, 2012 14:02:29 PM

Medicare will not pay for a "94060: and a "94640" together. Do I have to do something special to get these paid?

SuperCoder Answered Thu 09th of August, 2012 16:36:25 PM

94060 includes the bronchodilation procedure (not the drug -ie albuteral which is separately reportable). So if the patient has the pre- and post- spiro with neb, code 94060 and the drug.The administration of the bronchodilator is included in CPT code 94060 (Bronchodilation responsiveness, spirometry as in 94010, pre and post-bronchodilator administration). The service cannot be performed without the bronchodilator, therefore, it is integral to the procedure and cannot be charged separately with 94640.

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